实时超声弹性成像：肌腱疾病的原理及临床应用。一项系统综述。
Real-time sonoelastography: principles and clinical applications in tendon disorders. A systematic review.
作者信息
Fusini Federico, Langella Francesco, Busilacchi Alberto, Tudisco Cosimo, Gigante Antonio, Massé Alessandro, Bisicchia Salvatore
机构信息
University of Turin, School of Orthopaedic and Traumatology, Turin, Italy.
Clinical Orthopedics, University of Campania "Luigi Vanvitelli", Naples, Italy.
出版信息
Muscles Ligaments Tendons J. 2018 Jan 10;7(3):467-477. doi: 10.11138/mltj/2017.7.3.467. eCollection 2017 Jul-Sep.
BACKGROUND
Sonoelastography (SE) is a new ultrasound-based method adopted in an increased number of scientific reports to analyse normal and pathological tendons. The aim of this study is to provide a systematic overview of clinical applications of SE in normal and pathological tendons.
METHODS
A systematic research of PubMed, Ovid, and Cochrane Library electronic databases was performed according to PRISMA guideline. Two Authors searched and evaluated the articles independently; a third Author was involved to solve any disagreement. The Oxford Level of Evidence (LoE) was used to assess each article.
RESULTS
There is an increasing interest in the application of SE in the evaluation of healthy and diseased tendons. Many different tendons are amenable for SE evaluation, such as the Achilles and patellar tendons, rotator cuff, common extensor tendons, quadriceps tendon, and the plantar fascia.
CONCLUSION
SE appears to be a very useful diagnostic tool, in particular in tendon pathology. This is a dynamic examination, provides an immediate evaluation of the tissue elasticity, and may be useful in recognizing tendon abnormalities and in implementing the information available with conventional US.
LEVEL OF EVIDENCE
IV.
背景
超声弹性成像（SE）是一种基于超声的新方法，越来越多的科学报告采用该方法分析正常和病理性肌腱。本研究的目的是对SE在正常和病理性肌腱中的临床应用进行系统综述。
方法
根据PRISMA指南对PubMed、Ovid和Cochrane图书馆电子数据库进行系统检索。两位作者独立检索和评估文章；第三位作者参与解决任何分歧。采用牛津证据水平（LoE）对每篇文章进行评估。
结果
SE在健康和患病肌腱评估中的应用越来越受到关注。许多不同的肌腱都适合进行SE评估，如跟腱、髌腱、肩袖、伸肌总腱、股四头肌肌腱和足底筋膜。
结论
SE似乎是一种非常有用的诊断工具，尤其是在肌腱病理学方面。这是一种动态检查，可即时评估组织弹性，可能有助于识别肌腱异常情况，并补充传统超声所提供的信息。
证据水平
IV级。
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