Staff View: 2D shear wave elastography for the assessment of quadriceps entheses

2D shear wave elastography for the assessment of quadriceps entheses—a methodological study

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 c...

Full description

Saved in:

Bibliographic Details
Main Authors:	Leong, Sook Sam, Wong, Jeannie Hsiu Ding, Rozalli, Faizatul Izza, Yahya, Fariz, Tee, Ying Chew, Yamin, Lyana Shahirah Mohamad, Razalli, Mazuin Mohd, Baharuddin, Hazlyna
Format:	Article
Published:	Springer Science and Business Media Deutschland GmbH 2024
Subjects:	R Medicine
Online Access:	http://eprints.um.edu.my/44804/
Tags:	Add Tag No Tags, Be the first to tag this record!

id	my.um.eprints.44804
record_format	eprints
spelling	my.um.eprints.448042024-07-10T08:39:54Z http://eprints.um.edu.my/44804/ 2D shear wave elastography for the assessment of quadriceps entheses—a methodological study Leong, Sook Sam Wong, Jeannie Hsiu Ding Rozalli, Faizatul Izza Yahya, Fariz Tee, Ying Chew Yamin, Lyana Shahirah Mohamad Razalli, Mazuin Mohd Baharuddin, Hazlyna R Medicine 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). Springer Science and Business Media Deutschland GmbH 2024 Article PeerReviewed 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 <https://doi.org/10.1007/s00256-023-04425-1>. 10.1007/s00256-023-04425-1
institution	Universiti Malaya
building	UM Library
collection	Institutional Repository
continent	Asia
country	Malaysia
content_provider	Universiti Malaya
content_source	UM Research Repository
url_provider	http://eprints.um.edu.my/
topic	R Medicine
spellingShingle	R Medicine Leong, Sook Sam Wong, Jeannie Hsiu Ding Rozalli, Faizatul Izza Yahya, Fariz Tee, Ying Chew Yamin, Lyana Shahirah Mohamad Razalli, Mazuin Mohd Baharuddin, Hazlyna 2D shear wave elastography for the assessment of quadriceps entheses—a methodological study
description	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).
format	Article
author	Leong, Sook Sam Wong, Jeannie Hsiu Ding Rozalli, Faizatul Izza Yahya, Fariz Tee, Ying Chew Yamin, Lyana Shahirah Mohamad Razalli, Mazuin Mohd Baharuddin, Hazlyna
author_facet	Leong, Sook Sam Wong, Jeannie Hsiu Ding Rozalli, Faizatul Izza Yahya, Fariz Tee, Ying Chew Yamin, Lyana Shahirah Mohamad Razalli, Mazuin Mohd Baharuddin, Hazlyna
author_sort	Leong, Sook Sam
title	2D shear wave elastography for the assessment of quadriceps entheses—a methodological study
title_short	2D shear wave elastography for the assessment of quadriceps entheses—a methodological study
title_full	2D shear wave elastography for the assessment of quadriceps entheses—a methodological study
title_fullStr	2D shear wave elastography for the assessment of quadriceps entheses—a methodological study
title_full_unstemmed	2D shear wave elastography for the assessment of quadriceps entheses—a methodological study
title_sort	2d shear wave elastography for the assessment of quadriceps entheses—a methodological study
publisher	Springer Science and Business Media Deutschland GmbH
publishDate	2024
url	http://eprints.um.edu.my/44804/
_version_	1805881169470816256
score	13.211869

2D shear wave elastography for the assessment of quadriceps entheses—a methodological study

Similar Items