Ultrasound elastography for carpal tunnel pressure measurement: A cadaveric validation study.
Ultrasound elastography for carpal tunnel pressure measurement: A cadaveric validation study.
复制标题
DOI：
10.1002/jor.23658
复制
发表时间：
2018-01
期刊：
影响因子：
--
通讯作者：
Zhao C
中科院分区：
文献类型：
--
作者：
Kubo K;Zhou B;Cheng YS;Yang TH;Qiang B;An KN;Moran SL;Amadio PC;Zhang X;Zhao C
腕管压力是腕管综合征病因学中的一个关键因素。已经进行了许多方法来测量腕管压力。然而，大多数技术都是侵入性的，需要时间和精力。我们开发了一种创新的方法，通过使用超声表面波弹性成像（USWE）技术来无创评估隧道压力。在以前的研究中，它表明，在一个简单的钢筋束模型中，钢筋束中的剪切波速度随着隧道压力的增加而线性增加。本研究的目的是在人体尸体模型中研究腕管压力与腕管内外剪切波速度之间的关系。结果表明，腕管内的剪切波速度随腕管压力的增大而线性增大，而腕管外的剪切波速度则保持不变。这些研究结果表明，无创测量腕管压力是可能的，通过测量剪切波的速度在肌腱。待该技术完全建立并应用于临床后，将有助于腕管综合征的诊断。出于这个原因，需要在健康对照组和腕管综合征患者中进一步验证这项技术。为了无创性地推断腕管压力，本研究通过使用超声表面波弹性成像技术在人尸体模型中评估腕管压力与在腕管内外的肌腱传播的剪切波速度之间的关系。结果表明，腕管内的剪切波速度随腕管压力的增大而线性增大，而腕管外的剪切波速度则保持不变。
Carpal tunnel pressure is a key factor in the etiology of carpal tunnel syndrome. Numerous approaches have been conducted to measure carpal tunnel pressure. However, most techniques are invasive and take time and effort. We have developed an innovative approach to noninvasively assess the tunnel pressure by using the ultrasound surface wave elastography (USWE) technique. In a previous study it was shown that the shear wave speed in a tendon increased linearly with increasing tunnel pressure enclosed the tendon in a simple tendon model. This study aimed to examine the relationship between the carpal tunnel pressure and the shear wave speeds inside and outside the carpal tunnel in a human cadaveric model. The result showed that the shear wave speed inside the carpal tunnel increased linearly with created carpal tunnel pressure, while the shear wave speed outside the carpal tunnel remained constant. These findings suggest that noninvasive measurement of carpal tunnel pressure is possible by measuring the shear wave speed in the tendon. After fully establishing this technology and being applicable in clinic, it would be useful in the diagnosis of carpal tunnel syndrome. For that reason, further validation with this technique in both healthy controls and patients with carpal tunnel syndrome is required. For the purpose of deducing the carpal tunnel pressure noninvasively, this study was conducted to evaluate the relationship between the carpal tunnel pressure and the shear wave speeds propagating the tendon inside and outside the carpal tunnel in a human cadaveric model by using the ultrasound surface wave elastography technique. The result showed that the shear wave speed inside the carpal tunnel increased linearly with created carpal tunnel pressure, while the shear wave speed outside the carpal tunnel remained constant.
登录
查看更多内容
影响因子：
2.8
作者：
Filius, Anika;Scheltens, Marjan;Selles, Ruud W.
通讯作者：
Selles, Ruud W.
影响因子：
1.9
作者：
FUCHS, PC;NATHAN, PA;MYERS, LD
通讯作者：
MYERS, LD
影响因子：
3.4
作者：
Cartwright, Michael S.;Hobson-Webb, Lisa D.;Walker, Francis O.
通讯作者：
Walker, Francis O.
影响因子：
2.7
作者：
Chen SF;Lu CH;Huang CR;Chuang YC;Tsai NW;Chang CC;Chang WN
通讯作者：
Chang WN
影响因子：
1.9
作者：
Nakamichi, K;Tachibana, S
通讯作者：
Tachibana, S