超声弹性成像在肌肉硬度评估中的应用进展
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摘要
许多神经肌肉疾病和脑血管病都会导致肌肉硬度的改变,超声弹性成像技术能实时、无创和准确地测量软组织硬度的改变,从而评估各种疾病对肌肉机械特性的影响。综述超声弹性成像技术在健康人群肌肉硬度测量以及不同病理条件下肌肉硬度评估中的应用价值,归纳总结了超声弹性成像对肌肉评估的可行性、影响因素及肌肉病变测量的最新进展。
Multiple neuromuscular and cerebrovascular diseases may lead to changes in muscle stiffness. Ultrasound elastography can measure changes in soft tissue stiffness in real time, non-invasively and accurately, consequently can be used to assess the effects of various diseases on the mechanical properties of muscles. In this paper, we reviewed the application of ultrasound elastography in muscle stiffness measurement in healthy population and under different pathological conditions. The feasibility, influencing factors, and recent progress of muscle diseases measurement by ultrasound elastography were summarized.
Multiple neuromuscular and cerebrovascular diseases may lead to changes in muscle stiffness. Ultrasound elastography can measure changes in soft tissue stiffness in real time, non-invasively and accurately, consequently can be used to assess the effects of various diseases on the mechanical properties of muscles. In this paper, we reviewed the application of ultrasound elastography in muscle stiffness measurement in healthy population and under different pathological conditions. The feasibility, influencing factors, and recent progress of muscle diseases measurement by ultrasound elastography were summarized.
引文
[1]王盛,姜文君.徒手肌力检查发展史及分级进展[J].中国康复理论与实践,2015,21:666-669.
[2]Brandenburg JE,Eby SF,Song P,et al.Ultrasound elastography:the new frontier in direct measurement of muscle stiffness[J].Arch Phys Med Rehabil,2014,95:2207-2219.
[3]宋爱晶,邓京捷,吕晓红,等.等速肌力测试膝、踝关节及腰背肌力量的评价[J].中国组织工程研究,2015,19:7425-7429.
[4]李亚鹏,刘书芳,刘春龙,等.肌肉筋膜软组织弹性量化分析临床研究及新进展[J].中国康复医学杂志,2017,32:970-974.
[5]Gilbert F,Klein D,Weng AM,et al.Supraspinatus muscle elasticity measured with real time shear wave ultrasound elastography correlates with MRI spectroscopic measured amount of fatty degeneration[J].BMC Musculoskelet Disord,2017,18:549.
[6]杨远滨,张京,冷振鹏,等.抗痉挛治疗前后脑卒中患者超声肌肉结构参数的比较[J].中国康复理论与实践,2014,20:641-644.
[7]Kian-Bostanabad S,Azghani MR.The relationship between RMSelectromyography and thickness change in the skeletal muscles[J].Med Eng Phys,2017,43:92-96.
[8]朱登纳,安爽,王明梅,等.不同剂量A型肉毒毒素注射缓解脑性瘫痪患儿腘绳肌痉挛的前瞻性研究[J].中国康复医学杂志,2018,20:506-512.
[9]Sarvazyan AP,Rudenko OV,Swanson SD,et al.Shear wave elasticity imaging:a new ultrasonic technology of medical diagnostics[J].Ultrasound Med Biol,1998,24:1419-1435.
[10]Creze M,Nordez A,Soubeyrand M,et al.Shear wave sonoelastography of skeletal muscle:basic principles,biomechanical concepts,clinical applications,and future perspectives[J].Skeletal Radiol,2018,47:457-471.
[11]Woo H,Lee JY,Yoon JH,et al.Comparison of the reliability of acoustic radiation force impulse imaging and supersonic shear imaging in measurement of liver stiffness[J].Radiology,2015,277:881-886.
[12]Morrow DA,Haut DTL,Odegard GM,et al.Transversely isotropic tensile material properties of skeletal muscle tissue[J].J Mech Behav Biomed Mater,2010,3:124-129.
[13]Brandenburg JE,Eby SF,Song P,et al.Feasibility and reliability of quantifying passive muscle stiffness in young children by using shear wave ultrasound elastography[J].J Ultrasound Med,2015,34:663-670.
[14]Yoshitake Y,Takai Y,Kanehisa H,et al.Muscle shear modulus measured with ultrasound shear-wave elastography across a wide range of contraction intensity[J].Muscle Nerve,2014,50:103-113.
[15]Rosskopf AB,Ehrmann C,Buck FM,等.定量剪切波超声弹性成像评估冈上肌:方法的可靠性和肌腱完整性、肌肉质地的关系[J].国际医学放射学杂志,2016,39:192-193.
[16]Cortez CD,Hermitte L,Ramain A,et al.Ultrasound shear wave velocity in skeletal muscle:a reproducibility study[J].Diagn Interv Imaging,2016,97:71-79.
