Ultrasonography.  2017 Jul;36(3):185-197. 10.14366/usg.16053.

Current status of musculoskeletal application of shear wave elastography

Affiliations
  • 1Department of Radiology, Hanyang University Guri Hospital, Hanyang University School of Medicine, Guri, Korea. ryuja@hanyang.ac.kr
  • 2Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Abstract

Ultrasonography (US) is a very powerful diagnostic modality for the musculoskeletal system due to the ability to perform real-time dynamic high-resolution examinations with the Doppler technique. In addition to acquiring morphologic data, we can now obtain biomechanical information by quantifying the elasticity of the musculoskeletal structures with US elastography. The earlier diagnosis of degeneration and the ability to perform follow-up evaluations of healing and the effects of treatment are possible. US elastography enables a transition from US-based inspection to US-based palpation in order to diagnose the characteristics of tissue. Shear wave elastography is considered the most suitable type of US elastography for the musculoskeletal system. It is widely used for tendons, ligaments, and muscles. It is important to understand practice guidelines in order to enhance reproducibility. Incorporating viscoelasticity and overcoming inconsistencies among manufacturers are future tasks for improving the capabilities of US elastography.

Keyword

Ultrasonography; Elasticity imaging techniques; Tendinopathy; Muscles; Elasticity

MeSH Terms

Diagnosis
Elasticity
Elasticity Imaging Techniques*
Follow-Up Studies
Ligaments
Muscles
Musculoskeletal System
Palpation
Tendinopathy
Tendons
Ultrasonography
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