Abstract
Objective
The purpose of this study is to compare the reliability of SW velocity measurements of two different ultrasound systems and their correlation with the tangent traction modulus in a non-static tendon strain model.
Materials and Methods
A bovine tendon was fixed in a custom-made stretching device. Force was applied increasing from 0 up to 18 Newton. During each strain state the tangent traction modulus was determined by the stretcher device, and SW velocity (m/s) measurements using a Siemens S3000 and a Supersonic Aixplorer US machine were done for shear modulus (kPa) calculation.
Results
A strong significant positive correlation was found between SW velocity assessed by the two ultrasound systems and the tangent traction modulus (r = 0.827–0.954, p < 0.001), yet all SW velocity-based calculations underestimated the reference tissue tangent modulus. Mean difference of SW velocities with the S3000 was 0.44 ± 0.3 m/s (p = 0.002) and with the Aixplorer 0.25 ± 0.3 m/s (p = 0.034). Mean difference of SW velocity between the two US-systems was 0.37 ± 0.3 m/s (p = 0.012).
Conclusion
In conclusion, SW velocities are highly dependent on mechanical forces in the tendon tissue, but for controlled mechanical loads appear to yield reproducible and comparable measurements using different US systems.
Similar content being viewed by others
References
Golatta M, Schweitzer-Martin M, Harcos A, Schott S, Gomez C, Stieber A, et al. Evaluation of virtual touch tissue imaging quantification, a new shear wave velocity imaging method, for breast lesion assessment by ultrasound. Biomed Res Int. 2014;2014:960262.
Golatta M, Schweitzer-Martin M, Harcos A, Schott S, Junkermann H, Rauch G, et al. Normal breast tissue stiffness measured by a new ultrasound technique: virtual touch tissue imaging quantification (VTIQ). Eur J Radiol. 2013;82(11):e676–679.
Kim H, Kim JA, Son EJ, Youk JH. Quantitative assessment of shear-wave ultrasound elastography in thyroid nodules: diagnostic performance for predicting malignancy. Eur Radiol. 2013;23(9):2532–7.
Ferraioli G, Parekh P, Levitov AB, Filice C. Shear wave elastography for evaluation of liver fibrosis. J Ultrasound Med: Off J Am Inst Ultrasound Med. 2014;33(2):197–203.
Ferraioli G, Tinelli C, Lissandrin R, Zicchetti M, Bernuzzi S, Salvaneschi L, et al. Ultrasound point shear wave elastography assessment of liver and spleen stiffness: effect of training on repeatability of measurements. Eur Radiol. 2014;24(6):1283–9.
Elegbe EC, McAleavey SA. Single tracking location methods suppress speckle noise in shear wave velocity estimation. Ultrason Imaging. 2013;35(2):109–25.
Gennisson JL, Deffieux T, Fink M, Tanter M. Ultrasound elastography: principles and techniques. Diagn Interv Imaging. 2013;94(5):487–95.
Zhang ZJ, Fu SN. Shear elastic modulus on patellar tendon captured from supersonic shear imaging: correlation with tangent traction modulus computed from material testing system and test-retest reliability. PLoS ONE. 2013;8(6), e68216.
Carlsen JF, Pedersen MR, Ewertsen C, Saftoiu A, Lonn L, Rafaelsen SR, et al. A comparative study of strain and shear-wave elastography in an elasticity phantom. AJR Am J Roentgenol. 2015;204(3):W236–242.
Dillman JR, Chen S, Davenport MS, Zhao H, Urban MW, Song P, et al. Superficial ultrasound shear wave speed measurements in soft and hard elasticity phantoms: repeatability and reproducibility using two ultrasound systems. Pediatr Radiol. 2015;45(3):376–85.
Carpenter EL, Lau HA, Kolodny EH, Adler RS. Skeletal muscle in healthy subjects versus those with GNE-related myopathy: evaluation with shear-wave US—a pilot study. Radiology. 2015. doi:10.1148/radiol.2015142212.
Chen XM, Cui LG, He P, Shen WW, Qian YJ, Wang JR. Shear wave elastographic characterization of normal and torn Achilles tendons: a pilot study. J Ultrasound Med: Off J Am Inst Ultrasound Med. 2013;32(3):449–55.
Akagi R, Kusama S. Comparison between neck and shoulder stiffness determined by shear wave ultrasound elastography and a muscle hardness meter. Ultrasound Med Biol. 2015;41(8):2266–71.
Yoshitake Y, Takai Y, Kanehisa H, Shinohara M. Muscle shear modulus measured with ultrasound shear-wave elastography across a wide range of contraction intensity. Muscle Nerve. 2014;50(1):103–13.
Sharma P, Maffulli N. Current concepts review tendon injury and tendinopathy: healing and repair. J Bone Joint Surg Am. 2005;87A(1):187–202.
Dewall RJ, Jiang J, Wilson JJ, Lee KS. Visualizing tendon elasticity in an ex vivo partial tear model. Ultrasound Med Biol. 2014;40(1):158–67.
