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Michel M Osteaux

Publications and source records attributed to Michel M Osteaux.

3 recordsLinked to original sources

Sonography of the normal ulnar nerve at Guyon's canal and of the common peroneal nerve dorsal to the fibular head.

PURPOSE: This study was conducted to evaluate the ability of sonography to visualize the ulnar nerve at Guyon's canal and the common peroneal nerve dorsal to the fibular head and to test for correlations between nerve measurements and subject characteristics. METHODS: We used a 5-12-MHz linear-array transducer in sonographic evaluation of 15 healthy adult volunteers. We evaluated the correlations between nerve diameters and surface areas and subject body mass index and height. We also tested for differences between nerve measurements in women and men and between nerve measurements from the left and right sides of the body. RESULTS: Both nerves were visualized in all subjects. Subject height correlated significantly with the anteroposterior diameter of the right ulnar nerve. Body mass index correlated significantly with the surface area of both ulnar nerves, with the anteroposterior diameter of both ulnar nerves, with the transverse diameter of the left ulnar nerve, and with the transverse diameter of the right common peroneal nerve. There was a statistically significant difference in anteroposterior diameter of the left ulnar and left common peroneal nerves between women and men. There were no significant differences between left- and right-side measurements for the combined data from the entire group of subjects. CONCLUSIONS: A 5-12-MHz linear-array transducer readily allows for visualization of the ulnar nerve at Guyon's canal and the common peroneal nerve dorsal to the fibular head.

Adult↗

Use of a curved-array transducer to reduce interobserver variation in sonographic measurement of thyroid volume in healthy adults.

PURPOSE: Sonographic calculation of thyroid volume is used in the diagnosis and follow-up of thyroid diseases. Since the calculated volume of thyroid lobes is highly influenced by the longest (ie, craniocaudal) diameter, we examined whether using a curved-array transducer as opposed to a linear-array transducer to measure the craniocaudal diameter would reduce interobserver variation. METHODS: Three sonographers with different levels of expertise each used a 5-12-MHz linear-array transducer and a 2-5-MHz curved-array transducer to measure the craniocaudal diameter of both thyroid lobes of 25 healthy volunteers. On the basis of these measurements, thyroid lobe volumes were calculated. Single-factor analysis of variance was used to evaluate the interobserver variations between the measurements made by all 3 observers as well as between measurements taken by pairs of observers. A p value of less than 0.05 was considered significant. RESULTS: Using the linear-array transducer to measure the craniocaudal diameter resulted in significant interobserver variation in thyroid volume calculation (p = 0.02), whereas using the convex-array transducer did not. Using either transducer resulted in a highly significant interobserver variation in measurements of the craniocaudal diameter, although the variation was far more pronounced for measurements made with the linear-array transducer (p = 0.0005) than for those made with the curved-array transducer (p = 0.04). For both transducers, the interobserver variations were most pronounced between the most and the least experienced sonographers. CONCLUSIONS: To avoid significant interobserver variation in calculating thyroid lobe volume, we recommend using a curved-array transducer to measure the craniocaudal diameter of the thyroid lobes.

Adult↗

Reducing inter-observer variation in thyroid volume calculation using a new formula and technique.

OBJECTIVE: Ultrasound (US) measurement of thyroid volume is used in diagnosis and follow-up of patients with thyroid disease. We assessed a new formula and technique for thyroid volume calculation, based on an automatically continuous trace transverse surface area (aTSA) calculation, to ascertain where this technique could reduce inter-observer variation. METHODS: Three observers with a different level of US expertise, using a 12-5 MHz linear transducer, examined 25 volunteers. Inter-observer variations were calculated for diameter measurements and for the thyroid lobe volume calculations using the single factor ANOVA method. RESULTS: Using the new technique and formula, no statistically significant differences existed, in contradistinction to using the classical formula for an ellipsoid (P=0.02). CONCLUSION: When thyroid volume measurements are required, we recommend using a new method of thyroid volume calculation based on the use of an automatically calculated continuous trace aTSA measurement to avoid significant inter-observer variation in calculation of thyroid lobe volumes.

Adult↗