剪切波弹性成像技术量化评估肌腱肌肉弹性模量的信度

doi:10.3969/j.issn.1006-9771.2018.10.015

《中国康复理论与实践》 ›› 2018, Vol. 24 ›› Issue (10): 1201-1205.doi: 10.3969/j.issn.1006-9771.2018.10.015

剪切波弹性成像技术量化评估肌腱肌肉弹性模量的信度

秦鹍¹, 冯亚男², 李亚鹏², 沈素红², 刘春龙¹, 张志杰²

1.广州中医药大学针灸康复临床医学院,广东广州市 510000;
2.河南省洛阳正骨医院,河南省骨科医院,河南洛阳市 471000

收稿日期:2017-12-11 出版日期:2018-10-25 发布日期:2018-10-30
通讯作者: 张志杰。E-mail: Sportspt@163.com
作者简介:秦鹍(1981-),男,汉族,河南辉县市人,硕士研究生,康复主管治疗师,主要研究方向：运动损伤康复。
基金资助:
1.河南省中医药科学研究专项重点课题(No. 2017ZY1004); 2.广州中医药大学“青年英才培养工程”(No. QNYC20170107)

Intra- and Inter-rater Reliability of Shear Wave Elastic Imaging Technique for Elastic Modulus Measurements of Muscle and Tendon

QIN Kun¹, FENG Ya-nan², LI Ya-peng², SHEN Su-hong², LIU Chun-long¹, ZHANG Zhi-jie²

1. Clinical College of Acupuncture, Moxibustion and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510000, China;
2. Luoyang Orthopedic Hospital of Henan Province, Orthopedic Hospital of Henan Province, Luoyang, Henan 471000, China

Received:2017-12-11 Published:2018-10-25 Online:2018-10-30
Contact: ZHANG Zhi-jie. E-mail: Sportspt@163.com
Supported by:
Henan Traditional Chinese Medicine Scientific Research Special Project (No. 2017ZY1004) and Guangzhou University of Chinese Medicine Project (No. QNYC20170107)

摘要/Abstract

摘要： 目的应用剪切波弹性成像测量髌腱和股四头肌硬度,并进行重复性测试信度研究。方法 2017年10月至11月,两名检查者使用弹性剪切波超声分别测量20例健康男性的髌腱和股四头肌的平均硬度,重复测量在第一次测量后5 d进行,通过等级相关系数(ICC)对测量结果进行评估。结果测量髌腱时,检查者内ICC=0.79,检查者间ICC=0.79;测量股直肌时,检查者内ICC=0.71,检查者间ICC=0.73;测量股外侧肌时,检查者内ICC=0.84,检查者间ICC=0.74;测量股内侧肌时,检查者内ICC=0.95,检查者间ICC=0.94。结论应用弹性剪切波超声成像技术测量髌腱和股四头肌硬度是一种可靠、可重复的方法。

关键词: 剪切波弹性超声, 肌腱, 肌肉, 弹性模量

Abstract: Objective To explore the intra- and inter-rater reliability of shear wave elastography (SWE) for the patellar tendon and quadriceps femoris stiffness.Methods From October to November, 2017, the stiffness of the patellar tendon and quadriceps femoris of 20 healthy men was measured by SWE, and measured again five days later. The results were evaluated with interclass correlation coefficient (ICC).Results For patellar tendon, ICC=0.79 in intra-rater and inter-rater; for rectus femoris, ICC=0.71 in intra-rater and 0.73 in inter-rater; for vastus lateralis muscle, ICC=0.84 in intra-rater and 0.74 in inter-rater; for vastus medialis,ICC=0.95 in intra-rater and 0.94 in inter-rater.Conclusion It is a reliable and repeatable method to measure the stiffness of patellar tendon and quadriceps femoris by SWE.

Key words: shear wave ultrasound elastography, tendon, muscle, elastic modulus

中图分类号:

秦鹍, 冯亚男, 李亚鹏, 沈素红, 刘春龙, 张志杰. 剪切波弹性成像技术量化评估肌腱肌肉弹性模量的信度[J]. 《中国康复理论与实践》, 2018, 24(10): 1201-1205.

