实时剪切波弹性成像在老年人跟腱硬度评估中的应用。
Application of real-time shear wave elastography to Achilles tendon hardness evaluation in older adults.
作者信息
He Xuan, Wei Xin, Hou Jia, Tan Wei, Luo Ping
机构信息
Department of Functional Examination, Sichuan Province Orthopedic Hospital, Chengdu 610041, Sichuan Province, China.
出版信息
World J Clin Cases. 2024 Sep 16;12(26):5922-5929. doi: 10.12998/wjcc.v12.i26.5922.
BACKGROUND
Real-time shear wave elastography (SWE) is a non-invasive imaging technique used to measure tissue stiffness by generating and tracking shear waves in real time. This advanced ultrasound-based method provides quantitative information regarding tissue elasticity, offering valuable insights into the mechanical properties of biological tissues. However, the application of real-time SWE in the musculoskeletal system and sports medicine has not been extensively studied.
AIM
To explore the practical value of real-time SWE for assessing Achilles tendon hardness in older adults.
METHODS
A total of 60 participants were enrolled in the present study, and differences in the elastic moduli of the bilateral Achilles tendons were compared among the following categories: (1) Age: 55-60, 60-65, and 65-70-years-old; (2) Sex: Male and female; (3) Laterality: Left and right sides; (4) Tendon state: Relaxed and tense state; and (5) Tendon segment: Proximal, middle, and distal.
RESULTS
There were no significant differences in the elastic moduli of the bilateral Achilles tendons when comparing by age or sex ( > 0.05). There were, however, significant differences when comparing by tendon side, state, or segment ( < 0.05).
CONCLUSION
Real-time SWE plays a significant role compared to other examination methods in the evaluation of Achilles tendon hardness in older adults.
背景
实时剪切波弹性成像（SWE）是一种非侵入性成像技术，通过实时生成和跟踪剪切波来测量组织硬度。这种基于超声的先进方法提供了有关组织弹性的定量信息，为了解生物组织的力学特性提供了有价值的见解。然而，实时SWE在肌肉骨骼系统和运动医学中的应用尚未得到广泛研究。
目的
探讨实时SWE评估老年人跟腱硬度的实用价值。
方法
本研究共纳入60名参与者，比较双侧跟腱弹性模量在以下类别中的差异：（1）年龄：55 - 60岁、60 - 65岁和65 - 70岁；（2）性别：男性和女性；（3）左右侧：左侧和右侧；（4）肌腱状态：松弛和紧张状态；（5）肌腱节段：近端、中间和远端。
结果
按年龄或性别比较时，双侧跟腱弹性模量无显著差异（> 0.05）。然而，按肌腱侧、状态或节段比较时存在显著差异（< 0.05）。
结论
与其他检查方法相比，实时SWE在评估老年人跟腱硬度方面发挥着重要作用。
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