Kas-İskelet Sistemi Hastalıklarında Ultrason Elastografinin Yeri
Abstract
Ultrasonic elastography (UE) is the last step of the high rate of development in ultrasound technology. The UE is a new method that can directly evaluate the mechanical properties of the tissue including muscle stiffness. The use of B-mode ultrasound (brightness mode) and Doppler ultrasound have been used as a part of routine examination in the field of Physical Medicine and Rehabilitation. Real-time and direct muscle strength measurements allow the diagnosis and treatment of acute and chronic musculoskeletal pathologies such as acute musculoskeletal injuries and chronic myofascial pain. In this review, different UE techniques will be discussed to examine muscle stiffness, including tension (compression) elastography, acoustic radiation force impulse imaging, and shear wave (shear) elastography. It is aimed to compile researches that can be guide to physiatrists and to lead the new steps that can be taken in the future.
Keywords
Ultrasound, Elastography, Shear Wave, Musculoskeletal System
References
- 1. Wu CH, Chen WS, Park GY, et al. Musculoskeletal sonoelastography: a focused review of its diagnostic applications for evaluating tendons and fascia. J Med Ultrasound 2012;20:79-86.
- 2. Gennisson JL, Deffieux T, Fink M, et al. Ultrasound elastography: principlesand techniques. Diagn Interv Imaging 2013;94:487-495.
- 3. Drakonaki EE, Allen GM, Wilson DJ. Ultrasound elastography for musculoskeletal applications. Br J Radiol 2012;85:1435-1445.
- 4. Taylor LS, Porter BC, Rubens DJ, et al. Three-dimensional sonoelastography: principles and practices. Phys Med Biol 2000;45:1477-1494.
- 5. Ophir J, Alam SK, Garra BS, et al. Elastography: Imaging the elastic properties of soft tissues with ultrasound. J Med Ultrason (2001) 2002;29:155.
- 6. Arda K, Ciledag N, Aktas E, et al. Quantitative assessment of normal soft-tissue elasticity using shear-wave ultrasound elastography. AJR Am Roentgenol 2011;197:532 536.
- 7. Elkateb Hachemi M, Callé S, Remenieras JP. Transient displacement induced in shear wave elastography: comparison between analytical results and ultrasound measurements. Ultrasonics 2006;44(Suppl 1):221-225.
- 8. Eby SF, Song P, Chen S, et al. Validation of shear wave elastography in skeletal muscle. J Biomech 2013;27;46:2381-2387.
- 9. Chen J, O’dell M, He W, et al. Ultrasound shear wave elastography in the assessment of passive biceps brachii muscle stiffness: influences of sex and elbow position. Clin Imaging 2017;45:26-29.
- 10. Brandenburg JE, Eby SF, Song P, et al. Quantifying passive muscle stiffness in children with and without cerebral palsy using ultrasound shear wave elastography. Dev Med Child Neurol 2016;58:1288-1294.