2. Purpose
To apply the supersonic shear imaging
(SSI) technique to musculoskeletal
disorders in the situation of clinical utility is
yet to be established.
3. Materials and Methods
• A pictorial essay presentation.
• Using conventional ultrasound and SSI
technique with the linear probe (4-15MHz) of
the Supersonic Imagine System, AiXplorer.
The range we used was 0-180 kPa. Using a
Qbox of 1 cm in diameter elasticity values
were measured.
• Some cases were compared to ARFI
technology from Acuson S2000 Siemens
13. Calf Muscle Tuberculosis
Histopathologic
results= Some
tubercular vesicles of
muscle and soft tissues
included caseum in the
central and
surrounding with
degenerative cells,
lymphocytes and
Langhans giant cells.
36. Conclusions
SSI technique can be used for various
musculoskeletal applications.
SSI is able to provide quantitative and local
elastic information in real time.
Further multicenter studies with the
histopathological correlation need to be
performed in order to establish the clinical utility
of supersonic shear imaging.
37. References
1/ Minoru Shinohara, Karim Sabra, Jean-Luc Gennisson,
Mathias Flink and Mickael Tanter: Real-Time
Visualization of Muscle Stiffness Distribution with
Ultrasound Shear Wave Imaging During Muscle
Contraction, Muscle & Nerve Month 2010.
2/ P. S. Zoumpoulis, A. Plagou, E. Fandridis,
N. Gerostathopoulos: Ultrasound Imaging and
Elastography of the Rotator Cuff Muscles: Elasticity
Measurements of the Supraspinatus and Infraspinatus
Muscles using Shear Wave Elastography (ECR 2011,
poster).