TY - JOUR
T1 - Evaluation of healthy muscle tissue by strain and shear wave elastography – Dependency on depth and ROI position in relation to underlying bone
AU - Ewertsen, Caroline
AU - Carlsen, Jonathan Frederik
AU - Christiansen, Iben Riishede
AU - Jensen, Jørgen Arendt
AU - Nielsen, Michael Bachmann
PY - 2016
Y1 - 2016
N2 - Purpose: The aim of this study was to evaluate the influence of depth and underlying bone on strain ratios and shear wave speeds for three different muscles in healthy volunteers. For strain ratios the influence from different reference region-of-interest positions was also evaluated.
Material and methods: Ten healthy volunteers (five males and five females) had their biceps brachii, gastrocnemius, and quadriceps muscle examined with strain- and shear wave elastography at three different depths and in regions located above bone and beside bone. Strain ratios were averaged from cine-loops of 10 s length, and shear wave speeds were measured 10 times at each target point. The distance from the
skin surface to the centre of each region-of-interest was measured. Measurements were evaluated with descriptive statistics and linear regression. Results: Linear regression showed a significant influence on strain ratio measurements from the reference region-of-interest position, i.e. being above the same structures as the target region-of-interest or not (means: 1.65 and 0.78; (P < 0.001)). For shear wave speeds, there was a significant influence from depth and location above or beside bone (P = 0.011 and P = 0.031). Conclusion: Strain ratio values depend significantly on reference and target region-of-interest being above the same tissue, for instance bone. Strain ratios were not influenced by depth in this study. Shear wave speeds decreased with increasing scanning depth and if there was bone below the region-of-interest.
AB - Purpose: The aim of this study was to evaluate the influence of depth and underlying bone on strain ratios and shear wave speeds for three different muscles in healthy volunteers. For strain ratios the influence from different reference region-of-interest positions was also evaluated.
Material and methods: Ten healthy volunteers (five males and five females) had their biceps brachii, gastrocnemius, and quadriceps muscle examined with strain- and shear wave elastography at three different depths and in regions located above bone and beside bone. Strain ratios were averaged from cine-loops of 10 s length, and shear wave speeds were measured 10 times at each target point. The distance from the
skin surface to the centre of each region-of-interest was measured. Measurements were evaluated with descriptive statistics and linear regression. Results: Linear regression showed a significant influence on strain ratio measurements from the reference region-of-interest position, i.e. being above the same structures as the target region-of-interest or not (means: 1.65 and 0.78; (P < 0.001)). For shear wave speeds, there was a significant influence from depth and location above or beside bone (P = 0.011 and P = 0.031). Conclusion: Strain ratio values depend significantly on reference and target region-of-interest being above the same tissue, for instance bone. Strain ratios were not influenced by depth in this study. Shear wave speeds decreased with increasing scanning depth and if there was bone below the region-of-interest.
KW - Ultrasound
KW - Elastography
KW - Musculoskeletal
KW - Strain
KW - Shear-wave
U2 - 10.1016/j.ultras.2016.06.007
DO - 10.1016/j.ultras.2016.06.007
M3 - Journal article
C2 - 27336792
SN - 0041-624X
VL - 71
SP - 127
EP - 133
JO - Ultrasonics
JF - Ultrasonics
ER -