Kas-İskelet Sistemi Hastalıklarında Ultrason Elastografinin Yeri

Ultrason teknolojisindeki yüksek gelişim hızının son basamağı ultrason elastografidir (UE). UE, kas sertliği de dahil olmak üzere dokunun mekaniközelliklerinin doğrudan değerlendirilebildiği bir yöntemdir. Fiziksel tıp ve rehabilitasyon alanında B-mod ultrason (parlaklık modu) ve Dopplerultrason kullanımı artık rutin muayenenin bir parçası haline gelmiştir. Gerçek zamanlı ve doğrudan yapılan kas sertliği ölçümleri, akut kas iskeletsistemi yaralanmaları ve kronik miyofasiyal ağrı gibi akut ve kronik kas iskelet sistemi patolojilerinin teşhis ve tedavisine olanak sağlamaktadır. Buderlemede, gerilim (kompresyon) elastografi, akustik radyasyon force impuls görüntüleme ve shear wave (makaslama) elastografisi dahil olmaküzere kas sertliğini incelemek için farklı UE tekniklerine değinilecektir. Bu yöntemler ile günümüze kadar yapılan, fiziyatristlere ışık tutabilecekaraştırmaları derleyip, gelecekte atılabilecek yeni adımlara öncülük yapabilmek hedeflenmiştir.

The Role of Ultrasound Elastography in Musculoskeletal Diseases

Ultrasonic elastography (UE) is the last step of the high rate of development in ultrasound technology. The UE is a new method that can directly evaluate the mechanical properties of the tissue including muscle stiffness. The use of B-mode ultrasound (brightness mode) and Doppler ultrasound have been used as a part of routine examination in the field of Physical Medicine and Rehabilitation. Real-time and direct muscle strength measurements allow the diagnosis and treatment of acute and chronic musculoskeletal pathologies such as acute musculoskeletal injuries and chronic myofascial pain. In this review, different UE techniques will be discussed to examine muscle stiffness, including tension (compression) elastography, acoustic radiation force impulse imaging, and shear wave (shear) elastography. It is aimed to compile researches that can be guide to physiatrists and to lead the new steps that can be taken in the future.

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