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Table 2 Literature overview for published articles addressing NMUS and chemotherapy/immunotherapy induced polyneuropathy (publications included until March 2023)

From: The role of neuromuscular ultrasound in diagnostics of peripheral neuropathies induced by cytostatic agents or immunotherapies

References

Publication/study type

No. of pat

Type of cancer

Treatment regimen

Control

Ultrasound findings

Portland et al. [26]

Case report

1

Breast cancer

Paclitaxel

No

NMUS performed of both median nerves only

Enlargement of median nerve CSA at the wrists and palms, bilaterally

Hypoechogenic nerves

Reduced mobility of nerves

Erdmann et al. [27]

Monocentric, retrospective study

27*

n.a

Platinum based regimen

19 pat. with CIP + 20 pat. with CIDP

No CSA analysis described, focused on echogenicity only

No significant difference described (tendency to slightly hyperechogenic findings)

Lycan et al. [28]

Monocentric, prospective cross-sectional study

20

Breast cancer

Taxane

healthy historical controls

decreased sural nerve size increased median nerve size, but on compression site only

Alberti et al. [29]

Review

n.a

n.a

n.a

n.a

n.a

Pitarokoili et al. [30]

Monocentric, prospective study

13

mPC

oxaliplatine, irinotecan and 5-fluorouracil (FOLFIRI-NOX)

No

Tendency for CSA increase at compression sites for ulnar nerve (elbow) and radial nerve (radial groove) increased CSA for fibular nerve (at fibular head; 10/13) and the tibial nerve (at knee and ankle)

Briani et al. [31]

Monocentric, prospective study

15

CRC

Oxaliplatine

No

CSA increase of median and ulnar nerves at compression sites (9/15), in 4/15 pat. bilaterally

  1. CIDP chronic inflammatory demyelinating polyneuropathy, CIP critical illness polyneuropathy, CRC colorectal cancer, CSA cross sectional area, n.a. not applicable, NMUS neuromuscular ultrasound, mPC metastatic pancreatic cancer, pat. patients
  2. *13/27 patients already described at Pitarokoili et al. [30]