剪切波弹性成像在肌肉骨骼损伤中的诊断效用:叙述性综述

Pm & R Pub Date : 2024-04-12 DOI:10.1002/pmrj.13179
Kuntal Chowdhary, George Raum, Christopher Visco
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引用次数: 0

摘要

剪切波弹性成像(SWE)是一种新兴且前景广阔的超声模式,最近被用于诊断肌肉骨骼(MSK)病症。SWE 通过测量声波在人体组织结构中的传播速度来评估组织硬度。了解 MSK 软组织的硬度变化可为评估肌肉、肌腱、韧带、神经和其他软组织的病变提供有用的诊断见解。本综述的目的是对有关 SWE 在 MSK 病理学诊断中的实用性的最新文献进行综述。综述显示,SWE 为评估多种病症(如腕部正中单神经病变、跟腱病和足底筋膜炎)提供了重要的诊断数据。该综述还显示,在临床环境中,缺乏与适当的标准化使用和可靠有效的诊断益处相关的证据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Diagnostic utility of shear wave elastography in musculoskeletal injuries: A narrative review
Shear wave elastography (SWE) is an emerging and promising ultrasound modality, and is more recently employed in the diagnosis of musculoskeletal (MSK) pathologies. SWE evaluates tissue stiffness by measuring the speed of propagating acoustic waves through body tissue structures. Knowing the variations in stiffness of MSK soft tissue can provide helpful diagnostic insight for the evaluation of pathology in muscles, tendons, ligaments, nerves, and other soft tissues. The goal of this review is to synthesize recent literature on the utility of SWE for MSK pathology diagnosis. This review reveals that SWE adds important diagnostic data for the evaluation of several pathologies, such as median mononeuropathy at the wrist, Achilles tendinopathy, and plantar fasciitis. The review also reveals a lack of evidence pertaining to appropriate standardization of use and the connection to reliable and valid diagnostic benefit in the clinical setting.
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