TY - JOUR
T1 - Novel applications in ultrasound technology for regional anesthesia
AU - Munirama, Shilpa
AU - McLeod, Graeme
N1 - Funding Information:
We wish to thank the Medical Research Council, National Institute for Academic Anesthesia (NIAA) and Anesthetic Research Society (ARS) for funding of translational studies in regional anesthesia at the University of Dundee.
Publisher Copyright:
© 2013, Springer Science + Business Media New York.
PY - 2013/12
Y1 - 2013/12
N2 - Ultrasound-guided regional block (UGRA) of peripheral nerves is now common practice. Nerves, muscle, blood vessels and circumferential perineural spread of local anaesthetic are all seen in real time. However, the utility of B-Mode ultrasound may be limited when adjacent tissues have similar acoustic properties, and several diverse approaches have been taken to improve tissue contrast, particularly in cancer imaging. Examples include: 3D and 4D imaging, software modifications such as harmonics and beam steering, and clinical measurement of the fundamental properties of tissue such as stress and strain. Despite incorporation of new ultrasound technologies into cancer imaging, the practice of UGRA remains restricted to B-Mode ultrasound. Therefore, the objective of this review is to describe the principles of advanced ultrasound technologies, their application to cancer imaging, and their potential use within UGRA.
AB - Ultrasound-guided regional block (UGRA) of peripheral nerves is now common practice. Nerves, muscle, blood vessels and circumferential perineural spread of local anaesthetic are all seen in real time. However, the utility of B-Mode ultrasound may be limited when adjacent tissues have similar acoustic properties, and several diverse approaches have been taken to improve tissue contrast, particularly in cancer imaging. Examples include: 3D and 4D imaging, software modifications such as harmonics and beam steering, and clinical measurement of the fundamental properties of tissue such as stress and strain. Despite incorporation of new ultrasound technologies into cancer imaging, the practice of UGRA remains restricted to B-Mode ultrasound. Therefore, the objective of this review is to describe the principles of advanced ultrasound technologies, their application to cancer imaging, and their potential use within UGRA.
KW - 3D
KW - Anesthesia
KW - Elastography
KW - Needle
KW - Regional
KW - Ultrasound
UR - http://www.scopus.com/inward/record.url?scp=85086099253&partnerID=8YFLogxK
U2 - 10.1007/s40140-013-0038-1
DO - 10.1007/s40140-013-0038-1
M3 - Review article
AN - SCOPUS:85086099253
SN - 2167-6275
VL - 3
SP - 230
EP - 235
JO - Current Anesthesiology Reports
JF - Current Anesthesiology Reports
ER -
