title: Feasibility assessment of shear wave elastography to rotator cuff muscle.
abstract: Pre-surgical measurement of supraspinatus muscle extensibility is important for rotator cuff repair. The purpose of the present study was to explore the potential feasibility of a shear wave ultrasound elastography (SWE)-based method, combined with B-mode ultrasound, to measure the in vivo stiffness of the supraspinatus muscle non-invasively and thus obtain key information about supraspinatus muscle extensibility. Our investigation comprised two steps. First, we determined the orientation of the supraspinatus muscle fibers in cadaveric shoulders without rotator cuff tear in order to optimize the ultrasound probe positions for SWE imaging. Second, we investigated the feasibility of quantifying the stiffness of the normal supraspinatus muscle by SWE in vivo. The supraspinatus muscle was divided into four anatomical regions: anterior superficial (AS), posterior superficial (PS), anterior deep (AD), and posterior deep (PD). Each region was examined by SWE. The SWE stiffnesses of AD, AS, PD, and PS were 40.0 ± 12.4, 34.0 ± 9.9, 32.7 ± 12.7, 39.1 ± 15.7 kPa, respectively. SWE combined with B-Mode ultrasound imaging could be a feasible method for quantifying the local stiffness of the rotator cuff muscles.
authors.affiliation: Biomechanics Laboratory and Tendon &Soft Tissue Biology Laboratories, Division of Orthopedic Research, Mayo Clinic, Rochester, Minnesota.
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Itoigawa
authors.forename: John W
authors.initials: JW
authors.lastname: Sperling
authors.forename: Scott P
authors.initials: SP
authors.lastname: Steinmann
authors.forename: Qingshan
authors.initials: Q
authors.lastname: Chen
authors.forename: Pengfei
authors.initials: P
authors.lastname: Song
authors.forename: Shigao
authors.initials: S
authors.lastname: Chen
authors.forename: Eiji
authors.initials: E
authors.lastname: Itoi
authors.forename: Taku
authors.initials: T
authors.lastname: Hatta
authors.forename: Kai-Nan
authors.initials: KN
authors.lastname: An
mesh_terms: D000368:Aged; D054459:Elasticity Imaging Techniques; D005240:Feasibility Studies; D006801:Humans; D008875:Middle Aged; D017006:Rotator Cuff / Q000000981:diagnostic imaging*
keywords: imaging; muscle; rotator cuff; shear wave elastography; supraspinatus; tendon; ultrasound