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Evaluation of subskapularis and biceps tendons by MRI and share-wave ultrasound elastography

Year 2019, Volume: 16 Issue: 1, 97 - 100, 22.03.2019

Abstract

Background: To investigate the relationship between the T2A signal intensity values of subscapular and biceps tendons and the velocity values obtained by the Share-wave Elastography examination.

Methods: Simultaneous Share-wave Elastography examination was performed to patients who were admitted to our MRI department for shoulder MRI request from different outpatient clinics. Share-wave Elastography examination was performed for subscapularis and biceps tendons. In T2A images, the intensity values of the subcapularis tendon and biceps tendon were measured in the axial plane through the insersio level of the subscapularis and in the axial section where the biceps tendon was observed in the bicipital groove. The MRI and Share-wave Elastography values were evaluated using the Spearman’s correlation test for the correlation of both tendons.

Results: There was a negative correlation between subscapularis tendon signal intensity values and Share-wave Elastography values (p = 0.048, rho = -0.447). There was no correlation between these two values in the biceps tendon.

Conclusions: Share-wave Elastography examination is a diagnostic method that allows quantitative evaluation of tendon pathologies.

Keywords: 

References

  • 1. Arkun R. Rotator Kılıf: Patolojik Değişiklikler. Trd Sem 2014; 2: 30-43
  • 2. Weinreb JH, Sheth C, Apostolakos J, McCarthy MB, Barden B, Cote MP, et al. Tendon structure, disease, and imaging. Muscles Ligaments Tendons J 2014;4:66-73.
  • 3. Taljanovic MS, Gimber LH, Becker GW, Latt LD, Klauser AS, Melville DM, et al. Shear-Wave Elastography: Basic Physics and Musculoskeletal Applications. Radiographics. 2017 May-Jun;37(3):855-870.
  • 4. Bamber J, Cosgrove D, Dietrich CF, Fromageau J, Bojunga J, Calliada F, et al. EFSUMB guidelines and recommendations on the clinical use of ultrasound elastography. Part 1: Basic principles and technology. Ultraschall Med 2013;34:169-184
  • 5. Heales LJ, Badya R, Ziegenfuss B, Hug F, Coombes JS, van den Hoorn W, et al. Shear-wave velocity of the patellar tendon and quadriceps muscle is increased immediately after maximal eccentric exercise. Eur J Appl Physiol. 2018 May 31. doi: 10.1007/s00421-018-3903-2. [Epub ahead of print] PubMed PMID: 29855790
  • 6. Sahan MH, Inal M, Burulday V, Kultur T. Evaluation of tendinosis of the long head of the biceps tendon by strain and shear wave elastography. Med Ultrason. 2018 May 2;20(2):192-198.
  • 7. Itoigawa Y, Maruyama Y, Kawasaki T, Wada T, Yoshida K, An KN, Kaneko K. Shear Wave Elastography Can Predict Passive Stiffness of Supraspinatus Musculotendinous Unit During Arthroscopic Rotator Cuff Repair for Presurgical Planning. Arthroscopy. 2018 Aug;34(8):2276-2284.
  • 8. Bercoff J, Tanter M, Fink M. Supersonic shear imaging: a new technique for soft tissue elasticity mapping. IEEE Trans Ultrason Ferroelectr Freq Control 2004; 51:396–409.
  • 9. Arda K, Ciledag N, Aktas E, Aribas BK, Köse K. Quantitative assessment of normal soft-tissue elasticity using shear-wave ultrasound elastography. AJR Am J Roentgenol 2011;197(3):532–536.
  • 10. DeWall RJ, Slane LC, Lee KS, Thelen DG. Spatial variations in Achilles tendon shear wave speed. J Biomech 2014;47(11):2685–2692.
  • 11. Aubry S, Nueffer JP, Tanter M, Becce F, Vidal C, Michel F. Viscoelasticity in Achilles tendonopathy: quantitative assessment by using real-time shear-wave elastography. Radiology 2015;274(3):821–829.
  • 12. Baumer TG, Davis L, Dischler J, Siegal DS, van Holsbeeck M, Moutzouros V, et al. Shear wave elastography of the supraspinatus muscle and tendon: Repeatability and preliminary findings. J Biomech. 2017 Feb 28;53:201-204.
  • 13. Drakonaki EE, Allen GM, Wilson DJ. Real-time ultrasound elastography of the normal Achilles tendon: reproducibility and pattern description. Clin Radiol 2009;64:1196–202.
  • 14. Gennisson JL, Deffieux T, Macé E, Montaldo G, Fink M, Tanter M. Viscoelastic and anisotropic mechanical properties of in vivo muscle tissue assessed by supersonic shear imaging. Ultrasound Med Biol. 2010 May;36(5):789-801. doi: 10.1016/j.ultrasmedbio.2010.02.013. PubMed PMID: 20420970.

Subskapularis ve Biseps Tendonlarının MRG ve Share-wave Ultrason Elastografi ile değerlendirilmesi

Year 2019, Volume: 16 Issue: 1, 97 - 100, 22.03.2019

Abstract


Amaç:
Subskapularis
ve Biseps Tendonlarına ait T2A sinyal intensite değerleri ile Share-wave
Elastografi (SWE) incelemesi ile elde edilen hız değerleri arasında ilişkinin
araştırılması

Materyal
ve metod:
MR ünitemize farklı polikliniklerden omuz MR istemi
sonucu gelen hastalara eş zamanlı Share-wave Elastografi incelemesi yapıldı. Share-wave
Elastografi incelemesi subskapularis ve biceps tendonlarına yönelik olarak
yapıldı. T2A görüntülerde aksiyel planda subskapularis tendonunun insersio
düzeyinden geçen kesitte ve biseps tendonundan bisipital oluk içerisinde
izlendiği aksiyal kesitte ROİ kullanılarak intensite değerleri ölçüldü. MR ve Share-wave
Elastografi incelemeleri sonucu elde edilen değerler ayrı ayrı her iki tendon
için korelasyon yönünden Spearman’s korelasyon testi kullanılarak
değerlendirildi.

