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2012 | 12 | 49 | 214–225
Article title

Elastografia w obrazowaniu ścięgien i mięśni

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Content
Title variants
EN
Ultrasound elastography for imaging tendons and muscles
Languages of publication
EN
Abstracts
EN
Ultrasound elastography is a recently developed ultrasound-based method which allows
the qualitative or quantitative evaluation of the mechanical properties of tissue. Strain
(compression) ultrasound elastography is the commonest technique performed by applying
mild compression with the hand-held transducer to create real-time strain distribution
maps, which are color-coded and superimposed on the B-mode images. There
is increasing evidence that ultrasound elastography can be used in the investigation of
muscle, tendon and soft tissue disease in the clinical practice, as a supplementary tool to
conventional ultrasound examination. Based on preliminary data, potential clinical applications
include early diagnosis, staging, and guiding interventions musculotendinous and
neuromuscular disease as well as monitoring disease during rehabilitation. Ultrasound
elastography could also be used for research into the biomechanics and pathophysiology
of musculotendinous disease. Despite the great interest in the technique, there is still
limited evidence in the literature and there are several technical issues which limit the
reproducibility of the method, including differences in quantification methods, artefacts,
limitations and variation in the application of the technique by different users. This review
presents the published evidence on musculoskeletal applications of strain elastography,
discusses the technical issues and future perspectives of this method and emphasizes
the need for standardization and further research.
PL
Elastografia ultrasonograficzna jest nową techniką obrazowania ultrasonograficznego,
umożliwiającą ocenę jakościową i ilościową właściwości elastycznych tkanek.
Najpopularniejszą techniką elastografii jest metoda uciskowa/statyczna (free hand
strain – tzw. obrazowanie z wolnej ręki), polegająca na ręcznym uciskaniu tkanek
głowicą ultrasonograficzną w celu uzyskania, w czasie rzeczywistym, map rozkładu
elastyczności tkanek, które są kodowane kolorem i nałożone na obrazy w sekwencji
B‑mode. Istnieje coraz więcej dowodów na przydatność elastografii ultrasonograficznej
w praktyce klinicznej jako badania uzupełniającego klasyczne badanie ultrasonograficzne
w rozpoznawaniu patologii tkanek miękkich, w tym mięśni i ścięgien.
Na podstawie wstępnych danych do potencjalnych klinicznych zastosowań elastografii
należą: wczesna diagnostyka i ocena zaawansowania zmian chorobowych, monitorowanie
zabiegów pod kontrolą ultrasonografii w chorobach struktur mięśniowo‑ścięgnistych
i nerwowo‑mięśniowych, a także monitorowanie procesu rehabilitacji.Elastografia może również służyć poznaniu procesów biomechanicznych i patofizjologicznych chorób mięśniowo‑ścięgnistych.
Pomimo wielkiego zainteresowania liczba doniesień na temat elastografii jest znikoma. Przyczyną może być szereg problemówtechnicznych ograniczających jej powtarzalność, wynikających z obecności
artefaktów i braku standaryzacji. W artykule przedstawiono przegląd dotychczasowej
wiedzy nt. potencjalnych możliwości statycznej metody elastografii w ocenie układu
mięśniowo‑szkieletowego, omówiono kwestie techniczne, perspektywy rozwoju tej
metody, jak również podkreślono potrzebę standaryzacji oraz dalszych badań.
Discipline
Publisher

Year
Volume
12
Issue
49
Pages
214–225
Physical description
Contributors
  • University Hospital Heraklion, Stavrakia, Heraklion, Grecj
References
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Document Type
article
Publication order reference
Identifiers
YADDA identifier
bwmeta1.element.psjd-0320b75b-3afb-4333-8759-3030722ea54b
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