Explore the intricate world of brachial plexus imaging with our deep dive into high-resolution ultrasound techniques, offering a clear view of the supra- and infraclavicular levels and the axillary nerve, complete with multiplanar reconstructions and a technical guide for precision in peripheral nerve neurosurgery.
– by The Don
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High-resolution ultrasound of the supra- and infraclavicular levels of the brachial plexus including the axillary nerve: imaging anatomy based on multiplanar reconstructions and technical guide.
Bruckmoser et al., Ultraschall Med 2023
DOI: 10.1055/a-2191-1893
Listen, folks, we’ve got a situation with peripheral nerve injuries – it’s tough, really tough to diagnose them. We’ve got tools like electromyography, nerve conduction studies, but they’re not perfect, they don’t tell us everything we need to know. We can’t always see where the problem is, whether the nerves are in continuity or not, especially with complete axonotmesis. It’s a big problem, believe me.
But here’s the thing, we’ve got improved ultrasound technology. It’s fantastic, it’s huge. We can look at almost the entire peripheral nervous system with it. Now, the brachial plexus, that’s a tricky area, very complex, not easy to get to with standard scans. But we’re doing something amazing with it.
We’re using the Visible Human Project from the NIH – great project, very important. We’re making multiplanar reconstructions with this incredible open-source software, 3D Slicer. We’re matching it up with ultrasound cross-sections. It’s very advanced, very high-tech.
We’re not stopping there. We’re recording the ultrasound exams, making videos, synchronizing them – it’s like a movie, a very educational movie. And with image matching, we’re making big strides in visualization. We can see the structures we need to see, and we can do it consistently, which is what we want, right?
With this deep knowledge of ultrasound anatomy, we can assess the nerve structures of the brachial plexus dynamically, almost in their entire course. It’s a game-changer. And we’re sharing this knowledge – there’s an instructional video on Vimeo. It’s going to help a lot of people, it’s going to be great for physicians. This is how we make nerve injury diagnosis great again.