Bulgular:
Subskapularis
tendonu sinyal intensite değerleri ile Share-wave Elastografi değerleri
arasında negatif korelasyon saptandı (p=0.048, rho=-0.447). Biseps tendonunda
bu iki değer arasında korelasyon izlenmedi.







Sonuç:
Share-wave
Elastografi incelemesi tendon patolojilerinde kantitatif değerlendirmeye olanak
sağlayan bir tanı yöntemdir.

References

  • 1. Arkun R. Rotator Kılıf: Patolojik Değişiklikler. Trd Sem 2014; 2: 30-43
  • 2. Weinreb JH, Sheth C, Apostolakos J, McCarthy MB, Barden B, Cote MP, et al. Tendon structure, disease, and imaging. Muscles Ligaments Tendons J 2014;4:66-73.
  • 3. Taljanovic MS, Gimber LH, Becker GW, Latt LD, Klauser AS, Melville DM, et al. Shear-Wave Elastography: Basic Physics and Musculoskeletal Applications. Radiographics. 2017 May-Jun;37(3):855-870.
  • 4. Bamber J, Cosgrove D, Dietrich CF, Fromageau J, Bojunga J, Calliada F, et al. EFSUMB guidelines and recommendations on the clinical use of ultrasound elastography. Part 1: Basic principles and technology. Ultraschall Med 2013;34:169-184
  • 5. Heales LJ, Badya R, Ziegenfuss B, Hug F, Coombes JS, van den Hoorn W, et al. Shear-wave velocity of the patellar tendon and quadriceps muscle is increased immediately after maximal eccentric exercise. Eur J Appl Physiol. 2018 May 31. doi: 10.1007/s00421-018-3903-2. [Epub ahead of print] PubMed PMID: 29855790
  • 6. Sahan MH, Inal M, Burulday V, Kultur T. Evaluation of tendinosis of the long head of the biceps tendon by strain and shear wave elastography. Med Ultrason. 2018 May 2;20(2):192-198.
  • 7. Itoigawa Y, Maruyama Y, Kawasaki T, Wada T, Yoshida K, An KN, Kaneko K. Shear Wave Elastography Can Predict Passive Stiffness of Supraspinatus Musculotendinous Unit During Arthroscopic Rotator Cuff Repair for Presurgical Planning. Arthroscopy. 2018 Aug;34(8):2276-2284.
  • 8. Bercoff J, Tanter M, Fink M. Supersonic shear imaging: a new technique for soft tissue elasticity mapping. IEEE Trans Ultrason Ferroelectr Freq Control 2004; 51:396–409.
  • 9. Arda K, Ciledag N, Aktas E, Aribas BK, Köse K. Quantitative assessment of normal soft-tissue elasticity using shear-wave ultrasound elastography. AJR Am J Roentgenol 2011;197(3):532–536.
  • 10. DeWall RJ, Slane LC, Lee KS, Thelen DG. Spatial variations in Achilles tendon shear wave speed. J Biomech 2014;47(11):2685–2692.
  • 11. Aubry S, Nueffer JP, Tanter M, Becce F, Vidal C, Michel F. Viscoelasticity in Achilles tendonopathy: quantitative assessment by using real-time shear-wave elastography. Radiology 2015;274(3):821–829.
  • 12. Baumer TG, Davis L, Dischler J, Siegal DS, van Holsbeeck M, Moutzouros V, et al. Shear wave elastography of the supraspinatus muscle and tendon: Repeatability and preliminary findings. J Biomech. 2017 Feb 28;53:201-204.
  • 13. Drakonaki EE, Allen GM, Wilson DJ. Real-time ultrasound elastography of the normal Achilles tendon: reproducibility and pattern description. Clin Radiol 2009;64:1196–202.
  • 14. Gennisson JL, Deffieux T, Macé E, Montaldo G, Fink M, Tanter M. Viscoelastic and anisotropic mechanical properties of in vivo muscle tissue assessed by supersonic shear imaging. Ultrasound Med Biol. 2010 May;36(5):789-801. doi: 10.1016/j.ultrasmedbio.2010.02.013. PubMed PMID: 20420970.
There are 14 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Dilek Şen Dokumacı 0000-0002-3012-427X

Mesut Çetin This is me 0000-0003-3207-5798

Abdurrahim Dusak 0000-0002-4363-5861

Adem Ağyar This is me 0000-0001-8431-9411

Hakim Çelik 0000-0002-7565-3394

Sunay Sibel Karayol 0000-0002-2696-3580

Publication Date March 22, 2019
Submission Date December 13, 2018
Acceptance Date January 31, 2019
Published in Issue Year 2019 Volume: 16 Issue: 1

Cite

Vancouver Şen Dokumacı D, Çetin M, Dusak A, Ağyar A, Çelik H, Karayol SS. Subskapularis ve Biseps Tendonlarının MRG ve Share-wave Ultrason Elastografi ile değerlendirilmesi. Harran Üniversitesi Tıp Fakültesi Dergisi. 2019;16(1):97-100.

Harran Üniversitesi Tıp Fakültesi Dergisi  / Journal of Harran University Medical Faculty