{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T11:44:10Z","timestamp":1785930250356,"version":"3.56.0"},"reference-count":7,"publisher":"MDPI AG","issue":"15","license":[{"start":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T00:00:00Z","timestamp":1785888000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>We thank Dr. Kiral for a thoughtful and constructive commentary, with which we largely agree. Surrogate biomechanical markers and direct visualisation of the SCN are complementary rather than competing: the markers were intended to extend diagnostic support to the many settings and patients in whom direct visualisation is not easy to achieve, whether for patient-related reasons or because high-resolution equipment and dedicated expertise are not universally available. We agree that these findings are supportive rather than primary diagnostic markers, and that their value may lie in the triad within a clinically pre-selected population rather than in any single sign. The nociceptive\u2013neuropathic distinction the author emphasises is itself one of the central conclusions of our study.<\/jats:p>","DOI":"10.3390\/diagnostics16152472","type":"journal-article","created":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T10:41:42Z","timestamp":1785926502000},"page":"2472","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Reply to Kiral, B.S. Ultrasonographic Evaluation of Superior Cluneal Nerve Entrapment: Methodological Considerations. Comment on \u201cIudicelli et al. The Role of Musculoskeletal Ultrasound in Detecting Superior Cluneal Nerve Entrapment: Biomechanical Insights in Chronic Low Back Pain\u2014A Pilot Study. Diagnostics 2026, 16, 469\u201d"],"prefix":"10.3390","volume":"16","author":[{"given":"Giovanni","family":"Iudicelli","sequence":"first","affiliation":[{"name":"Department of Anatomy, Histology, Forensic Medicine and Orthopedics, Sapienza University, 00185 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Agostini","sequence":"additional","affiliation":[{"name":"Department of Anatomy, Histology, Forensic Medicine and Orthopedics, Sapienza University, 00185 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Altarocca","sequence":"additional","affiliation":[{"name":"Rehabilitation Unit, University Hospital Umberto I, 00185 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Ioppolo","sequence":"additional","affiliation":[{"name":"Rehabilitation Unit, University Hospital Umberto I, 00185 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Narciso","sequence":"additional","affiliation":[{"name":"Department of Anatomy, Histology, Forensic Medicine and Orthopedics, Sapienza University, 00185 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Conti","sequence":"additional","affiliation":[{"name":"Department of Anatomy, Histology, Forensic Medicine and Orthopedics, Sapienza University, 00185 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Fisicaro","sequence":"additional","affiliation":[{"name":"Department of Anatomy, Histology, Forensic Medicine and Orthopedics, Sapienza University, 00185 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessio","family":"Savina","sequence":"additional","affiliation":[{"name":"Department of Anatomy, Histology, Forensic Medicine and Orthopedics, Sapienza University, 00185 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-0552-4243","authenticated-orcid":false,"given":"Vincenzo Di","family":"Nunno","sequence":"additional","affiliation":[{"name":"\u201cAzienda ULSS 9 Scaligera\u201d, 37122 Verona, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Massimiliano","family":"Mangone","sequence":"additional","affiliation":[{"name":"Department of Anatomy, Histology, Forensic Medicine and Orthopedics, Sapienza University, 00185 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Galletti","sequence":"additional","affiliation":[{"name":"Musculoskeletal Ultrasound School, Italian Society for Ultrasound in Medicine and Biology, 40124 Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0947-9711","authenticated-orcid":false,"given":"Marco","family":"Paoloni","sequence":"additional","affiliation":[{"name":"Department of Anatomy, Histology, Forensic Medicine and Orthopedics, Sapienza University, 00185 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,8,5]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Kiral, Busra Sezer (Diagnostics, 2026). Ultrasonographic Evaluation of Superior Cluneal Nerve Entrapment: Methodological Considerations. Comment on Iudicelli et al. The Role of Musculoskeletal Ultrasound in Detecting Superior Cluneal Nerve Entrapment: Biomechanical Insights in Chronic Low Back Pain\u2014A Pilot Study. Diagnostics 2026, 16, 469, Diagnostics.","DOI":"10.3390\/diagnostics16030469"},{"key":"ref_2","first-page":"197","article-title":"Successful Identification and Assessment of the Superior Cluneal Nerves with High-Resolution Sonography","volume":"19","author":"Bodner","year":"2016","journal-title":"Pain Physician"},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Iudicelli, G., Agostini, F., Altarocca, A., Ioppolo, F., Narciso, M., Conti, M., Fisicaro, A., Savina, A., Nunno, V.D, and Mangone, M. (2026). The Role of Musculoskeletal Ultrasound in Detecting Superior Cluneal Nerve Entrapment: Biomechanical Insights in Chronic Low Back Pain\u2014A Pilot Study. Diagnostics, 16.","DOI":"10.3390\/diagnostics16030469"},{"key":"ref_4","first-page":"345","article-title":"Fibro-Fatty Nodules and Low Back Pain: The Back Mouse Masquerade","volume":"49","author":"Curtis","year":"2000","journal-title":"J. Fam. Pract."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1007\/s00256-017-2772-9","article-title":"Subfascial Fat Herniation: Sonographic Features of Back Mice","volume":"47","author":"Murthy","year":"2018","journal-title":"Skelet. Radiol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1029","DOI":"10.1007\/s40122-021-00321-5","article-title":"Historical Review of Studies on Sacroiliac Fatty Nodules (Recently Termed \u201cBack Mice\u201d) as a Potential Cause of Low Back Pain","volume":"10","year":"2021","journal-title":"Pain Ther."},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Suarez-Rodriguez, V., Fede, C., Pirri, C., Petrelli, L., Loro-Ferrer, J.F., Rodriguez-Ruiz, D., De Caro, R., and Stecco, C. (2022). Fascial Innervation: A Systematic Review of the Literature. Int. J. Mol. 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