Leong, Sook Sam and Wong, Jeannie Hsiu Ding and Rozalli, Faizatul Izza and Yahya, Fariz and Tee, Ying Chew and Yamin, Lyana Shahirah Mohamad and Razalli, Mazuin Mohd and Baharuddin, Hazlyna (2024) 2D shear wave elastography for the assessment of quadriceps entheses—a methodological study. Skeletal Radiology, 53 (3). 455 – 463. ISSN 0364-2348, DOI https://doi.org/10.1007/s00256-023-04425-1.
Full text not available from this repository.Abstract
Objective: To establish the scanning protocol for 2-dimensional shear wave elastography (SWE) on normal entheses by investigating the possible confounding factors that may increase the variability of measured elasticity. Material and methods: 30 normal quadriceps entheses were scanned using SWE to compare the stiffness and coefficient variation by changing the ultrasonic coupling gel thickness, knee position, region of interest size, and scanning plane. Results: No significant difference in median shear wave velocity (SWV) was observed in different coupling gel thicknesses. The median SWV was higher in the knee flexion position than in the extended position (p < 0.001). Increased knee flexion led to stiffer quadriceps enthesis and higher SWV (ρ = 0.8, p < 0.001). The median SWV was higher when the diameter region of interest was 4.0 mm than 2.0 mm (p = 0.001). The median SWV was higher in the transverse plane than in the longitudinal plane (p < 0.001). Strong correlation was found between SWV and the degree of the shear wave to muscle fiber direction (ρ = 0.8, p < 0.001). The coefficient variation was lower in a gel thickness of 2.5 cm, with an extended knee, a region of interest of 2.0 mm, and a longitudinal plane (p > 0.05). For interobserver reliability for the proposed protocol, the intraclass correlation coefficients was 0.763. Conclusion: In this study, we determined supine position with the knee extended; using 2.0 mm diameter region of interest and image acquisition at the longitudinal plane with thicker layer coupling gel seems most appropriate to reliably image healthy quadriceps entheses with SWE. © 2023, The Author(s), under exclusive licence to International Skeletal Society (ISS).
| Item Type: | Article |
|---|---|
| Funders: | UNSPECIFIED |
| Uncontrolled Keywords: | Confounding factors; Quadriceps entheses; Reliability; Shear wave elastography; Shear wave velocity |
| Subjects: | R Medicine |
| Divisions: | Faculty of Medicine > Biomedical Imaging Department Faculty of Medicine > Medicine Department |
| Depositing User: | Ms. Juhaida Abd Rahim |
| Date Deposited: | 10 Jul 2024 08:39 |
| Last Modified: | 10 Jul 2024 08:39 |
| URI: | http://eprints.um.edu.my/id/eprint/44804 |
Actions (login required)
 |
View Item |
