scholarly journals The feasibility of shear wave elastography for diagnosing superficial benign soft tissue masses

2019 ◽  
Vol 38 (1) ◽  
pp. 37-43 ◽  
Author(s):  
Hyun Jung Yeoh ◽  
Tae-Yoon Kim ◽  
Jeong Ah Ryu
2016 ◽  
Vol 27 (2) ◽  
pp. 723-731 ◽  
Author(s):  
B. Pass ◽  
M. Jafari ◽  
E. Rowbotham ◽  
E. M. A. Hensor ◽  
H. Gupta ◽  
...  

Radiology ◽  
2019 ◽  
Vol 290 (2) ◽  
pp. 410-417 ◽  
Author(s):  
Aniket N. Tavare ◽  
Abdulrahman M. Alfuraih ◽  
Elizabeth M. A. Hensor ◽  
Emmanouil Astrinakis ◽  
Harun Gupta ◽  
...  

2019 ◽  
Vol 49 (5) ◽  
pp. 779-786
Author(s):  
Jonathan Nicholls ◽  
Abdulrahman M. Alfuraih ◽  
Elizabeth M. A. Hensor ◽  
Philip Robinson

Abstract Objective To determine inter- and intra-reader reproducibility of shear wave elastography measurements for musculoskeletal soft tissue masses. Materials and methods In all, 64 patients with musculoskeletal soft tissue masses were scanned by two readers prior to biopsy; each taking five measurements of shear wave velocity (m/s) and stiffness (kPa). A single lesion per patient was scanned in transverse and cranio-caudal planes. Depth measurements (cm) and volume (cm3) were recorded for each lesion, for each reader. Linear mixed modelling was performed to assess limits of agreement (LOA), inter- and intra-reader repeatability, including analyses for measured depth and volume. Results Of the 64 lesions scanned, 24 (38%) were malignant. Bland-Altman plots demonstrated negligible bias with wide LOA for all measurements. Transverse velocity was the most reliable measure—intraclass correlation (95% CI) = 0.917 (0.886, 1)—though reader 1 measures could be between 38% lower and 57% higher than reader 2 [ratio-scale bias (95% LOA) = 0.99 (0.64, 1.55)]. Repeatability coefficients indicated most disagreement resulted from poor within-reader reproducibility. LOA between readers calculated from means of five repeated measurements were narrower—transverse velocity ratio-scale bias (95% LOA) = 1.00 (0.74, 1.35). Depth affected both estimated velocity and repeatability; volume also affected repeatability. Conclusion This study found poor repeatability of measurements with wide LOA due mostly to intra-reader variability. Transverse velocity was the most reliable measure; variability may be affected by lesion depth. At least five measurements should be reported with LOA to assist future comparability between shear wave elastography systems in evaluating soft tissue masses.


2020 ◽  
Vol 49 (6) ◽  
pp. 869-881 ◽  
Author(s):  
N. Winn ◽  
J. Baldwin ◽  
V. Cassar-Pullicino ◽  
P. Cool ◽  
M. Ockendon ◽  
...  

2020 ◽  
Vol 49 (11) ◽  
pp. 1795-1805 ◽  
Author(s):  
Mesut Ozturk ◽  
Mustafa Bekir Selcuk ◽  
Ahmet Veysel Polat ◽  
Aysu Basak Ozbalci ◽  
Yakup Sancar Baris

2020 ◽  
pp. 193229682096525
Author(s):  
Roozbeh Naemi ◽  
Stefano E. Romero Gutierrez ◽  
David Allan ◽  
Gilmer Flores ◽  
Juvenal Ormaechea ◽  
...  

Introduction: The purpose of this study was to investigate the association between the mechanical properties of plantar soft tissue and diabetes status. Method: 51 (M/F: 21/30) participants with prediabetes onset (fasting blood sugar [FBS] level > 100 mg/dL), age >18 years, and no lower limb amputation were recruited after ethical approval was granted from Pontificia Universidad Catolica del Peru ethical review board. Ultrasound reverberant shear wave elastography was used to assess the soft tissue stiffness at the 1st metatarsal head (MTH), 3rd MTH, and the heel at both feet. Results: Spearman’s rank-order correlation (rho) test indicated a significant ( P < .05) positive correlations between FBS level and the plantar soft tissue shear wave speed at the 1st MTH: rho = 0.402 (@400 Hz), rho = 0.373 (@450 Hz), rho = 0.474 (@500 Hz), rho= 0.395 (@550 Hz), and rho = 0.326 (@600 Hz) in the left foot and rho = 0.364 (@450 Hz) in the right foot. Mann-Whitney U test indicated a significantly ( P < .05) higher shear wave speed in the plantar soft tissue with the following effect sizes (r) at the 1st MTH of the left foot at all tested frequencies: r = 0.297 (@450 Hz), r = 0.345 (@500 Hz), r = 0.322 (@550 Hz), and r = 0.275 (@600 Hz), and at the 1st MTH of right foot r = 0.286 (@400 Hz) in diabetes as compared with the age and body mass index matched prediabetes group. Conclusion: An association between fasting blood sugar level and the stiffness of the plantar soft tissue with higher values of shear wave speed in diabetes versus prediabetes group was observed. This indicated that the proposed approach can improve the assessment of the severity of diabetic foot complications with potential implications in patient stratification.


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