Ultrasound Assessment of Human Meniscus

Virén, Tuomas; Honkanen, Juuso T. J.; Danso, Elvis K.; Rieppo, Lassi; Korhonen, Rami K.; Töyräs, Juha

doi:10.1016/j.ultrasmedbio.2017.01.020

Cited by 4 publications

(4 citation statements)

References 49 publications

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“…We demonstrated the capability of optical spectroscopy in the NIR spectral range to estimate the biomechanical properties of the human meniscus. When compared with a high-frequency intra-articular ultrasound technique (E eq R 2 ¼ 0.49, RMSECV ¼ 0.08), 50 our results suggest that NIR spectroscopy (E eq R 2 ¼ 0.88, RMSECV ¼ 0.05) is a more viable candidate for nondestructive assessment of meniscus biomechanical properties, outperforming the acoustic technique in terms of accuracy and error.…”

Section: Discussionmentioning

confidence: 81%

Optical spectroscopic characterization of human meniscus biomechanical properties

et al. 2017

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This study investigates the capacity of optical spectroscopy in the visible (VIS) and near-infrared (NIR) spectral ranges for estimating the biomechanical properties of human meniscus. Seventy-two samples obtained from the anterior, central, and posterior locations of the medial and lateral menisci of 12 human cadaver joints were used. The samples were subjected to mechanical indentation, then traditional biomechanical parameters (equilibrium and dynamic moduli) were calculated. In addition, strain-dependent fibril network modulus and permeability strain-dependency coefficient were determined via finite-element modeling. Subsequently, absorption spectra were acquired from each location in the VIS (400 to 750 nm) and NIR (750 to 1100 nm) spectral ranges. Partial least squares regression, combined with spectral preprocessing and transformation, was then used to investigate the relationship between the biomechanical properties and spectral response. The NIR spectral region was observed to be optimal for model development (83.0%≤R2≤90.8%). The percentage error of the models are: Eeq (7.1%), Edyn (9.6%), Eϵ (8.4%), and Mk (8.9%). Thus, we conclude that optical spectroscopy in the NIR range is a potential method for rapid and nondestructive evaluation of human meniscus functional integrity and health in real time during arthroscopic surgery.

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Section: Discussionmentioning

confidence: 81%

Optical spectroscopic characterization of human meniscus biomechanical properties

et al. 2017

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“…During full-text review, study citations were examined, and 20 articles were identified and included. A total of 186 papers 29–31,33–215 were included for data extraction.…”

Section: Resultsmentioning

confidence: 99%

Applied use of biomechanical measurements from human tissues for the development of medical skills trainers: a scoping review

Kriener,

Whiting,

Storr

et al. 2023

JBI Evidence Synthesis

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Objective: The objective of this review was to identify quantitative biomechanical measurements of human tissues, the methods for obtaining these measurements, and the primary motivations for conducting biomechanical research. Introduction: Medical skills trainers are a safe and useful tool for clinicians to use when learning or practicing medical procedures. The haptic fidelity of these devices is often poor, which may be because the synthetic materials chosen for these devices do not have the same mechanical properties as human tissues. This review investigates a heterogenous body of literature to identify which biomechanical properties are available for human tissues, the methods for obtaining these values, and the primary motivations behind conducting biomechanical tests. Inclusion criteria: Studies containing quantitative measurements of the biomechanical properties of human tissues were included. Studies that primarily focused on dynamic and fluid mechanical properties were excluded. Additionally, studies only containing animal, in silico, or synthetic materials were excluded from this review. Methods: This scoping review followed the JBI methodology for scoping reviews and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews (PRISMA-ScR). Sources of evidence were extracted from CINAHL (EBSCO), IEEE Xplore, MEDLINE (PubMed), Scopus, and engineering conference proceedings. The search was limited to the English language. Two independent reviewers screened titles and abstracts as well as full-text reviews. Any conflicts that arose during screening and full-text review were mediated by a third reviewer. Data extraction was conducted by 2 independent reviewers and discrepancies were mediated through discussion. The results are presented in tabular, figure, and narrative formats. Results: Data were extracted from a total of 186 full-text publications. All of the studies, except for 1, were experimental. Included studies came from 33 different countries, with the majority of the studies coming from the United States. Human tissues samples were ex vivo, and the most commonly studied tissue type was musculoskeletal. In this study, nearly 200 unique biomechanical values were reported, and the most commonly reported value was Young’s (elastic) modulus. The most common type of mechanical test performed was tensile testing, and the most common reason for testing human tissues was to characterize biomechanical properties. Although the number of published studies on biomechanical properties of human tissues has increased over the past 20 years, there are many gaps in the literature. Of the 186 included studies, only 7 used human tissues for the design or validation of medical skills training devices. Furthermore, in studies where biomechanical values for human tissues have been obtained, a lack of standardization in engineering assumptions, methodologies, and tissue preparation may implicate the usefulness of these values. Conclusions: This review is the first of its kind to give a broad overview of the biomechanics of human tissues in the published literature. With respect to high-fidelity haptics, there is a large gap in the published literature. Even in instances where biomechanical values are available, comparing or using these values is difficult. This is likely due to the lack of standardization in engineering assumptions, testing methodology, and reporting of the results. It is recommended that journals and/or experts in engineering fields conduct further research to investigate the feasibility of implementing reporting standards. Review Registration: Open Science Framework osf.io/fgb34

