Valutazione delle lesioni del tendine del sovraspinato con elastosonografia: confronto con ecografia B-mode e risonanza magnetica. Nostra esperienza.

Angelo Iovane, Massimo Midiri, Raffaello Sutera, Fortunato Sorrentino, Gaetano Polizzi

Research output: Contribution to conferenceOther

Abstract

[automatically translated] PURPOSE: To evaluate the elasticity of the supraspinatus tendon in patients with clinically suspected rotator cuff injury, and compare the findings with those dell'elastosonografia B-mode ultrasonography (US) and magnetic resonance imaging (MRI). STUDY DESIGN: Prospective. MATERIALS AND METHODS: Between August 2008 and September 2009, we evaluated 20 patients with symptomatic shoulder elastography using a 13 MHz linear probe (EUB - 7500 Hitachi, Japan). E 'it was used a semiquantitative score of different representatives stiffer fabric colors (blue) and progressively less stiff fabric (green, yellow, red). The findings were compared with those of US examination using the dual-view mode and dell'elastosonografo with those of a MRI (1.5 Tesla Signa Excite HD, GE Medical Systems, USA) performed in short time. RESULTS: In 3/20 cases, the elastography correctly diagnosed with full-thickness tears, that the US has played as a partial rupture. In the remaining 17/20 cases dell'elastosonografia findings were identical to those of the US. MRI confirmed in all cases, the findings reported with elastography. CONCLUSIONS: Elastosonography is a more sensitive method of the US for the diagnosis of full-thickness lesions of the supraspinatus tendon and could increase diagnostic confidence in doubtful cases US examination for the presence of granulation tissue simulant degenerate fibers. This promising method can have a significant impact in the therapeutic treatment. In 3/20 cases, the elastography correctly diagnosed with full-thickness tears, that the US has played as a partial rupture. In the remaining 17/20 cases dell'elastosonografia findings were identical to those of the US. MRI confirmed in all cases, the findings reported with elastography. CONCLUSIONS: Elastosonography is a more sensitive method of the US for the diagnosis of full-thickness lesions of the supraspinatus tendon and could increase diagnostic confidence in doubtful cases US examination for the presence of granulation tissue simulant degenerate fibers. This promising method can have a significant impact in the therapeutic treatment. In 3/20 cases, the elastography correctly diagnosed with full-thickness tears, that the US has played as a partial rupture. In the remaining 17/20 cases dell'elastosonografia findings were identical to those of the US. MRI confirmed in all cases, the findings reported with elastography. CONCLUSIONS: Elastosonography is a more sensitive method of the US for the diagnosis of full-thickness lesions of the supraspinatus tendon and could increase diagnostic confidence in doubtful cases US examination for the presence of granulation tissue simulant degenerate fibers. This promising method can have a significant impact in the therapeutic treatment. In the remaining 17/20 cases dell'elastosonografia findings were identical to those of the US. MRI confirmed in all cases, the findings reported with elastography. CONCLUSIONS: Elastosonography is a more sensitive method of the US for the diagnosis of full-thickness lesions of the supraspinatus tendon and could increase diagnostic confidence in doubtful cases US examination for the presence of granulation tissue simulant degenerate fibers. This promising method can have a significant impact in the therapeutic treatment. In the remaining 17/20 cases dell'elastosonografia findings were identical to those of the US. MRI confirmed in all cases, the findings reported with elastography. CONCLUSIONS: Elastosonography is a more sensitive method of the US for the diagnosis of full-thickness les
Original languageItalian
Pages249-249
Number of pages1
Publication statusPublished - 2010

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