Musculoskeletal Applications of Elastography: a Pictorial Essay of Our Initial Experience

Lalitha, Palle; Reddy, M.Ch. Balaji; Reddy, Kiran

doi:10.3348/kjr.2011.12.3.365

Cited by 75 publications

(76 citation statements)

References 8 publications

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“…The recent introduction of sonoelastography into commercially available ultrasound systems has promoted research activity toward the potential clinical applications of this novel method in the musculoskeletal system [5][6][7]18]. In fact, sonoelastography features have been found to be correlated with histopathological findings as well [19].…”

Section: Discussionmentioning

confidence: 99%

Structural tendon changes in patients with acromegaly: assessment of Achilles tendon with sonoelastography.

et al. 2016

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Aims: To describe the sonoelastographic appearance of the Achilles tendon in acromegalic patients and to determine whether the blood concentrations of growth hormone (GH) and insulin-like growth factor (IGF-1) are associated with the various sonographic elasticity types of Achilles tendons. Material and methods: Eighty-four Achilles tendons of 42 acromegaly patients and 84 Achilles tendons of 42 healthy volunteers were assessed with sonoelastography.

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Section: Discussionmentioning

confidence: 99%

Structural tendon changes in patients with acromegaly: assessment of Achilles tendon with sonoelastography.

et al. 2016

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“…In this study, we used strain elastography, also described as compression elastography, sonoelastography, and real-time elastography. 8,33 This technique depends on the principle that tissue compression produces strain. 34 This strain is lower in stiff tissue, which has increased cellularity, such as tumors, and is greater in soft tissue.…”

Section: Discussionmentioning

confidence: 99%

“…Although it can be changed, blue denotes stiff regions; red denotes soft regions; and green denotes intermediate values. 8 Sonoelastography is a sonographic method that has started to be used recently. The first clinical applications were in benign-malignant differentiation of tumors.…”

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confidence: 99%

Real‐time Sonoelastography of the Quadriceps Tendon in Patients Undergoing Chronic Hemodialysis

Teber¹,

Oğur²,

Bozkurt³

et al. 2015

J of Ultrasound Medicine

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Objectives This study aimed to compare sonoelastographic findings for the quadriceps tendon in patients with chronic renal failure who were in a dialysis program to findings in a control group. Methods Fifty‐three randomly allocated patients (mean age, 54.3 years; range, 27–86 years) with chronic renal failure who were in a dialysis program 3 days a week between January and May 2012 were included. The measurements were performed in both knees of 53 patients undergoing dialysis and 25 individuals in the control group. The tendons were classified as follows: type 1, very stiff tissue (blue); type 2, stiff tissue (blue‐green); and type 3, intermediate tissue (green‐yellow) according to color mapping. Results The mean quadriceps tendon thicknesses in the patient group were 4.9 mm (range, 1.9–6.5 mm) for the right knee and 4.9 mm (1.4–6.5 mm) for the left knee; the values in the control group were 5.4 mm (3.6–7.0 mm) for the right knee and 5.4 mm (3.4–7.0 mm) for the left knee. The mean elasticity scores in the patient group were 3.14 (1.03–5.23) for the right knee and 3.33 (1.29–5.00) for the left knee; in the control group, the values were 3.79 (1.73–5.23) and 3.69 (1.23–5.53) for the right and left knees, respectively (right knee, P = .025; left knee, P = .018; Mann‐Whitney U test). The quadriceps tendons were significantly thinner in the patient group (right knee, P = .054; left knee, P = .015; Mann‐Whitney U test). Conclusions Quadriceps tendons in patients with chronic renal failure are thinner and have lower elasticity scores compared to controls.

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“…Ultrasound elastography (UE) can distinguish between the soft and hard tissues, particularly in the breast or thyroid [7,8], and has also been widely reported. However, the application of UE to musculoskeletal structures is rare [9]. This study was performed to assess the value of UE in supraspinatus tendon injuries, after sonography was performed on the basis of MRI images, to identify lesions with VNS.…”

Section: Introductionmentioning

confidence: 99%

Ultrasound elastography of the supraspinatus tendon guided by US-MRI virtual navigation

Liu¹,

Zhan²,

Zhou³

et al. 2015

THC

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Abstract. BACKGROUND: A virtual navigation system (VNS) can combine two imaging modalities for synchronous observation and can be beneficial for diagnosis and treatment. Ultrasound elastography (UE) can distinguish between soft and hard tissues. However, the application of UE to musculoskeletal structures is rare. OBJECTIVE: To evaluate UE of the supraspinatus tendon using ultrasound-magnetic resonance imaging (US-MRI) virtual navigation. METHODS: Sixty patients with an ache in the shoulder were diagnosed with supraspinatus tendon injuries using MRI. US-MRI virtual navigation was used to identify lesions in the supraspinatus tendon, and finally US elastography (UE) was performed. Volunteers whose supraspinatus tendons were diagnosed as normal by MRI were also selected for US elastography. The UE scores were then compared between patients and volunteers. RESULTS: A total of 60 patients were diagnosed with supraspinatus tendon injuries using MRI and forty-two patients classified as Grade I exhibited no obvious abnormality by US. The supraspinatus tendon injury scores were significantly higher in Grade I patients compared with volunteers (P < 0.05). CONCLUSION: US elastography is helpful for the diagnosis of the supraspinatus tendon injuries when used with US-MRI virtual navigation.

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Musculoskeletal Applications of Elastography: a Pictorial Essay of Our Initial Experience

Cited by 75 publications

References 8 publications

Structural tendon changes in patients with acromegaly: assessment of Achilles tendon with sonoelastography.

Structural tendon changes in patients with acromegaly: assessment of Achilles tendon with sonoelastography.

Real‐time Sonoelastography of the Quadriceps Tendon in Patients Undergoing Chronic Hemodialysis

Ultrasound elastography of the supraspinatus tendon guided by US-MRI virtual navigation

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