{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T03:38:59Z","timestamp":1767065939192,"version":"3.48.0"},"reference-count":18,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T00:00:00Z","timestamp":1762128000000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Neuroimaging"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Purpose<\/jats:title>\n                    <jats:p>To determine the diagnostic accuracy of median nerve ultrasound in suspected cases of carpal tunnel syndrome (CTS) in a prospective, real\u2010world study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective study was carried out over one year at Roy Neuro Care Centre, Ranchi, Jharkhand, India. The clinical, electrophysiologic, and ultrasonographic findings in suspected cases of CTS were collected. A history and physical examination consistent with CTS were considered the gold standard for diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 134 patients with symptoms suggestive of CTS were enrolled, and both wrists were examined. The diagnostic accuracy of various ultrasound parameters including maximum cross\u2010sectional area (CSA) of the median nerve in the tunnel, difference between CSA at the level of the pronator quadratus compared to the carpal tunnel, and wrist\u2010to\u2010forearm ratio were evaluated by individual, parallel, and serial testing strategies using optimal cut\u2010off values determined by the Youden Index. Parallel testing provided the highest sensitivity, making it suitable for screening, whereas serial testing produced the highest overall accuracy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Median nerve ultrasound is an accurate diagnostic tool for CTS in a real\u2010world setting.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jon.70102","type":"journal-article","created":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T07:00:08Z","timestamp":1762239608000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Diagnostic Accuracy of Neuromuscular Ultrasound for Carpal Tunnel Syndrome: A Real\u2010World Study"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8010-5536","authenticated-orcid":false,"given":"Ujjawal","family":"Roy","sequence":"first","affiliation":[{"name":"Department of Neurology Roy Neuro Care Centre  Ranchi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael S.","family":"Cartwright","sequence":"additional","affiliation":[{"name":"Department of Neurology Wake Forest School of Medicine  Winston\u2010Salem North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Achal Kumar","family":"Srivastava","sequence":"additional","affiliation":[{"name":"Department of Neurology All India Institute of Medical Sciences  New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abhishek","family":"Dixit","sequence":"additional","affiliation":[{"name":"Department of Neurology BLK\u2010Max Super Speciality Hospital  New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ajay","family":"Panwar","sequence":"additional","affiliation":[{"name":"Department of Neurology Rotary Ambala Cancer and General Hospital  Ambala India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meenakshi","family":"Vanchi","sequence":"additional","affiliation":[{"name":"Department of Neurology Senthil Multispecialty Hospital  Erode India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guhan","family":"Ramamurthy","sequence":"additional","affiliation":[{"name":"Department of Neurology BG Institute of Neurosciences, BG Hospital  Tiruchendur India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. M. Arun","family":"Shivaraman","sequence":"additional","affiliation":[{"name":"Department of Neurology NG Hospital  Coimbatore India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saankritya","family":"Ayan","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Pulse Superspeciality Hospital  Ranchi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saket","family":"Verma","sequence":"additional","affiliation":[{"name":"Department of Biochemistry Trauma Centre, Rajendra Institute of Medical Sciences  Ranchi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prabhat Kumar","family":"Lal","sequence":"additional","affiliation":[{"name":"Department of Community Medicine Darbhanga Medical College  Darbhanga India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,3]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1197\/j.jht.2004.02.015"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2021.683807"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.20019"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2005.05.013"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinph.2008.01.101"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajum.12219"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.01362"},{"issue":"3","key":"e_1_2_7_9_1","first-page":"241","article-title":"Normative Data of Upper Limb Nerve Conduction in Central India","volume":"55","author":"Pawar S. M.","year":"2011","journal-title":"Indian Journal of Physiology and Pharmacology"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097\u20104598(199601)19:1<48::AID\u2010MUS6>3.0.CO;2\u20108"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrnm.2013.10.004"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12883\u2010014\u20100197\u20109"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.25766"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2018.08.031"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jon.12579"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.50.5771"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/jcu.24081"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2018.11.010"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/jum.14338"}],"container-title":["Journal of Neuroimaging"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jon.70102","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T02:53:08Z","timestamp":1767063188000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jon.70102"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":18,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1111\/jon.70102"],"URL":"https:\/\/doi.org\/10.1111\/jon.70102","archive":["Portico"],"relation":{},"ISSN":["1051-2284","1552-6569"],"issn-type":[{"type":"print","value":"1051-2284"},{"type":"electronic","value":"1552-6569"}],"subject":[],"published":{"date-parts":[[2025,11]]},"assertion":[{"value":"2025-09-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-20","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70102"}}