Evaluation of tendinosis of the long head of the biceps tendon by strain and shear wave elastography

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dc.contributor.authorSahan, Mehmet Hamdi
dc.contributor.authorInal, Mikail
dc.contributor.authorBurulday, Veysel
dc.contributor.authorKultur, Turgut
dc.date.accessioned2020-06-25T18:29:52Z
dc.date.available2020-06-25T18:29:52Z
dc.date.issued2018
dc.departmentKırıkkale Üniversitesi
dc.descriptionINAL, MIKAIL/0000-0003-0642-7913; kultur, turgut/0000-0002-2420-5153
dc.description.abstractAim: To investigate strain (SE) and shear wave elastography (SWE) characteristics of the long head of the biceps tendon (LHBT) tendinosis in comparison with magnetic resonance imaging (MRI) findings. Material and methods: Twenty patients with a MRI diagnosis of tendinosis and twenty healthy subjects with normal LHBT in MRI were prospectively examined by SE and SWE. SE color mapping was divided into four types in accordance with elasticity designs: type I predominantly blue (hardest tissue), type II predominantly blue-green (hard tissue), type III predominantly green (intermediate tissue), type IV predominantly green-yellow-red (soft tissue). Quantitative measurements of LHBT hardness with SWE were analyzed in kilopascals (kPa). Results: In the tendinosis group SE types in transverse scan were I in 24% of tendons, II in 50%, III in 25%, and in longitudinal scan I in 15%, II in 75%, and III in 10%. In the control group SE types in transversescan were II in 10% of tendons, III in 55%, IV in 35%, and in longitudinal scan II in 10%, III in 55%, and IV in 35%. SWE values in transverse scan were 38.32 +/- 7.2 kPa in the tendinosis group and 18.6 +/- 3.1 kPa in the control groupand in longitudinal scan 39.42 +/- 7.4 kPa in the tendinosis group, and 20.62 +/- 4.6 in the control group. There was a statistically significant difference in terms of elasticity patterns between the tendinosis and control groups (p<0.001). The receiver operating characteristic curve analysis was perfect and a cut-off value of tranverse 25.8 kPa and longitudinal, 24.6 kPa shear values had very high sensitivity and specificity for tendinosis. Conclusion: SE and SWE may be useful diagnostic tools for LHBT tendinosis when considering usability, cost effectiveness, and patient preference compared to MRI.en_US
dc.description.sponsorshipKirikkale University Medical Faculty Scientific Research ProjectKirikkale Universityen_US
dc.description.sponsorshipKirikkale University Medical Faculty Scientific Research Project has provided funding for prospective sono-elastography examination.en_US
dc.identifier.citationSahan, M. H., Inal, M., Burulday, V., & Kultur, T. (2018). Evaluation of tendinosis of the long head of the biceps tendon by strain and shear wave elastography. Medical ultrasonography, 20(2), 192–198.en_US
dc.identifier.doi10.11152/mu-1323
dc.identifier.endpage198en_US
dc.identifier.issn1844-4172
dc.identifier.issn2066-8643
dc.identifier.issue2en_US
dc.identifier.pmid29730686
dc.identifier.scopus2-s2.0-85046768117
dc.identifier.scopusqualityQ2
dc.identifier.startpage192en_US
dc.identifier.urihttps://doi.org/10.11152/mu-1323
dc.identifier.urihttps://hdl.handle.net/20.500.12587/7486
dc.identifier.volume20en_US
dc.identifier.wosWOS:000436420000012
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSoc Romana Ultrasonografe Medicina Biologie-Srumben_US
dc.relation.ispartofMedical Ultrasonography
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectbicepsen_US
dc.subjecttendinosisen_US
dc.subjectmagnetic resonance imagingen_US
dc.subjectsonoelastographyen_US
dc.subjectshear waveen_US
dc.titleEvaluation of tendinosis of the long head of the biceps tendon by strain and shear wave elastographyen_US
dc.typeArticle

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