声辐射力脉冲成像对存在肌间静脉丛扩张的小腿后侧肌群弹性定量评估的价值

doi:10.3969/j.issn.2095-9400.2020.02.006

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Abstract Objective: To investigate the elastic changes of triceps surae with venous plexus dilatation by acoustic radiation force impulse imaging (ARFI). Methods: A total of 74 subjects who underwent double-limb venous ultrasonography at the Second Affiliated Hospital of Wenzhou Medical University from October 2017 to June 2018 were collected. Patients with triceps surae venous plexus dilatation were selected as the case group, in which a total of 48 patients (66 legs) were collected. According to the extent of venous plexus dilatation involvement, the case group was divided as Group One, in which patients had venous plexus dilatation in both medial gastrocnemius (MG) and soleus and Group Two, in which patients only had soleus venous plexus dilatation, with each group having 24 patients (33 legs). Twenty-six individuals (fifty two legs) were collected as the control group who didn’t have venous plexus dilatation in either gastrocnemius or soleus. All subjects underwent ARFI imaging in virtual touch tissues quantification (VTQ) model to obtain the value of shear wave velocity (SWV) of triceps surae which contains MG, lateral gastrocnemius (LG) and soleus (SOL) at three different positions including the natural position, the maximum metatarsal flexion position and the maximum dorsiflexion position of the ankle joint. A comparison was made between different groups at the same position in the value of SWV. Meanwhile, the test-retest reliability of SWV was also analyzed. Results: In natural position of the ankle joint, SWV value of MG obtained in Group One was higher than Group Two and the control group (P<0.05); SWV value of SOL obtained in Group One was higher than the control group (P<0.05). In maximum metatarsal flexion position of the ankle joint, there was no significant difference in SWV value of each muscle among the three groups (P>0.05). In maximum dorsiflexion position of the ankle joint, SWV value of MG obtained in Group Two was higher than the control group (P<0.05), while all other differences between the groups were not statistically significant (P>0.05). The SWV of MG and the SWV of LG both had excellent test-retest reliability as intraclass correlation coefficient (ICC) calculation of three different positions were all larger than 0.75. And ICC calculation of the SWV of SOL at three different positions were between 0.45-0.75. Conclusion: ARFI can be used to quantitatively evaluate the elastic changes of triceps surae with venous plexus dilatation, which may become an important technique to further study the intrinsic relationship between the muscle elasticity and the triceps surae venous plexus dilatation disease.

Key words： ultrasonography elasticity imaging techniques muscle, skeletal venous plexus

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	DONG Yanyan
	SUN Xielu
	WANG Pengfei
	XU Maosheng
	ZOU Chunpeng

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https://xb.wmu.edu.cn/EN/10.3969/j.issn.2095-9400.2020.02.006 OR https://xb.wmu.edu.cn/EN/Y2020/V50/I2/115

[1] GALANAUD J P, SEVESTRE M A, GENTY C, et al. Incidence and predictors of venous thromboembolism recurrence after a first isolated distal deep vein thrombosis[J]. J Thromb Haemost, 2014, 12(4): 436-443.
[2] MIN S K, KIM Y H, JOH J H, et al. Diagnosis and treatment of lower extremity deep vein thrombosis: Korean Practice Guidelines[J]. Vasc Specialist Int, 2016, 32(3): 77-104.
[3] CHINO K, KAWAKAMI Y, TAKAHASHI H. Tissue elasticity of in vivo skeletal muscles measured in the transverse and longitudinal planes using shear wave elastography[J]. Clin Physiol Funct Imaging, 2017, 37(4): 394-399.
[4] CREZE M, NYANGOH TIMOH K, GAGEY O, et al. Feasibility assessment of shear wave elastography to lumbar back muscles: A Radioanatomic Study[J]. Clin Anat, 2017, 30(6): 774-780.
[5] 王小花, 何慧疗, 姜淑英, 等. 胃癌组织横向剪切波速度与患者临床特征的关系[J]. 温州医科大学学报, 2018, 48(9): 688-690, 693.
[6] 文晶, 王月香, 罗渝昆, 等. 剪切波超声弹性成像定量评估腓肠肌和比目鱼肌硬度的初步研究[J]. 中国医学影像学杂志, 2017, 25(7): 536-540, 542.
[7] 杨寒凝, 陆永萍, 杜静, 等. 实时剪切波弹性成像对正常腓肠肌的定量研究[J]. 中国超声医学杂志, 2017, 33(6): 558-560.
[8] 郭宝生, 任卫东, 杨军, 等. 小腿肌间静脉曲张的超声观察及血流动力学分析[J]. 中国医学影像技术, 2010, 26(5): 863-865.
[9] 于蕾, 宋奕宁, 张珊珊, 等. 彩色多普勒超声探测小腿肌间静脉扩张与单纯肌间静脉血栓的关系[J]. 临床超声医学杂志, 2009, 11(6): 380-382.
[10] HICKEY B A, MORGAN A, PUGH N, et al. The effect of lower limb cast immobilization on calf muscle pump function: a simple strategy of exercises can maintain flow[J]. Foot Ankle Int, 2014, 35(5): 429-433.
[11] MOSTI G, PARTSCH H. A wearable compression device to normalise calf muscle pump function in chronic venous insufficiency for each postural position[J]. Eur J Vasc Endovasc Surg, 2019, 57(5): 702-707.
[12] NAKAMURA M, IKEZOE T, UMEGAKI H, et al. Shear elastic modulus is a reproducible index reflecting the passive mechanical properties of medial gastrocnemius muscle belly [J]. Acta Radiol Open, 2016, 5(4): 2058460115604009.