title: Usefulness of strain elastography of the musculoskeletal system.
abstract: Ultrasound elastography is a widely used technique for assessing the mechanical characteristics of tissues. Although there are several ultrasound elastography techniques, strain elastography (SE) is currently the most widely used technique for visualizing an elastographic map in real time. Among its various indications, SE is especially useful in evaluating the musculoskeletal system. In this article, we review the SE techniques for clinical practice and describe the images produced by these techniques in the context of the musculoskeletal system. SE provides information about tissue stiffness and allows real-time visualization of the image; however, SE cannot completely replace gray-scale, color, or power Doppler ultrasonography. SE can increase diagnostic accuracy and may be useful for the follow-up of benign lesions.
authors.affiliation: Department of Radiology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
authors.forename: Su Ji
authors.identifier: 0000-0002-1721-3489
authors.initials: SJ
authors.lastname: Kim
authors.affiliation: Department of Radiology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
authors.forename: Hee Jin
authors.identifier: 0000-0002-3135-0586
authors.initials: HJ
authors.lastname: Park
authors.affiliation: Department of Radiology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
authors.forename: So Yeon
authors.identifier: 0000-0002-0109-0998
authors.initials: SY
authors.lastname: Lee
keywords: Elasticity imaging techniques; Soft tissue neoplasms; Ultrasonography
references.citation: Am J Phys Med Rehabil. 2012 Feb;91(2):185
references.pmid: 22042337
references.citation: Ultraschall Med. 2010 Aug;31(4):394-400
references.pmid: 19946833
references.citation: Eur J Radiol. 2012 Oct;81(10 ):2576-84
references.pmid: 22138121
references.citation: AJR Am J Roentgenol. 2009 Aug;193(2):W134-8
references.pmid: 19620415
references.citation: AJR Am J Roentgenol. 2007 Mar;188(3):758-64
references.pmid: 17312065
references.citation: Ultrasound Q. 2011 Sep;27(3):177-86
references.pmid: 21873855
references.citation: Clin Radiol. 2009 Dec;64(12 ):1196-202
references.pmid: 19913130
references.citation: Ultrason Imaging. 1991 Apr;13(2):111-34
references.pmid: 1858217
references.citation: Ultrasound Med Biol. 1990;16(3):231-9
references.pmid: 1694603
references.citation: Ultrasound Med Biol. 2010 Oct;36(10 ):1644-52
references.pmid: 20800941
references.citation: Pediatr Radiol. 2013 Dec;43(12 ):1566-72
references.pmid: 23852564
references.citation: Br J Radiol. 2012 Nov;85(1019):1435-45
references.pmid: 23091287
references.citation: Radiology. 2011 Apr;259(1):59-64
references.pmid: 21330569
references.citation: AJR Am J Roentgenol. 2009 Jul;193(1):180-5
references.pmid: 19542412
references.citation: Korean J Radiol. 2011 May-Jun;12 (3):365-75
references.pmid: 21603296
references.citation: Radiographics. 2003 Nov-Dec;23 (6):1657-71
references.pmid: 14615571
references.citation: Acad Radiol. 2007 Feb;14 (2):193-200
references.pmid: 17236992
references.citation: Radiology. 1996 Oct;201(1):257-9
references.pmid: 8816554
references.citation: Clin Exp Rheumatol. 2010 May-Jun;28(3):373-8
references.pmid: 20525445
references.citation: Br J Radiol. 2015 Jun;88(1050):20140797
references.pmid: 25827206
references.citation: Radiology. 2008 Aug;248(2):662-9
references.pmid: 18539888
references.citation: Gastrointest Endosc. 2007 Jun;65(7):971-8
references.pmid: 17531630
references.citation: Am J Phys Med Rehabil. 2011 Nov;90(11):875-86
references.pmid: 21552109
references.citation: Pediatr Radiol. 1992;22(5):356-60
references.pmid: 1408445
references.citation: Ultraschall Med. 2006 Dec;27(6):535-42
references.pmid: 17160759
references.citation: Arch Otolaryngol Head Neck Surg. 1990 Feb;116(2):212-6
references.pmid: 2297419
references.citation: BJU Int. 2007 Jul;100(1):42-6
references.pmid: 17552952
references.citation: J Rheumatol. 2000 Sep;27(9):2139-41
references.pmid: 10990224
references.citation: Clin Imaging. 2014 Sep-Oct;38(5):715-8
references.pmid: 25047908
references.citation: Radiology. 2006 May;239(2):341-50
references.pmid: 16484352
references.citation: Singapore Med J. 1999 Nov;40(11):675-9
references.pmid: 10709403
references.citation: Ultrasound Q. 2007 Dec;23 (4):255-68
references.pmid: 18090836
references.citation: J Pediatr Orthop. 2005 Nov-Dec;25(6):812-4
references.pmid: 16294141
references.citation: Radiology. 2013 Jun;267(3):837-42
references.pmid: 23449953
references.citation: Semin Musculoskelet Radiol. 2010 Sep;14 (3):323-33
references.pmid: 20539957
references.citation: AJNR Am J Neuroradiol. 2013 Apr;34(4):890-4
references.pmid: 23042918