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2012 ; 12
(49
): 214-25
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Ultrasound elastography for imaging tendons and muscles
#MMPMID26673318
Drakonaki E
J Ultrason
2012[Jun]; 12
(49
): 214-25
PMID26673318
show ga
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.