QIN Kun, FENG Ya-nan, LI Ya-peng, SHEN Su-hong, LIU Chun-long, ZHANG Zhi-jie. Intra- and Inter-rater Reliability of Shear Wave Elastic Imaging Technique for Elastic Modulus Measurements of Muscle and Tendon[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2018, 24(10): 1201-1205.

参考文献

[1] Shiina T, Nightingale KR, Palmeri ML, et al.WFUMB guidelines and recommendations for clinical use of ultrasound elastography, part 1: basic principles and terminology[J]. Ultrasound Med Biol, 2015, 41: 1126-1147.
[2] Szczepanek-Parulska E, Wolinski K, Stangierski A, et al.Comparison of diagnostic value of conventional ultrasonography and shear wave elastography in the prediction of thyroid lesions malignancy[J]. PLoS One, 2013, 8: 81532.
[3] Bensamoun SF, Ringleb SI, Chen Q, et al.Thigh muscle stiffness assessed with magnetic resonance elastography in hyperthyroid patients before and after medical treatment[J]. J Magn Reson Imaging, 2007, 26: 708-713.
[4] Chen XM, Cui LG, He P, et al.Shear wave elastographic characterization of normal and torn Achilles tendons: a pilot study[J]. J Ultrasound Med, 2013, 32: 449-455.
[5] Zhang ZJ, Ng GYF, Lee WC, et al.Increase in passive muscle tension of the quadriceps muscle heads in jumping athletes with patellar tendinopathy[J]. Scand J Med Sci Sports, 2017, 27(10): 1099-1104.
[6] Yoshitake Y, Takai Y, Kanehisa H, et al.Muscle shear modulus measured with ultrasound shear-wave elastography across a wide range of contraction intensity[J]. Muscle Nerve, 2014, 50: 103-113.
[7] Hug F, Bouillard K, Nordez A, et al.Characterization of passive elastic properties of the human medial gastrocnemius muscle belly using supersonic shear imaging[J]. J Biomech 2012, 45: 978-984.
[8] Lacourpaille L, Hug F, Bouillard K, et al.Supersonic shear imaging provides a reliable measurement of resting muscle shear elastic modulus[J]. Physiol Meas, 2012, 33: 19-28.
[9] Hirayama K, Akagi R, Takahashi H.Reliability of ultrasound elastography for the quantification of transversus abdominis elasticity[J]. Acta Radiol Open, 2015, 4: 1-4.
[10] Cortez CD, Hermitte L, Ramain A, et al.Ultrasound shear wave velocity in skeletal muscle: a reproducibility study[J]. Diagn Interv Imaging, 2015, 97: 71-79.
[11] Peltz C, Haladik J, Divine G, et al.Shear wave elastography: repeatability for measurement of tendon stiffness[J]. Skeletal Radiol, 2013, 42: 1151-1156.
[12] Bercoff J, Tanter M, Fink M.Supersonic shear imaging: a new technique for soft tissue elasticity mapping[J]. IEEE Trans Ultrason Ferroelectr Freq Control, 2004, 51(4): 396-409.
[13] Warren DY, Panossian V, Hatch JD, et al.Combined effects of estrogen and progesterone on the anterior cruciate ligament[J]. Clin Orthop Relat Res, 2001, 383: 268-281.
[14] Martinson H, Stokes M.Measurement of anterior tibial muscle size using real-time ultrasound imaging[J]. Eur J Appl Physiol Occup Physiol, 1991, 63: 250-254.
[15] Tas S, Onur MR, Yilmaz S, et al.Shear wave elastography is a reliable and repeatable method for measuring the elastic modulus of the rectus femoris muscle and patellar tendon[J]. J Ultrasound Med, 2017, 36(3): 565-570.

剪切波弹性成像技术量化评估肌腱肌肉弹性模量的信度

Intra- and Inter-rater Reliability of Shear Wave Elastic Imaging Technique for Elastic Modulus Measurements of Muscle and Tendon

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