Dilek ŞEN DOKUMACI, Mesut ÇETİN, Abdurrahim DUSAK, Adem AĞYAR, Hakim ÇELİK, Sunay Sibel KARAYOL

Subskapularis ve Biseps Tendonlarının MRG ve Share-wave Ultrason Elastografi ile değerlendirilmesi

Amaç: Subskapularis ve Biseps Tendonlarına ait T2A sinyal intensite değerleri ile Share-wave Elastografi (SWE) incelemesi ile elde edilen hız değerleri arasında ilişkinin araştırılmasıMateryal ve metod: MR ünitemize farklı polikliniklerden omuz MR istemi sonucu gelen hastalara eş zamanlı Share-wave Elastografi incelemesi yapıldı. Share-wave Elastografi incelemesi subskapularis ve biceps tendonlarına yönelik olarak yapıldı. T2A görüntülerde aksiyel planda subskapularis tendonunun insersio düzeyinden geçen kesitte ve biseps tendonundan bisipital oluk içerisinde izlendiği aksiyal kesitte ROİ kullanılarak intensite değerleri ölçüldü. MR ve Share-wave Elastografi incelemeleri sonucu elde edilen değerler ayrı ayrı her iki tendon için korelasyon yönünden Spearman’s korelasyon testi kullanılarak değerlendirildi.Bulgular: Subskapularis tendonu sinyal intensite değerleri ile Share-wave Elastografi değerleri arasında negatif korelasyon saptandı (p=0.048, rho=-0.447). Biseps tendonunda bu iki değer arasında korelasyon izlenmedi. Sonuç: Share-wave Elastografi incelemesi tendon patolojilerinde kantitatif değerlendirmeye olanak sağlayan bir tanı yöntemdir.

Anahtar Kelimeler:

Subskapularis, Biseps, Shear-wave elastografi, MR

Evaluation of subskapularis and biceps tendons by MRI and share-wave ultrasound elastography

Background: To investigate the relationship between the T2A signal intensity values of subscapular and biceps tendons and the velocity values obtained by the Share-wave Elastography examination.Methods: Simultaneous Share-wave Elastography examination was performed to patients who were admitted to our MRI department for shoulder MRI request from different outpatient clinics. Share-wave Elastography examination was performed for subscapularis and biceps tendons. In T2A images, the intensity values of the subcapularis tendon and biceps tendon were measured in the axial plane through the insersio level of the subscapularis and in the axial section where the biceps tendon was observed in the bicipital groove. The MRI and Share-wave Elastography values were evaluated using the Spearman’s correlation test for the correlation of both tendons.Results: There was a negative correlation between subscapularis tendon signal intensity values and Share-wave Elastography values (p = 0.048, rho = -0.447). There was no correlation between these two values in the biceps tendon.Conclusions: Share-wave Elastography examination is a diagnostic method that allows quantitative evaluation of tendon pathologies.Keywords:

PDF

___

1. Arkun R. Rotator Kılıf: Patolojik Değişiklikler. Trd Sem 2014; 2: 30-43
2. Weinreb JH, Sheth C, Apostolakos J, McCarthy MB, Barden B, Cote MP, et al. Tendon structure, disease, and imaging. Muscles Ligaments Tendons J 2014;4:66-73.
3. Taljanovic MS, Gimber LH, Becker GW, Latt LD, Klauser AS, Melville DM, et al. Shear-Wave Elastography: Basic Physics and Musculoskeletal Applications. Radiographics. 2017 May-Jun;37(3):855-870.
4. Bamber J, Cosgrove D, Dietrich CF, Fromageau J, Bojunga J, Calliada F, et al. EFSUMB guidelines and recommendations on the clinical use of ultrasound elastography. Part 1: Basic principles and technology. Ultraschall Med 2013;34:169-184
5. Heales LJ, Badya R, Ziegenfuss B, Hug F, Coombes JS, van den Hoorn W, et al. Shear-wave velocity of the patellar tendon and quadriceps muscle is increased immediately after maximal eccentric exercise. Eur J Appl Physiol. 2018 May 31. doi: 10.1007/s00421-018-3903-2. [Epub ahead of print] PubMed PMID: 29855790
6. Sahan MH, Inal M, Burulday V, Kultur T. Evaluation of tendinosis of the long head of the biceps tendon by strain and shear wave elastography. Med Ultrason. 2018 May 2;20(2):192-198.
7. Itoigawa Y, Maruyama Y, Kawasaki T, Wada T, Yoshida K, An KN, Kaneko K. Shear Wave Elastography Can Predict Passive Stiffness of Supraspinatus Musculotendinous Unit During Arthroscopic Rotator Cuff Repair for Presurgical Planning. Arthroscopy. 2018 Aug;34(8):2276-2284.
8. Bercoff J, Tanter M, Fink M. Supersonic shear imaging: a new technique for soft tissue elasticity mapping. IEEE Trans Ultrason Ferroelectr Freq Control 2004; 51:396–409.
9. Arda K, Ciledag N, Aktas E, Aribas BK, Köse K. Quantitative assessment of normal soft-tissue elasticity using shear-wave ultrasound elastography. AJR Am J Roentgenol 2011;197(3):532–536.
10. DeWall RJ, Slane LC, Lee KS, Thelen DG. Spatial variations in Achilles tendon shear wave speed. J Biomech 2014;47(11):2685–2692.
11. Aubry S, Nueffer JP, Tanter M, Becce F, Vidal C, Michel F. Viscoelasticity in Achilles tendonopathy: quantitative assessment by using real-time shear-wave elastography. Radiology 2015;274(3):821–829.
12. Baumer TG, Davis L, Dischler J, Siegal DS, van Holsbeeck M, Moutzouros V, et al. Shear wave elastography of the supraspinatus muscle and tendon: Repeatability and preliminary findings. J Biomech. 2017 Feb 28;53:201-204.
13. Drakonaki EE, Allen GM, Wilson DJ. Real-time ultrasound elastography of the normal Achilles tendon: reproducibility and pattern description. Clin Radiol 2009;64:1196–202.
14. Gennisson JL, Deffieux T, Macé E, Montaldo G, Fink M, Tanter M. Viscoelastic and anisotropic mechanical properties of in vivo muscle tissue assessed by supersonic shear imaging. Ultrasound Med Biol. 2010 May;36(5):789-801. doi: 10.1016/j.ultrasmedbio.2010.02.013. PubMed PMID: 20420970.