超声波弹性图的可靠性根据经验水平和解剖位置
Seul-Gi Kim1, Bongkyung Park1, Kyosun Hwang1
1Department of Orthopedic Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.
Clinics in orthopedic surgery
|February 6, 2025
概括
剪切波弹性学 (SWE) 在评估软组织弹性方面表现出良好的可靠性,优于应变弹性学 (SE). 然而,结果根据解剖部位和检查员的经验而有所不同.
科学领域:
- 肌肉骨超声波扫描 肌肉骨超声波扫描
- 医学成像技术 医学成像技术
- 生物机械评估
背景情况:
- 应变弹性学 (SE) 和剪切波弹性学 (SWE) 是用于软组织弹性评估的先进超声波方法.
- 评估这些技术在不同解剖位置和不同的检查员的可靠性对于临床应用至关重要.
研究的目的:
- 评估SE和SWE的观察者间和观察者内部可靠性.
- 为了比较SE和SWE在测量特定肌肉骨组织弹性的可靠性.
主要方法:
- 十名健康的男性通过SE和SWE进行了手腕延伸肌肉,共同延伸肌和脊上肌的弹性测量.
- 测量由两位具有不同经验水平的超声波仪两次进行.
- 使用类内相关系数 (ICC) 来评估可靠性.
主要成果:
- 剪切波弹性图 (SWE) 在所有测量地点显示了中度至几乎完美的观察者内可靠性.
- 此外,SWE对手腕伸展肌肉和上脊柱肌的观察者间可靠性中度至实质性.
- 应变弹性图 (SE) 仅表现出相当到中等的观察者间可靠性和中等到实质性的观察者内可靠性,主要是在手腕延伸肌.
结论:
- 剪波弹性图 (SWE) 是评估软组织弹性的可靠方法.
- SWE的可靠性受到特定解剖部位和超声波专家的专业知识的影响.
- 进一步的研究可能会完善SWE协议,以便在各种临床场景中提高一致性.
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