Buck AR, Verstraete N, Li Y, Schweizer A, Snedeker JG, Buck FM. Detection of small tendon lesions by sonoelastographic visualization of strain profile differences: initial experiences. Skelet Radiol. 2012;41(9):1073–9.
Aubry S, Nueffer JP, Tanter M, Becce F, Vidal C, Michel F. Viscoelasticity in Achilles tendonopathy: quantitative assessment by using real-time shear-wave elastography. Radiology. 2015;274(3):821–9.
Helfenstein-Didier C, Andrade RJ, Brum J, Hug F, Tanter M, Nordez A, et al. In vivo quantification of the shear modulus of the human Achilles tendon during passive loading using shear wave dispersion analysis. Phys Med Biol. 2016;61(6):2485–96.
Ianculescu V, Ciolovan LM, Dunant A, Vielh P, Mazouni C, Delaloge S, et al. Added value of Virtual Touch IQ shear wave elastography in the ultrasound assessment of breast lesions. Eur J Radiol. 2014;83(5):773–7.
Bavu E, Gennisson JL, Couade M, Bercoff J, Mallet V, Fink M, et al. Noninvasive in vivo liver fibrosis evaluation using supersonic shear imaging: a clinical study on 113 hepatitis C virus patients. Ultrasound Med Biol. 2011;37(9):1361–73.
Athanasiou A, Tardivon A, Tanter M, Sigal-Zafrani B, Bercoff J, Deffieux T, et al. Breast lesions: quantitative elastography with supersonic shear imaging—preliminary results. Radiology. 2010;256(1):297–303.
Barr RG, Memo R, Schaub CR. Shear wave ultrasound elastography of the prostate: initial results. Ultrasound Q. 2012;28(1):13–20.
Arda K, Ciledag N, Aktas E, Aribas BK, Kose K. Quantitative assessment of normal soft-tissue elasticity using shear-wave ultrasound elastography. AJR Am J Roentgenol. 2011;197(3):532–6.
Aubry S, Risson JR, Kastler A, Barbier-Brion B, Siliman G, Runge M, et al. Biomechanical properties of the calcaneal tendon in vivo assessed by transient shear wave elastography. Skelet Radiol. 2013;42(8):1143–50.
Ruan Z, Zhao B, Qi H, Zhang Y, Zhang F, Wu M, et al. Elasticity of healthy Achilles tendon decreases with the increase of age as determined by acoustic radiation force impulse imaging. Int J Clin Exp Med. 2015;8(1):1043–50.
Hsiao MY, Chen YC, Lin CY, Chen WS, Wang TG. Reduced patellar tendon elasticity with aging: in vivo assessment by shear wave elastography. Ultrasound Med Biol. 2015;41(11):2899–905.
Peltz CD, Haladik JA, Divine G, Siegal D, van Holsbeeck M, Bey MJ. ShearWave elastography: repeatability for measurement of tendon stiffness. Skelet Radiol. 2013;42(8):1151–6.
Hansen KA, Weiss JA, Barton JK. Recruitment of tendon crimp with applied tensile strain. J Biomech Eng. 2002;124(1):72–7.
Sharma P, Maffulli N. Tendon injury and tendinopathy: healing and repair. J Bone Joint Surg Am. 2005;87(1):187–202.
Maganaris CN, Paul JP. In vivo human tendon mechanical properties. J Physiol. 1999;521(Pt 1):307–13.
Ker RF. Mechanics of tendon, from an engineering perspective. Int J Fatigue. 2007;29:9.
Wu JJ. Quantitative constitutive behaviour and viscoelastic properties of fresh flexor tendons. Int J Artif Organs. 2006;29(9):852–7.
Yamamoto E, Hayashi K, Yamamoto N. Effects of stress shielding on the transverse mechanical properties of rabbit patellar tendons. J Biomech Eng. 2000;122(6):608–14.
Lynch HA, Johannessen W, Wu JP, Jawa A, Elliott DM. Effect of fiber orientation and strain rate on the nonlinear uniaxial tensile material properties of tendon. J Biomech Eng. 2003;125(5):726–31.
Pelled G, Snedeker JG, Ben-Arav A, Rigozzi S, Zilberman Y, Kimelman-Bleich N, et al. Smad8/BMP2-engineered mesenchymal stem cells induce accelerated recovery of the biomechanical properties of the Achilles tendon. J Orthop Res. 2012;30(12):1932–9.
Zhang ZJ, Ng GY, Lee WC, Fu SN. Changes in morphological and elastic properties of patellar tendon in athletes with unilateral patellar tendinopathy and their relationships with pain and functional disability. PLoS ONE. 2014;9(10), e108337.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Rights and permissions
About this article
Cite this article
Rosskopf, A.B., Bachmann, E., Snedeker, J.G. et al. Comparison of shear wave velocity measurements assessed with two different ultrasound systems in an ex-vivo tendon strain phantom. Skeletal Radiol 45, 1541–1551 (2016). https://doi.org/10.1007/s00256-016-2470-z
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00256-016-2470-z