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Plantar Soft Tissue Characterization Using Reverberant Shear Wave Elastography: A Proof-of-Concept Study.
Romero, Stefano E; Naemi, Roozbeh; Flores, Gilmer; Allan, David; Ormachea, Juvenal; Gutierrez, Evelyn; Casado, Fanny L; Castaneda, Benjamin.
Afiliación
  • Romero SE; Laboratorio de Imagenes Medicas, Pontificia Universidad Catolica del Peru, San Miguel, Lima, Peru. Electronic address: sromerog@pucp.pe.
  • Naemi R; Centre for Biomechanics and Rehabilitation Technologies, School of Health Science and Wellbeing, Staffordshire University, Stoke-on-Trent, United Kingdom.
  • Flores G; Laboratorio de Imagenes Medicas, Pontificia Universidad Catolica del Peru, San Miguel, Lima, Peru.
  • Allan D; Centre for Biomechanics and Rehabilitation Technologies, School of Health Science and Wellbeing, Staffordshire University, Stoke-on-Trent, United Kingdom.
  • Ormachea J; Laboratorio de Imagenes Medicas, Pontificia Universidad Catolica del Peru, San Miguel, Lima, Peru; Department of Electrical and Computer Engineering, University of Rochester, Rochester, New York, USA.
  • Gutierrez E; Laboratorio de Imagenes Medicas, Pontificia Universidad Catolica del Peru, San Miguel, Lima, Peru.
  • Casado FL; Instituto de Ciencias Omicas y Biotecnologia Aplicada, Pontificia Universidad Catolica del Peru, San Miguel, Lima, Peru.
  • Castaneda B; Laboratorio de Imagenes Medicas, Pontificia Universidad Catolica del Peru, San Miguel, Lima, Peru.
Ultrasound Med Biol ; 48(1): 35-46, 2022 01.
Article en En | MEDLINE | ID: mdl-34702642
Plantar soft tissue stiffness provides relevant information on biomechanical characteristics of the foot. Therefore, appropriate monitoring of foot elasticity could be useful for diagnosis, treatment or health care of people with complex pathologies such as a diabetic foot. In this work, the reliability of reverberant shear wave elastography (RSWE) applied to plantar soft tissue was investigated. Shear wave speed (SWS) measurements were estimated at the plantar soft tissue at the first metatarsal head, the third metatarsal head and the heel from both feet in five healthy volunteers. Experiments were repeated for a test-retest analysis with and without the use of gel pad using a mechanical excitation frequency range between 400 and 600 Hz. Statistical analysis was performed to evaluate the reliability of the SWS estimations. In addition, the results were compared against those obtained with a commercially available shear wave-based elastography technique, supersonic imaging (SSI). The results indicate a low coefficient of variation for test-retest experiments with gel pad (median: 5.59%) and without gel pad (median: 5.83%). Additionally, the values of the SWS measurements increase at higher frequencies (median values: 2.11 m/s at 400 Hz, 2.16 m/s at 450 Hz, 2.24 m/s at 500 Hz, 2.21 m/s at 550 Hz and 2.31 m/s at 600 Hz), consistent with previous reports at lower frequencies. The SWSs at the plantar soft tissue at the first metatarsal head, third metatarsal head and heel were found be significantly (p<0.05) different, with median values of 2.42, 2.16 and 2.03 m/s, respectively which indicates the ability of the method to differentiate between shear wave speeds at different anatomical locations. The results indicated better elastographic signal-to-noise ratios with RSWE compared to SSI because of the artifacts presented in the SWS generation. These preliminary results indicate that the RSWE approach can be used to estimate the plantar soft tissue elasticity, which may have great potential to better evaluate changes in biomechanical characteristics of the foot.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Diagnóstico por Imagen de Elasticidad Tipo de estudio: Diagnostic_studies Límite: Humans Idioma: En Revista: Ultrasound Med Biol Año: 2022 Tipo del documento: Article Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Diagnóstico por Imagen de Elasticidad Tipo de estudio: Diagnostic_studies Límite: Humans Idioma: En Revista: Ultrasound Med Biol Año: 2022 Tipo del documento: Article Pais de publicación: Reino Unido