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剪切波弹性成像在肌肉骨骼系统中的应用现状

Current status of musculoskeletal application of shear wave elastography.

作者信息

Ryu JeongAh, Jeong Woo Kyoung

机构信息

Department of Radiology, Hanyang University Guri Hospital, Hanyang University School of Medicine, Guri, Korea.

Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

出版信息

Ultrasonography. 2017 Jul;36(3):185-197. doi: 10.14366/usg.16053. Epub 2017 Feb 4.

DOI:10.14366/usg.16053
PMID:28292005
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5494870/
Abstract

Ultrasonography (US) is a very powerful diagnostic modality for the musculoskeletal system due to the ability to perform real-time dynamic high-resolution examinations with the Doppler technique. In addition to acquiring morphologic data, we can now obtain biomechanical information by quantifying the elasticity of the musculoskeletal structures with US elastography. The earlier diagnosis of degeneration and the ability to perform follow-up evaluations of healing and the effects of treatment are possible. US elastography enables a transition from US-based inspection to US-based palpation in order to diagnose the characteristics of tissue. Shear wave elastography is considered the most suitable type of US elastography for the musculoskeletal system. It is widely used for tendons, ligaments, and muscles. It is important to understand practice guidelines in order to enhance reproducibility. Incorporating viscoelasticity and overcoming inconsistencies among manufacturers are future tasks for improving the capabilities of US elastography.

摘要

超声检查(US)对于肌肉骨骼系统是一种非常强大的诊断方式,因为它能够借助多普勒技术进行实时动态高分辨率检查。除了获取形态学数据外,我们现在还可以通过超声弹性成像对肌肉骨骼结构的弹性进行量化,从而获得生物力学信息。早期诊断退变以及对愈合情况和治疗效果进行随访评估成为可能。超声弹性成像能够实现从基于超声的检查到基于超声的触诊的转变,以便诊断组织特征。剪切波弹性成像被认为是最适合肌肉骨骼系统的超声弹性成像类型。它广泛应用于肌腱、韧带和肌肉。理解实践指南对于提高可重复性很重要。纳入粘弹性并克服制造商之间的不一致性是提高超声弹性成像能力的未来任务。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a2d/5494870/34b69464c88a/usg-16053-f8.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a2d/5494870/34b69464c88a/usg-16053-f8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a2d/5494870/384221d25be2/usg-16053-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a2d/5494870/c7e58f978d15/usg-16053-f2.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a2d/5494870/ac5c94f270b6/usg-16053-f5.jpg
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