Evaluation of subskapularis and biceps tendons by MRI and share-wave ultrasound elastography

Yıl 2019, Cilt: 16 Sayı: 1, 97 - 100, 22.03.2019

Dilek Şen Dokumacı , Mesut Çetin Abdurrahim Dusak , Adem Ağyar Hakim Çelik , Sunay Sibel Karayol

Öz

Background: To investigate the relationship between the T2A signal intensity values of subscapular and biceps tendons and the velocity values obtained by the Share-wave Elastography examination.

Methods: Simultaneous Share-wave Elastography examination was performed to patients who were admitted to our MRI department for shoulder MRI request from different outpatient clinics. Share-wave Elastography examination was performed for subscapularis and biceps tendons. In T2A images, the intensity values of the subcapularis tendon and biceps tendon were measured in the axial plane through the insersio level of the subscapularis and in the axial section where the biceps tendon was observed in the bicipital groove. The MRI and Share-wave Elastography values were evaluated using the Spearman’s correlation test for the correlation of both tendons.

Results: There was a negative correlation between subscapularis tendon signal intensity values and Share-wave Elastography values (p = 0.048, rho = -0.447). There was no correlation between these two values in the biceps tendon.

Conclusions: Share-wave Elastography examination is a diagnostic method that allows quantitative evaluation of tendon pathologies.

Keywords: 

Subskapularis ve Biseps Tendonlarının MRG ve Share-wave Ultrason Elastografi ile değerlendirilmesi

Öz

Amaç:
Subskapularis
ve Biseps Tendonlarına ait T2A sinyal intensite değerleri ile Share-wave
Elastografi (SWE) incelemesi ile elde edilen hız değerleri arasında ilişkinin
araştırılması

Materyal
ve metod: MR ünitemize farklı polikliniklerden omuz MR istemi
sonucu gelen hastalara eş zamanlı Share-wave Elastografi incelemesi yapıldı. Share-wave
Elastografi incelemesi subskapularis ve biceps tendonlarına yönelik olarak
yapıldı. T2A görüntülerde aksiyel planda subskapularis tendonunun insersio
düzeyinden geçen kesitte ve biseps tendonundan bisipital oluk içerisinde
izlendiği aksiyal kesitte ROİ kullanılarak intensite değerleri ölçüldü. MR ve Share-wave
Elastografi incelemeleri sonucu elde edilen değerler ayrı ayrı her iki tendon
için korelasyon yönünden Spearman’s korelasyon testi kullanılarak
değerlendirildi.

Bulgular:
Subskapularis
tendonu sinyal intensite değerleri ile Share-wave Elastografi değerleri
arasında negatif korelasyon saptandı (p=0.048, rho=-0.447). Biseps tendonunda
bu iki değer arasında korelasyon izlenmedi.

Sonuç:
Share-wave
Elastografi incelemesi tendon patolojilerinde kantitatif değerlendirmeye olanak
sağlayan bir tanı yöntemdir.

Anahtar Kelimeler

Subskapularis, Biseps, Shear-wave elastografi, MR

Kaynakça

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