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测定肌硬度:二维与点剪波弹性图

Mario Pasurka¹, Theo Falck¹, Joshua Kubach¹

¹Department of Orthopaedic and Trauma Surgery, University Hospital of Erlangen, Friedrich-Alexander-University Erlangen-Nuremberg, Krankenhaus 9, 91054, Erlangen, Germany.

Journal of orthopaedics

|September 2, 2025

概括

这项研究比较了点剪波弹性图 (pSWE) 和二维剪波弹性图 (2D-SWE) 来评估骨肌硬度. 这两种方法都显示出出色的可靠性,2D-SWE1在临床使用中更快,更可靠.

科学领域:

肌肉骨超声波检查
医学成像物理
生物力学

背景情况:

肌硬度评估对于诊断和管理肌病至关重要.
剪波弹性图 (SWE) 提供了非侵入性的定量硬度测量.
在 PT 评估中,点 SWE (pSWE) 和 2D SWE (2D-SWE) 的可比性尚未确定.

研究的目的:

为了比较pSWE和2D-SWE的诊断准确性和可靠性,以评估骨硬度.
评估pSWE和2D-SWE技术的内部和内部可靠性.
评估和比较pSWE和2D-SWE所需的测量时间.

主要方法:

40名健康参与者接受了B模式超声波,彩色多普勒超声波和骨肌的SWE (pSWE和2D-SWE).
记录了硬度值 (剪切波速度) 和测量持续时间.
两位研究人员在两个时间点评估了评价者内部和评价者之间的可靠性.

主要成果:

pSWE的刚度值略高 (4.02 ± 1.07 m/s) 比2D-SWE (3.82 ± 0.73 m/s) (p < 0.001).
一次测量 (2D-SWE1) 的2D-SWE比p-SWE (54.85 ± 8.34秒) 显著更快 (47.20 ± 8.23秒).
这两种方法都表现出极好的内部和内部可靠性,2D-SWE1产生了最高的ICC值.

结论:

这是第一个比较pSWE和2D-SWE用于骨硬度的研究.
2D-SWE,特别是2D-SWE1,为临床肌肉骨超声波提供了可靠和时间效率高的替代方案.
这些发现支持2D-SWE在评估肌特性方面的潜在临床实用性.

关键词:

声波辐射力冲动成像肌肉骨超声波检查点切波弹性学肌硬化二维切割波弹性图

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