Spatial-Dependent Mechanical Properties of the Heel Pad by Shear Wave Elastography

Abstract Background Arterial remodeling reflects adaptation of the vessel wall to mechanical and hemodynamic stimuli and contributes to the progression of cardiovascular and cerebrovascular diseases. Tensile stress (TS) is one of the mechanical properties of the artery wall. We sought to investigate the effects of carotid viscoelasticity on its tensile stress (TS) in different age subjects.Methods Forty-five subjects were recruited and divided into the group1 (≥50 years old) and the group2 (<50 years old) according to the median age. The carotid arteries were examined by ultrasonography, including shear wave elastography (SWE), shear wave dispersion (SWD) and radiofrequency (RF) technologies. The values were obtained, including the carotid elastic modulus (SWE R ) and viscous index (SWD R ), as well as the peak and mean TS of the left and right carotid arteries (L-PTS, R-PTS, L-MTS and R-MTS). The correlations between SWE R , SWD R and tensile stress were investigated, respectively.Results In the group1, the carotid arteries had lower SWE R and SWD R than those in the group2 (SWE R , [10.29±9.57] kPa vs. [17.24±14.07] kPa; SWD R [11.99±3.51] (m/s)/kHz vs. [13.97±3.71] (m/s)/kHz, all P values < 0.05). In addition, the R-PTS was also lower in the group 1 ( P <0.05). Pearson correlation analysis showed that the carotid SWE R was positively correlated with tensile stress. R -values for R-PTS, R-MTS, L-PTS and L-MTS were r =0.218, r =0.359, r =0.209 and r =0.369, respectively (all P <0.05). However, the carotid SWD R was not significantly associated with TS.Conclusion Ultrasonic shear wave imaging could be used to quantitatively assess carotid viscoelasticity. The carotid TS was related to its elasticity while little related to its viscosity, suggesting that mechanical properties of the arterial wall might be better revealed.

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Ultrasound assessment of tensile stress in carotid arteries of healthy human subjects with varying age

BMC Medical Imaging ◽

10.1186/s12880-019-0394-5 ◽

2019 ◽

Vol 19 (1) ◽

Author(s):

Xianghong Luo ◽

Lianfang Du ◽

Zhaojun Li

Keyword(s):

Mechanical Properties ◽

Carotid Artery ◽

Tensile Stress ◽

Shear Wave ◽

Carotid Arteries ◽

Pearson Correlation ◽

Shear Wave Elastography ◽

Trial Registration ◽

Healthy Human ◽

Clinical Trial Registration

Abstract Background Arterial remodeling is thought to reflect the adaptation of the vessel wall to mechanical and hemodynamic stimuli and contributes to the progression of cardiovascular and cerebrovascular diseases. Tensile stress (TS) is one of the mechanical properties of the artery wall. The purpose of this study was to investigate the tensile stress change (TS) of carotid artery with varying viscoelasticity in healthy subjects within two groups of different ages. Methods Forty-five subjects were recruited and randomly assigned into the group at the age above 50 years and below 50 years. The carotid arteries were examined by ultrasonography, using the techniques of shear wave elastography (SWE), shear wave dispersion (SWD) and radiofrequency (RF) -based ultrasound. The following values, including elastic modulus (SWER) and viscous index (SWDR), as well as the peak and mean TS of the left and right carotid arteries (L-PTS, R-PTS, L-MTS and R-MTS) were measured. The correlations between SWER, SWDR and tensile stress were evaluated. Results The SWER and SWDR of carotid arteries are lower in the subjects ≥50 years old than the subjects younger than 50 years (SWER, 10.29 ± 9.57 kPa VS 17.24 ± 14.07 kPa; SWDR, 11.99 ± 3.51 (m/s)/kHz VS 13.97 ± 3.71 (m/s)/kHz, P < 0.05). The R-PTS was lower in the group with younger age (P < 0.05). Pearson correlation analysis showed that SWER of carotid artery was positively correlated with the parameters of tensile stress, R-PTS, R-MTS, L-PTS and L-MTS(r = 0.218, r = 0.359, r = 0.209 and r = 0.369, respectively, P < 0.05). However, SWDR of carotid arteries was not significantly associated with TS. Conclusion Ultrasonic shear wave imaging could be used to quantitatively assess carotid viscoelasticity. The carotid TS was related to its elasticity while little related to its viscosity, suggesting that mechanical properties of the arterial wall might be better revealed. Trial registration Date of our trial registration: 2018-06-11. Registered with the official website of China Clinical Trial Registration Center (ChiCTR1800016590)

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Restoration of Heel Pad Elasticity in Heel Pad Syndrome Evaluated by Shear Wave Elastography

American Journal of Physical Medicine & Rehabilitation ◽

10.1097/phm.0000000000000655 ◽

2017 ◽

Vol 96 (5) ◽

pp. e96 ◽

Cited By ~ 1

Author(s):

Che-Yu Lin ◽

Chueh-Hung Wu ◽

Levent Özçakar

Keyword(s):

Shear Wave ◽

Shear Wave Elastography ◽

Heel Pad

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Shear wave and strain sonoelastography for the evaluation of the Achilles tendon during isometric contractions

Insights into Imaging ◽

10.1186/s13244-021-00974-y ◽

2021 ◽

Vol 12 (1) ◽

Author(s):

Alessandro Schneebeli ◽

Ilaria Fiorina ◽

Chandra Bortolotto ◽

Marco Barbero ◽

Deborah Falla ◽

...

Keyword(s):

Mechanical Properties ◽

Reference Material ◽

Achilles Tendon ◽

Shear Wave ◽

Shear Wave Elastography ◽

Strain Ratio ◽

Achilles Tendinopathy ◽

Isometric Contractions ◽

Tendon Stiffness ◽

Healthy Participants

Abstract Objectives Changes in mechanical loading as well as pathology can modify the Achilles tendon mechanical properties and therefore detection of these changes is relevant for the diagnosis and management of Achilles tendinopathy. The aim of this study was to evaluate strain and shear wave sonoelastography for their ability to detect changes in the Achilles tendon mechanical properties during a series of isometric contractions. Methods Longitudinal sonoelastography images of the Achilles tendon were acquired from 20 healthy participants using four different ultrasound devices; two implementing strain sonoelastography technology (SE1, SE2) and two, shear wave elastography technology (SWE1, SWE2). Results SE1 measured a decreasing strain ratio (tendon become harder) during the different contraction levels from 1.51 (0.92) to 0.33 (0.16) whereas SE2 mesaured a decreasing strain ratio from 1.08 (0.76) to 0.50 (0.32). SWE1 measured decreasing tendon stiffness during contractions of increasing intensity from 33.40 (19.61) to 16.19 (2.68) whereas SWE2 revealed increasing tendon stiffness between the first two contraction levels from 428.65 (131.5) kPa to 487.9 (121.5) kPa followed by decreasing stiffness for the higher contraction levels from 459.35 (113.48) kPa to 293.5 (91.18) kPa. Conclusions Strain elastography used with a reference material was able to detect elasticity changes between the different contraction levels whereas shear wave elastography was less able to detect changes in Achilles tendon stiffness when under load. Inconsistent results between the two technologies should be further investigated.

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