[17]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,2017,37:394-399.
[18]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,2017,33:558-560.
[19]Chino K,Takahashi H.Measurement of gastrocnemius muscle elasticity by shear wave elastography:association with passive ankle joint stiffness and sex differences[J].Eur J Appl Physiol,2016,116:823-830.
[20]Eby SF,Cloud BA,Brandenburg JE,et al.Shear wave elastography of passive skeletal muscle stiffness:influences of sex and age throughout adulthood[J].Clin Biomech(Bristol,Avon),2015,30:22-27.
[21]Nakamura M,Hasegawa S,Umegaki H,et al.The difference in passive tension applied to the muscles composing the hamstrings-Comparison among muscles using ultrasound shear wave elastography[J].Man Ther,2016,24:1-6.
[22]Kwon DR,Park GY,Lee SU,et al.Spastic cerebral palsy in children:dynamic sonoelastographic findings of medial gastrocnemius[J].Radiology,2012,263:794-801.
[23]Park GY,Kwon DR.Sonoelastographic evaluation of medial gastrocnemius muscles intrinsic stiffness after rehabilitation therapy with botulinum toxin a injection in spastic cerebral palsy[J].Arch Phys Med Rehabil,2012,93:2085-2089.
[24]Lee SS,Spear S,Rymer WZ.Quantifying changes in material properties of stroke-impaired muscle[J].Clin Biomech(Bristol,Avon),2015,30:269-275.
[25]Lee SS,Gaebler-Spira D,Zhang LQ,et al.Use of shear wave ultrasound elastography to quantify muscle properties in cerebral palsy[J].Clin Biomech(Bristol,Avon),2016,31:20-28.
[26]Eby S,Zhao H,Song P,et al.Quantitative evaluation of passive muscle stiffness in chronic stroke[J].Am J Phys Med Rehabil,2016,95:899-910.
[27]Lacourpaille L,Hug F,Guével A,et al.Non-invasive assessment of muscle stiffness in patients with Duchenne muscular dystrophy[J].Muscle Nerve,2015,51:284-286.
[28]杨娟,申志扬,赵娜.实时组织弹性成像在肌肉萎缩诊断中的应用[J].中国实用神经疾病杂志,2011,14:12-14.
[29]Leong HT,Hug F,Fu SN.Increased upper trapezius muscle stiffness in overhead athletes with rotator cuff tendinopathy[J].PLoS One,2016,11:e0155187.
[30]Chan ST,Fung PK,Ng NY,et al.Dynamic changes of elasticity,cross-sectional area,and fat infiltration of multifidus at different postures in men with chronic low back pain[J].Spine J,2012,12:381-388.
[31]Hotfiel T,Kellermann M,Swoboda B,et al.Application of acoustic radiation force impulse elastography in imaging of delayed onset muscle soreness:a comparative analysis with 3T MRI[J].J Sport Rehabil,2018,27:348-356.
[32]Yamauchi T,Hasegawa S,Nakamura M,et al.Effects of two stretching methods on shoulder range of motion and muscle stiffness in baseball players with posterior shoulder tightness:a randomized controlled trial[J].J Shoulder Elbow Surg,2016,25:1395-1403.
[2]Brandenburg JE,Eby SF,Song P,et al.Ultrasound elastography:the new frontier in direct measurement of muscle stiffness[J].Arch Phys Med Rehabil,2014,95:2207-2219.
[3]宋爱晶,邓京捷,吕晓红,等.等速肌力测试膝、踝关节及腰背肌力量的评价[J].中国组织工程研究,2015,19:7425-7429.
[4]李亚鹏,刘书芳,刘春龙,等.肌肉筋膜软组织弹性量化分析临床研究及新进展[J].中国康复医学杂志,2017,32:970-974.
[5]Gilbert F,Klein D,Weng AM,et al.Supraspinatus muscle elasticity measured with real time shear wave ultrasound elastography correlates with MRI spectroscopic measured amount of fatty degeneration[J].BMC Musculoskelet Disord,2017,18:549.
[6]杨远滨,张京,冷振鹏,等.抗痉挛治疗前后脑卒中患者超声肌肉结构参数的比较[J].中国康复理论与实践,2014,20:641-644.
[7]Kian-Bostanabad S,Azghani MR.The relationship between RMSelectromyography and thickness change in the skeletal muscles[J].Med Eng Phys,2017,43:92-96.
[8]朱登纳,安爽,王明梅,等.不同剂量A型肉毒毒素注射缓解脑性瘫痪患儿腘绳肌痉挛的前瞻性研究[J].中国康复医学杂志,2018,20:506-512.
[9]Sarvazyan AP,Rudenko OV,Swanson SD,et al.Shear wave elasticity imaging:a new ultrasonic technology of medical diagnostics[J].Ultrasound Med Biol,1998,24:1419-1435.