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“…However, DLMs are considerably more likely to be unstable and result in tearing, pain and mechanical symptoms (popping, locking, snapping or giving way of the knee) (Hart et al 2008), especially in older children (Kocher et al 2003). The mechanical function of the meniscus may deteriorate if DLMs remain unaddressed (Viren et al 2017;Ha et al 2020), thus rendering DLMs more vulnerable to injury than normal menisci. Early screening is helpful in preventing injury among patients with DLMs, and surgery prior to any serious injury is likely to be beneficial.…”

Section: Introductionmentioning

confidence: 99%

“…Further, US provides real-time and dynamic assessment of neuromuscular diseases (Chang et al 2020;Wu et al 2021). With dramatic improvements in image quality, US has been reported to provide images of the meniscus that may offer results similar to those of MRI (Najafi et al 2006;Viren et al 2017), especially in detecting a meniscal tear (Najafi et al 2006;Shetty et al 2008). To our knowledge, most previous studies have been undertaken using linear array probes (LAPs), and accuracy remains controversial.…”

Section: Introductionmentioning

confidence: 99%

Diagnostic Value of Ultrasound in Children with Discoid Lateral Meniscus Using Either an Intracavitary Convex Array Probe or a Linear Array Probe

Liang³

et al. 2021

Ultrasound in Medicine & Biology

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This prospective study aimed to assess the usefulness of an intracavitary convex array probe (ICAP) in visualizing the lateral meniscus (LM) and improving the diagnostic utility of ultrasound (US) when diagnosing or screening for discoid lateral meniscus (DLM) in children. We included 105 knees (66 patients) that had symptomatic or asymptomatic DLM. We extracted and retrospectively reviewed data regarding patient demographics, medical records, magnetic resonance imaging (MRI), ultrasonographic features and arthroscopic findings. The inner edge of the LM visualized using an ICAP was significantly clearer than that visualized using a linear array probe, and the difference was significant (p < 0.01). The edges were better visualized in patients aged <8 y than in those aged >8 y, and the difference was significant (p < 0.001). The average widths of the LM body using an ICAP and MRI were 19.85 § 3.63 and 24.46 § 4.94 mm, respectively, and the wider the meniscal width, the greater was the deviation between the US and MRI measurements, which were positively correlated (r = 0.612, p < 0.001). With the use of MRI measurements and an ICAP, meniscal widths in poorly visualized LMs were greater than those in clearly visualized LMs, but this difference was not significant (p = 0.161). US scans using an ICAP and MRI were highly consistent in assessing the shape of the menisci (k = 0.849, p < 0.001). US scan using an ICAP is a non-invasive, convenient and low-cost modality for diagnosing or screening for DLM in the pediatric population, especially in children aged <8 y.

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Ultrasound Assessment of Human Meniscus

Cited by 4 publications

References 49 publications

Optical spectroscopic characterization of human meniscus biomechanical properties

Optical spectroscopic characterization of human meniscus biomechanical properties

Applied use of biomechanical measurements from human tissues for the development of medical skills trainers: a scoping review

Diagnostic Value of Ultrasound in Children with Discoid Lateral Meniscus Using Either an Intracavitary Convex Array Probe or a Linear Array Probe

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