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Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease
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Ultrasound Surface Wave Elastography for Assessing Scleroderma.

Xiaoming Zhang1, Boran Zhou1, Thomas Osborn2

  • 1Department of Radiology, Mayo Clinic, Rochester, Minnesota, USA.

Ultrasound in Medicine & Biology
|March 1, 2020
PubMed
Summary
This summary is machine-generated.

Ultrasound surface wave elastography (USWE) shows skin surface wave speed and elasticity correlate with the Modified Rodnan Skin Score (MRSS) in scleroderma patients. Skin viscosity did not correlate with MRSS in this study.

Keywords:
Modified Rodnan Skin ScoreSclerodermaSkinUltrasound surface wave elastography

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Area of Science:

  • Rheumatology
  • Biomedical Engineering
  • Dermatology

Background:

  • Scleroderma, or systemic sclerosis (SSc), is a complex connective tissue disease.
  • Skin involvement in SSc is a significant clinical manifestation and prognostic indicator.
  • The Modified Rodnan Skin Score (MRSS) is the standard clinical assessment for skin disease in SSc.

Purpose of the Study:

  • To evaluate the correlation between ultrasound surface wave elastography (USWE) measurements and the MRSS in patients with SSc.
  • To assess the relationship between skin surface wave speed, skin viscoelasticity, and MRSS.
  • To investigate the potential of USWE as an objective measure of skin fibrosis in SSc.

Main Methods:

  • Twenty-six SSc patients were recruited for the study.
  • Ultrasound surface wave elastography (USWE) was used to measure skin surface wave speeds and analyze viscoelasticity.
  • Measurements were taken on the forearms and upper arms of patients, and results were compared with MRSS scores.

Main Results:

  • Skin surface wave speed demonstrated a positive correlation with the MRSS.
  • Skin elasticity also showed a positive correlation with the MRSS.
  • No significant correlation was found between skin viscosity and the MRSS in the studied SSc patients.

Conclusions:

  • USWE is a promising technique for objectively quantifying skin changes in SSc.
  • Skin surface wave speed and elasticity measured by USWE correlate with clinical skin assessments (MRSS).
  • Further research is needed to explore the role of skin viscosity in detecting early inflammatory changes in SSc.