[10]Creze M,Nordez A,Soubeyrand M,et al.Shear wave sonoelastography of skeletal muscle:basic principles,biomechanical concepts,clinical applications,and future perspectives[J].Skeletal Radiol,2018,47:457-471.
[11]Woo H,Lee JY,Yoon JH,et al.Comparison of the reliability of acoustic radiation force impulse imaging and supersonic shear imaging in measurement of liver stiffness[J].Radiology,2015,277:881-886.
[12]Morrow DA,Haut DTL,Odegard GM,et al.Transversely isotropic tensile material properties of skeletal muscle tissue[J].J Mech Behav Biomed Mater,2010,3:124-129.
[13]Brandenburg JE,Eby SF,Song P,et al.Feasibility and reliability of quantifying passive muscle stiffness in young children by using shear wave ultrasound elastography[J].J Ultrasound Med,2015,34:663-670.
[14]Yoshitake Y,Takai Y,Kanehisa H,et al.Muscle shear modulus measured with ultrasound shear-wave elastography across a wide range of contraction intensity[J].Muscle Nerve,2014,50:103-113.
[15]Rosskopf AB,Ehrmann C,Buck FM,等.定量剪切波超声弹性成像评估冈上肌:方法的可靠性和肌腱完整性、肌肉质地的关系[J].国际医学放射学杂志,2016,39:192-193.
[16]Cortez CD,Hermitte L,Ramain A,et al.Ultrasound shear wave velocity in skeletal muscle:a reproducibility study[J].Diagn Interv Imaging,2016,97:71-79.
[17]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,2017,37:394-399.
[18]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,2017,33:558-560.
[19]Chino K,Takahashi H.Measurement of gastrocnemius muscle elasticity by shear wave elastography:association with passive ankle joint stiffness and sex differences[J].Eur J Appl Physiol,2016,116:823-830.
[20]Eby SF,Cloud BA,Brandenburg JE,et al.Shear wave elastography of passive skeletal muscle stiffness:influences of sex and age throughout adulthood[J].Clin Biomech(Bristol,Avon),2015,30:22-27.
[21]Nakamura M,Hasegawa S,Umegaki H,et al.The difference in passive tension applied to the muscles composing the hamstrings-Comparison among muscles using ultrasound shear wave elastography[J].Man Ther,2016,24:1-6.
[22]Kwon DR,Park GY,Lee SU,et al.Spastic cerebral palsy in children:dynamic sonoelastographic findings of medial gastrocnemius[J].Radiology,2012,263:794-801.
[23]Park GY,Kwon DR.Sonoelastographic evaluation of medial gastrocnemius muscles intrinsic stiffness after rehabilitation therapy with botulinum toxin a injection in spastic cerebral palsy[J].Arch Phys Med Rehabil,2012,93:2085-2089.
[24]Lee SS,Spear S,Rymer WZ.Quantifying changes in material properties of stroke-impaired muscle[J].Clin Biomech(Bristol,Avon),2015,30:269-275.
[25]Lee SS,Gaebler-Spira D,Zhang LQ,et al.Use of shear wave ultrasound elastography to quantify muscle properties in cerebral palsy[J].Clin Biomech(Bristol,Avon),2016,31:20-28.
[26]Eby S,Zhao H,Song P,et al.Quantitative evaluation of passive muscle stiffness in chronic stroke[J].Am J Phys Med Rehabil,2016,95:899-910.
[27]Lacourpaille L,Hug F,Guével A,et al.Non-invasive assessment of muscle stiffness in patients with Duchenne muscular dystrophy[J].Muscle Nerve,2015,51:284-286.
[28]杨娟,申志扬,赵娜.实时组织弹性成像在肌肉萎缩诊断中的应用[J].中国实用神经疾病杂志,2011,14:12-14.
[29]Leong HT,Hug F,Fu SN.Increased upper trapezius muscle stiffness in overhead athletes with rotator cuff tendinopathy[J].PLoS One,2016,11:e0155187.
[30]Chan ST,Fung PK,Ng NY,et al.Dynamic changes of elasticity,cross-sectional area,and fat infiltration of multifidus at different postures in men with chronic low back pain[J].Spine J,2012,12:381-388.
[31]Hotfiel T,Kellermann M,Swoboda B,et al.Application of acoustic radiation force impulse elastography in imaging of delayed onset muscle soreness:a comparative analysis with 3T MRI[J].J Sport Rehabil,2018,27:348-356.
[32]Yamauchi T,Hasegawa S,Nakamura M,et al.Effects of two stretching methods on shoulder range of motion and muscle stiffness in baseball players with posterior shoulder tightness:a randomized controlled trial[J].J Shoulder Elbow Surg,2016,25:1395-1403.