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Tendon elastography

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https://www.readbyqxmd.com/read/28509432/feasibility-assessment-of-shear-wave-elastography-to-lumbar-back-muscles-a-radioanatomic-study
#1
Maud Creze, Krystel Nyangoh Timoh, Olivier Gagey, Laurence Rocher, Marie-France Bellin, Marc Soubeyrand
INTRODUCTION: Low back pain is often associated with tensional changes in the paraspinal muscles detected by palpatory procedures. Shear wave elastography (SWE), recently introduced, allows the stiffness of muscles to be assessed non-invasively. The aim of our work was to study the feasibility of using SWE on the three main lumbar back muscles (multifidus, longissimus and iliocostalis) in vivo after analyzing their muscular architecture ex vivo. MATERIALS AND METHODS: We determined the orientation of fibers in the multifidus, longissimus and iliocotalis muscles in seven fresh cadavers using gross anatomy and B-Mode ultrasound imaging...
May 16, 2017: Clinical Anatomy
https://www.readbyqxmd.com/read/28493799/shear-wave-elastography-basic-physics-and-musculoskeletal-applications
#2
Mihra S Taljanovic, Lana H Gimber, Giles W Becker, L Daniel Latt, Andrea S Klauser, David M Melville, Liang Gao, Russell S Witte
In the past 2 decades, sonoelastography has been progressively used as a tool to help evaluate soft-tissue elasticity and add to information obtained with conventional gray-scale and Doppler ultrasonographic techniques. Recently introduced on clinical scanners, shear-wave elastography (SWE) is considered to be more objective, quantitative, and reproducible than compression sonoelastography with increasing applications to the musculoskeletal system. SWE uses an acoustic radiation force pulse sequence to generate shear waves, which propagate perpendicular to the ultrasound beam, causing transient displacements...
May 2017: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/28465195/extensor-indicis-proprius-tendon-transfer-using-shear-wave-elastography
#3
J Lamouille, C Müller, S Aubry, S Bensamoun, W Raffoul, S Durand
The means for judging optimal tension during tendon transfers are approximate and not very quantifiable. The purpose of this study was to demonstrate the feasibility of quantitatively assessing muscular mechanical properties intraoperatively using ultrasound elastography (shear wave elastography [SWE]) during extensor indicis proprius (EIP) transfer. We report two cases of EIP transfer for post-traumatic rupture of the extensor pollicis longus muscle. Ultrasound acquisitions measured the elasticity modulus of the EIP muscle at different stages: rest, active extension, active extension against resistance, EIP section, distal passive traction of the tendon, after tendon transfer at rest and then during active extension...
March 7, 2017: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/28418825/science-to-practice-quantitative-us-elastography-can-be-used-to-quantify-mechanical-and-histologic-tendon-healing-in-a-rabbit-model-of-achilles-tendon-transection
#4
Kenneth S Lee, Jack Martin, Darryl Thelen
Compression-based ultrasonographic (US) elastography is associated with time-dependent mechanical and histologic changes of the healing tendon in a transected rabbit model of the Achilles tendon. This finding will lead to continued development of quantitative US, which can be used to objectively assess a diseased or healing tendon. With advances in the method used, clinical translation of tendon elastography may enable clinicians to diagnose tendon damage and track healing, which should improve both treatment and outcome...
May 2017: Radiology
https://www.readbyqxmd.com/read/28378201/poor-reproducibility-of-compression-elastography-in-the-achilles-tendon-same-day-and-consecutive-day-measurements
#5
Catherine Payne, Nick Webborn, Peter Watt, Mara Cercignani
OBJECTIVE: To determine the reproducibility of compression elastography (CE) when measuring strain data, a measure of stiffness of the human Achilles tendon in vivo, over consecutive measures, consecutive days and when using different foot positions. MATERIALS AND METHODS: Eight participants (4 males, 4 females; mean age 25.5 ± 2.51 years, range 21-30 years; height 173.6 ± 11.7 cm, range 156-189 cm) had five consecutive CE measurements taken on one day and a further five CE measures taken, one per day, at the same time of day, every day for a consecutive 5-day period...
