Have a personal or library account? Click to login
Diagnostic cut-off values and grading of carpal tunnel syndrome by shear wave elastography at different tunnel locations correlated with gold standard nerve conduction study – a case-control study Cover

Diagnostic cut-off values and grading of carpal tunnel syndrome by shear wave elastography at different tunnel locations correlated with gold standard nerve conduction study – a case-control study

Open Access
|Jun 2025

Figures & Tables

Fig. 1.

Placement of ROIs outside, at the inlet and at the outlet of the carpal tunnel on elastograms
Placement of ROIs outside, at the inlet and at the outlet of the carpal tunnel on elastograms

Fig. 2.

ROC curve analysis showing the diagnostic performance of shear wave elastography (SWE) inside the tunnel (mean of SWE at the inlet and outlet of the tunnel) in cases vs controls (n = 50)
ROC curve analysis showing the diagnostic performance of shear wave elastography (SWE) inside the tunnel (mean of SWE at the inlet and outlet of the tunnel) in cases vs controls (n = 50)

Fig. 3.

ROC curve analysis showing the diagnostic performance of shear wave elastography at the inlet of the tunnel in predicting severe carpal tunnel syndrome (n = 25)
ROC curve analysis showing the diagnostic performance of shear wave elastography at the inlet of the tunnel in predicting severe carpal tunnel syndrome (n = 25)

Fig. 4.

Shear wave elastography of a normal subject
Shear wave elastography of a normal subject

Fig. 5.

Shear wave elastography of a subject with moderate carpal tunnel syndrome
Shear wave elastography of a subject with moderate carpal tunnel syndrome

Fig. 6.

Shear wave elastography of a subject with severe carpal tunnel syndrome
Shear wave elastography of a subject with severe carpal tunnel syndrome

Diagnostic performance of various parameters for diagnosing carpal tunnel syndrome

PredictorAUROC95% CIPSnSpPPVNPVDA
CSA outside tunnel0.8860.801–0.972<0.00180%80%80%80%80%
CSA inlet of tunnel0.9580.903–1<0.00196%84%86%96%90%
CSA outlet of tunnel0.9150.833–0.997<0.00180%92%91%82%86%
CSA inside tunnel0.9460.876–1<0.00188%96%96%89%92%
SWE outside tunnel0.8240.711–0.937<0.00160%92%88%70%76%
SWE inlet of tunnel0.9570.909–1<0.00188%92%92%88%90%
SWE outlet of tunnel0.9040.817–0.991<0.00180%88%87%82%84%
SWE inside tunnel0.9570.898–1<0.00188%100%100%89%94%
CSA+SWE outside tunnel0.9310.868–0.994<0.00172%100%100%78%86%
CSA+SWE inlet of tunnel0.9920.978–1<0.00196%96%96%96%96%
CSA+SWE outlet of tunnel0.9820.953–1<0.00192%100%100%93%96%
CSA+SWE inside tunnel0.9950.984–1<0.00196%100%100%96%98%
DOI: https://doi.org/10.15557/jou.2025.0017 | Journal eISSN: 2451-070X | Journal ISSN: 2084-8404
Language: English
Submitted on: Feb 4, 2025
Accepted on: May 30, 2025
Published on: Jun 30, 2025
Published by: MEDICAL COMMUNICATIONS Sp. z o.o.
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2025 Prashat Bhalke, Priya Pattath Sankaran, Arvind N. Prabhu, Rajagopal Kadavigere, Prakashini Koteshwara, published by MEDICAL COMMUNICATIONS Sp. z o.o.
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.