Sağlıklı Bireylerde Dalak Sertliğinin Point Shear Wave Elastografi ile Değerlendirilmesi
Amaç: Sonoelastografi, dokunun mekanik özelliklerini değerlendirmede kullanılan noninvaziv bir görüntüleme yöntemidir. Kullanımı giderek yaygınlaşan bu yöntemin klinik değeri giderek artmakta olup bazı cihazların uygulama alanına yeni girmiş olması nedeniyle araştırma alanında potansiyel oluşturmaktadır. Daha sert ve elastisitesi daha düşük dokularda kayma dalgası daha hızlı yayılmaktadır. Karaciğer fibrozu, kas-iskelet sistemi, meme, prostat, testis ve tiroid nodülleri üzerine yapılan çalışmalar bu prensibi kabul etmektedir. Bu çalışmada normal sağlıklı bireylerde dalak sertliğini pSWE tekniği kullanılarak kantitatif olarak değerlendirerek ortalama değerleri saptamayı ve bu değerlerin yaş, cinsiyet, vücut kitle indeksi ve dalak boyutları ile ilişkisini saptamayı amaçlanmıştır.
Evaluation of Spleen Stiffness Using Point Shear Wave Elastography in Healthy Individuals
Aim: Sonoelastography is a non-invasive imaging method used to evaluate the mechanical properties of any tissue. The clinical value of method, the usage of which is increasingly prevailing, is gradually increasing and on account of having newly entered the application field, it is becoming a potential in the research area. Shear wave (SW) propagates faster in stiffer and lower elastic tissues. Studies on liver fibrosis musculoskeletal, breast, prostate, testis, and thyroid nodules accept this principle. In this study, aimed to determine the average values using the point shear wave elastography (pSWE) technique in normal healthy individuals and to determine the relationship of these values with age, gender, body mass index (BMI), and the spleen dimensions.
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- Shiina T, Nightingale KR, Palmeri ML, et al. WFUMB guidelines and recommendations for clinical use of ultrasound elastography: Part 1: Basic principles and terminology. Ultrasound Med Biol. 2015;41:126–47.
- Süha Süreyya Özbek. Liver elastography. Trd Sem. 2019;7:13–24
- Cosgrove D, Barr R, Bojunga J, et al. WFUMB guidelines and recommendations on the clinical use of ultrasound elastography: Part 4. Thyroid. Ultrasound Med Biol. 2017;43:4–26.
- Leung VY, Shen J, Wong VW, et al. Quantitative elastography of liver fibrosis and spleen stiffness in chronic hepatitis B carriers: Comparison of shear-wave elastography and transient elastography with liver biopsy correlation. Radiology. 2013;269:910–918.
- Zaleska-Dorobisz U, Pawluś A, Szymańska K, Łasecki M, Ziajkiewicz M. Ultrasound elastography: Review of techniques and its clinical applications in pediatrics. Part 2. Adv Clin Exp Med. 2015;24:725–730.
- Paluch Ł, Nawrocka-Laskus E, Wieczorek J, Mruk B, Frel M, Walecki J. Use of ultrasound elastography in the assessment of the musculoskeletal system. Pol J Radiol. 2016;81:240–246.
- 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;197:532–536.
- Pawluś A, Inglot MS, Szymańska K, et al. Shear wave elastography of the spleen: Evaluation of spleen stiffness in healthy volunteers. Abdom Radiol (NY). 2016;41:2169–2174.
- Rafał Mazur, Milena Celmer, Jurand Silicki, Daniel Hołownia, Patryk Pozowski, Krzysztof Międzybrodzki. Clinical applications of spleen ultrasound elastography – a review. J Ultrason. 2018;18:37–41.
- Mauro Giuffrè, Daniele Macor, Flora Masutti, et al. Evaluation of spleen stiffness in healthy volunteers using point shear wave elastography. Annals of Hepatology. Sep-Oct 2019;18(5):736-741. doi: 10.1016/j.aohep.2019.03.004.
- Giovanna Ferraioli, Carmine Tinelli, Raffaella Lissandrin, et al. Ultrasound point shear wave elastography assessment of liver and spleen stiffness: Effect of training on repeatability of measurements. Eur Radiol. 2014;24(6):1283-9. doi:10.1007/s00330-014-3140-y.
- Cho YS, Lim S, Kim Y, et al. Spleen stiffness measurement using 2-dimensional shear wave elastography: The predictors of measurability and the normal spleen stiffness value. J Ultrasound Med. 2019;38(2):423–431.
- Procopet B, Berzigotti A, Abraldes JG, et al. Real-time shear-wave elastography: Applicability, reliability and accuracy for clinically significant portal hypertension. J Hepatol. 2015;62(5):1068–1075.
- Karlas T, Lindner F, Tröltzsch M, et al. Assessment of spleen stiffness using acoustic radiation force impulse imaging (ARFI): Definition of examination standards and impact of breathing maneuvers. Ultra-schall Med. 2014;35:38–43.
- Kassym L, Nounou MA, Zhumadilova Z, et al. New combined parameter of liver and splenic stiffness as determined by elastography in healthy volunteers. Saudi J Gastroenterol. 2016;22:324-30.
- Albayrak E, Server S. The relationship of spleen stifness value measured by shear wave elastography with age, gender, and spleen size in healthy volunteers. Journal of Medical Ultrasonic. 2019;46(2):195-199. doi: 10.1007/s10396-019-00929-3.