July 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/28292005/current-status-of-musculoskeletal-application-of-shear-wave-elastography
#6
JeongAh Ryu, Woo Kyoung Jeong
Ultrasonography (US) is a very powerful diagnostic modality for the musculoskeletal system due to the ability to perform real-time dynamic high-resolution examinations with the Doppler technique. In addition to acquiring morphologic data, we can now obtain biomechanical information by quantifying the elasticity of the musculoskeletal structures with US elastography. The earlier diagnosis of degeneration and the ability to perform follow-up evaluations of healing and the effects of treatment are possible. US elastography enables a transition from US-based inspection to US-based palpation in order to diagnose the characteristics of tissue...
February 4, 2017: Ultrasonography
https://www.readbyqxmd.com/read/28265768/changes-in-elbow-joint-s-musculo-articular-mechanical-properties-do-not-alter-reaching-related-action-perception-coupling
#7
Yannick Daviaux, Thibault Deschamps, Christophe Cornu
PURPOSE: Perception of action capabilities can be altered by changes in sensorimotor processes, as showed in previous works in populations dealing with regular and pathological sensorimotor deficits. Misestimating changes in performance ability could lead to risky behavior, injury, and/or reduced performance. However, the relationship between sensorimotor processes, the action-perception coupling, and the related anatomical structures is still a matter of debate. We investigated whether changes in the muscle-tendon system's mechanical properties experimentally induced by eccentric contractions could alter the action-perception coupling (APC) in a reaching-to-grasp task, in which the participants estimated the maximal distance they predicted that they would able to reach a glass...
March 6, 2017: European Journal of Applied Physiology
https://www.readbyqxmd.com/read/28150323/serial-changes-of-tendon-histomorphology-and-strain-elastography-after-induced-achilles-tendinopathy-in-rabbits-an-in-vivo-study
#8
Kyung-Sik Ahn, Nam Joon Lee, Chang Ho Kang, Young Hen Lee, Hae Jeong Jeon
OBJECTIVES: The purpose of this study was to investigate and compare the serial changes of morphology and strain in the early process of Achilles tendinopathy in a rabbit model. METHODS: A total of 10 New Zealand white rabbits underwent ligation of one of their Achilles tendons to induce ischemic injury. Both inflamed and contralateral Achilles tendons were serially evaluated with 3 follow-ups: the first on days 3 to 5, the second on days 9 to 13, and the third and last follow-up on days 15 to 20 after surgery...
February 2, 2017: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/28145809/quantitative-us-elastography-can-be-used-to-quantify-mechanical-and-histologic-tendon-healing-in-a-rabbit-model-of-achilles-tendon-transection
#9
Yohei Yamamoto, Satoshi Yamaguchi, Takahisa Sasho, Taisuke Fukawa, Yorikazu Akatsu, Ryuichiro Akagi, Tadashi Yamaguchi, Kenji Takahashi, Kengo Nagashima, Kazuhisa Takahashi
Purpose To determine the time-dependent change in strain ratios (SRs) at the healing site of an Achilles tendon rupture in a rabbit model of tendon transection and to assess the correlation between SRs and the mechanical and histologic properties of the healing tissue. Materials and Methods Experimental methods were approved by the institutional animal care and use committee. The Achilles tendons of 24 New Zealand white rabbits (48 limbs) were surgically transected. The SRs of Achilles tendons were calculated by using compression-based quantitative ultrasonographic elastography measurements obtained 2, 4, 8, and 12 weeks after transection...
May 2017: Radiology
https://www.readbyqxmd.com/read/28110933/shear-wave-elastography-of-the-supraspinatus-muscle-and-tendon-repeatability-and-preliminary-findings
#10
Timothy G Baumer, Leah Davis, Jack Dischler, Daniel S Siegal, Marnix van Holsbeeck, Vasilios Moutzouros, Michael J Bey
Shear wave elastography (SWE) is a promising tool for estimating musculoskeletal tissue properties, but few studies have rigorously assessed its repeatability and sources of error. The objectives of this study were to assess: (1) the extent to which probe positioning error and human user error influence measurement accuracy, (2) intra-user, inter-user, and day-to-day repeatability, and (3) the extent to which active and passive conditions affect shear wave speed (SWS) repeatability. Probe positioning and human usage errors were assessed by acquiring SWE images from custom ultrasound phantoms...
