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Table 4 Imaging characteristics for TN.

From: Epidemiology, risk factors, diagnosis, and treatment of intra-abdominal traumatic neuromas - a narrative review

Imaging examination

Traumatic neuroma (TN)

TN located in abdominal cavity

TN located in limbs, head and neck

Ultrasonography

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1. Smaller short axis diameters and short-to-long axis ratios than recurrent LN;

2. Absence of vascular flow;

3. Most of TNs were fusiform;

4. Well-defined or ill-defined margin;

5. Central hyperechogenicity;

6. Internal linear hypoechogenicity .

CT

Enhanced mass with central hypoattenuation and hyperattenuating rim

Nodules with central hypoattenuation and hyperattenuating rim

The appearance of TN on CT could be various and may be location-related

MRI

T1:Heterogeneous thicken of the common bile ducts with contrast enhancement;

T2: Markedly homogeneous or heterogeneous enhanced nodules with low-intensity capsule.

T1: Homogeneous nodules iso-intense to muscles;

T2: High-intensity with hypointense rim and heterogeneous contrast enhancement.

PET/CT

The diagnosis of TN can’t be excluded just by a positive results of PET/CT.

EUS

A homogeneous hypoechoic mass with a clear margin.

-

IDUS

TN located at cystic stump.

-

ERCP

TN were covered by normal bile duct mucosa.

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  1. EUS ~ endoscopic ultrasonography; CT ~ Computed tomography; MRI ~ Magnetic resonance imaging; PET/CT ~ Positron emission tomography/computed tomography; IDUS ~ Intraductal ultrasonography; ERCP ~ endoscopic retrograde cholangiopancreatoscopy