February 28, 2017: Journal of Biomechanics
https://www.readbyqxmd.com/read/28108983/shear-wave-elastography-is-a-reliable-and-repeatable-method-for-measuring-the-elastic-modulus-of-the-rectus-femoris-muscle-and-patellar-tendon
#11
Serkan Taş, Mehmet Ruhi Onur, Seval Yılmaz, Abdullah Ruhi Soylu, Feza Korkusuz
OBJECTIVES: The purpose of this study was to determine intraobserver, interobserver, and inter-day reliability levels for stiffness measurements of the patellar tendon and rectus femoris muscle using shear wave elastography (SWE). METHODS: This study was conducted on 12 healthy male individuals. Two examiners measured mean shear wave velocity values of the patellar tendons and rectus femoris muscles of both extremities using a 9L4 (4-9 MHz) transducer and an Acuson S3000 ultrasound system (Siemens Medical Solutions, Mountain View, CA)...
January 21, 2017: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/28003609/the-development-of-vibration-system-for-applying-magnetic-resonance-elastography-mre-to-the-supraspinatus-muscle
#12
Daiki Ito, Tomokazu Numano, Kazuyuki Mizuhara, Kouichi Takamoto, Takaaki Onishi, Hisao Nishijo
Palpation is a standard clinical tool to diagnose abnormal stiffness changes in soft tissues. However, it is difficult to palpate the supraspinatus muscle because it locates under the trapezius muscle. The magnetic resonance elastography (MRE) uses harmonic mechanical excitation to quantitatively measure the stiffness (shear modulus) of both the superficial and deep tissues. The purpose of this study was to build a vibration system for applying the MRE to the supraspinatus muscle. In this study, a power amplifier and a pneumatic pressure generator were used to supply vibrations to a vibration pad...
2016: Nihon Hoshasen Gijutsu Gakkai Zasshi
https://www.readbyqxmd.com/read/27999728/from-acute-achilles-tendon-rupture-to-return-to-play-a-case-report-evaluating-recovery-of-tendon-structure-mechanical-properties-clinical-and-functional-outcomes
#13
Jennifer A Zellers, Daniel H Cortes, Karin Grävare Silbernagel
INTRODUCTION: Achilles tendon rupture results in significant functional deficits regardless of treatment strategy (surgical versus non-surgical intervention). Recovery post-rupture is highly variable, making comprehensive patient assessment critical. Assessment tools may change along the course of recovery as the patient progresses - for instance, moving from a seated heel-rise to standing heel-rise to jump testing. However, tools that serve as biomarkers for early recovery may be particularly useful in informing clinical decision-making...
2016: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/27928468/sonoelastography-in-the-musculoskeletal-system-current-role-and-future-directions
#14
REVIEW
Naomi Winn, Radhesh Lalam, Victor Cassar-Pullicino
Ultrasound is an essential modality within musculoskeletal imaging, with the recent addition of elastography. The elastic properties of tissues are different from the acoustic impedance used to create B mode imaging and the flow properties used within Doppler imaging, hence elastography provides a different form of tissue assessment. The current role of ultrasound elastography in the musculoskeletal system will be reviewed, in particular with reference to muscles, tendons, ligaments, joints and soft tissue tumours...
November 28, 2016: World Journal of Radiology
https://www.readbyqxmd.com/read/27914201/shear-wave-ultrasound-elastographic-evaluation-of-the-rotator-cuff-tendon
#15
Stephanie W Hou, Alexander N Merkle, James S Babb, Robert McCabe, Soterios Gyftopoulos, Ronald S Adler
OBJECTIVES: (1) Assess the association between the B-mode morphologic appearance and elasticity in the rotator cuff tendon using shear wave elastography (SWE). (2) Assess the association between SWE and symptoms. METHODS: Institutional Review Board approval and informed consent were obtained. A retrospective review identified 21 studies in 19 eligible patients for whom SWE was performed during routine sonographic evaluations for shoulder pain. Evaluations were compared with 55 studies from 16 asymptomatic volunteers and 6 patients with asymptomatic contralateral shoulders...
January 2017: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/27896400/quantitative-assessment-of-the-supraspinatus-tendon-on-mri-using-t2-t2-mapping-and-shear-wave-ultrasound-elastography-a-pilot-study
#16
Konstantin Krepkin, Mary Bruno, José G Raya, Ronald S Adler, Soterios Gyftopoulos
OBJECTIVE: To determine whether there is an association between T2/T2* mapping and supraspinatus tendon mechanical properties as assessed by shear-wave ultrasound elastography (SWE). MATERIALS AND METHODS: This HIPAA-compliant prospective pilot study received approval from our hospital's institutional review board. Eight patients (3 males/5 females; age range 44-72 years) and nine shoulders underwent conventional shoulder MRI, T2/T2* mapping on a 3-T scanner, and SWE...
February 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/27872419/elastographic-findings-of-achilles-tendons-in-asymptomatic-professional-male-volleyball-players
#17
Mehtap Balaban, Ilkay S Idilman, Ali Ipek, Sinem Sigit Ikiz, Bulent Bektaser, Mehmet Gumus
OBJECTIVES: Elastography is a new sonographic technique that evaluates the elasticity of different tissues such as the Achilles tendon. In this study, we aimed to investigate the elastographic findings of Achilles tendons in professional athletes in comparison with healthy volunteers. METHODS: Twenty-one professional male volleyball players with no history of Achilles trauma were included in this study. Twenty-one healthy male volunteers with similar ages and body mass indices were selected as control participants...
December 2016: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/27833972/evaluation-of-normal-and-pathological-achilles-tendon-by-real-time-shear-wave-elastography
#18
Pompiliu HoraŢiu Petrescu, Dragoş Andrei Izvernariu, Cătălina Iancu, Gabriel Ovidiu Dinu, Dan Crişan, Simona Alina Popescu, Roxana Lucia Denisa Şirli, Bogdan Mihai Nistor, Ion Călin RăuŢia, Dorela CodruŢa Lăzureanu, Sorin Dema, Ion Radu Prejbeanu, Ioan Sporea
Tendinopathy covers a range of several tendon conditions, mostly caused by overuse but at least in Achilles tendon pathology, favored by obesity, diabetes, inflammatory and autoimmune conditions. Subclinical tendon pathology is difficult to diagnose, as magnetic resonance imaging (MRI) examinations are sometimes inconclusive and not cost-effective. Elastography is an ultrasound examination method that uses mechanical impulses to produce shear waves in the tissue of interest, then measures the tissue displacement and calculates the shear wave speed or the elastic modulus of the examined tissue...
2016: Romanian Journal of Morphology and Embryology, Revue Roumaine de Morphologie et Embryologie
https://www.readbyqxmd.com/read/27742141/evaluation-of-the-effect-of-an-anisotropic-medium-on-shear-wave-velocities-of-intra-muscular-gelatinous-inclusions
#19
Sébastien Aubry, Jean-Philippe Nueffer, Mathieu Carrié
In highly anisotropic biological tissues such as muscle or tendons, calculating Young's modulus from the shear wave speed (csw) by using shear wave elastography (SWE) involves a complex transversally isotropic rheological model not yet used in common practice. To our knowledge, the effect of muscle anisotropy on csw of intra-muscular lesions has not yet been investigated. The objective of our study was to define the effect of an anisotropic medium on csw of intra-muscular gelatinous inclusions. We conducted a prospective monocentric, in vitro study in order to examine the quantitative and qualitative SWE behavior of a 9-mm gelatinous intra-muscular implant depending on the orientation of the probe relative to the muscle fibers...
January 2017: Ultrasound in Medicine & Biology
https://www.readbyqxmd.com/read/27738294/sonography-of-the-achilles-tendon-after-complete-rupture-repair-what-the-radiologist-should-know
#20
REVIEW
Salvatore Gitto, Anna Guja Draghi, Chandra Bortolotto, Ferdinando Draghi
This review aims to provide the radiologist with simple and systematic guidelines for evaluation of the Achilles tendon after complete rupture repair. Currently, there is a plethora of nonsurgical and surgical treatments, but sonographic examination has shown no significant differences between them. A systematic analysis of several parameters (morphologic characteristics, structure, color Doppler vascularization, and mobility) should be undertaken. Morphologically, the repaired tendon is larger, wider, or both...
December 2016: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
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