Usability of Achilles tendon strain elastography for the diagnosis of coronary artery disease

Koç, Ayşe Selcan; Peköz, Burçak Çakır; Dönmez, Yurdaer; Yasar, Simge; Ardıc, Mustafa Lutfullah; Görgülü, Feride Fatma; İçen, Yahya Kemal; Sümbül, Hilmi Erdem; Koç, Mevlüt

doi:10.1007/s10396-019-00931-9

Cited by 10 publications

(11 citation statements)

References 36 publications

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“…To the best our knowledge, this is the first study to evaluate the tissue stiffness in patients with HFrEF and NS. Elastography is an examination that evaluates the elastic properties of tissue and where tissue stiffness is obtained objectively, its usage is increasing every day in our clinic and many centers [5][6][7][8][9][10][11][12][13][14]. Elastography can be performed using two major modalities: SE and SWE.…”

Section: Discussionmentioning

confidence: 99%

“…During this examination, a relative strain ratio is obtained by referring to the target tissue and the muscle or adipose tissue that is close to the target tissue and whose stiffness is standard. At the same time, during the examination, color scale of the target tissue is obtained and information about tissue hardness is obtained [12,21]. However, this is an operator-dependent examination and may not give a clearer result than the SWE examination.…”

Section: Discussionmentioning

confidence: 99%

“…Initial swelling commonly occurs on the face (especially periorbital), as well as in the pretibial area. When we evaluated the ultrasound (US) elastography studies performed in the last 1-decade; shearwave elastography (SWE) in solid organ evaluation, strain elastography (SE) in the evaluation of superficial organs and tissues, tissue stiffness is measured and diagnosis and follow-up of many diseases are performed [5][6][7][8][9][10][11][12][13][14]. Although there is no evaluation of PTO stiffness in patients with HF and NS in the literature, there are studies related to the evaluation of tissue stiffness in patients with lymphedema and the use of tissue stiffness in diagnosis and follow-up [5,[15][16][17][18][19].…”

Section: Introductionmentioning

confidence: 99%

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The Pretibial edema strain ratio obtained by elastography can be used in differential diagnosis of patients with chronic heart failure and nephrotic syndrome

Demirtaş

2019

Acta Medica

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Objective: Pretibial edema (PTO) is a common examination finding in patients with both heart failure (HF) and nephrotic syndrome (NS). We aimed to evaluate the utility of PTO strain ratio (PTO-SR) obtained by strain elastography (SE) in the diagnosis of HF and NS. Materials and Methods: A total of 80 patients (40 patients with HF and 40 patients with NS) were included in this study. Physical examination echocardiography and laboratory examinations were performed. PTO elastographic color grade and PTO-SR measurements were performed in the PTO region by SE. Results: PTO-SR and presence of PTO elastographic color grade-I were found to be higher in HF. Tricuspid regurgitation pressure gradient (TRPG), left ventricular (LV) diameters and volumes were significantly higher and LV ejection fraction (EF) was significantly lower in HF. LVEF and PTO-SR independently determined the presence of HF. The each-0.1 increase in PTO-SR was being to the risk of HF by 29.1%. In predicting the presence of HF, the area under the ROC curve was 0.827 for PTO-SR. The cut-off value for PTO-SR was taken as 0.70, it was determined the patients with HF disease with 80.0% sensitivity and 76.5% specificity. PTO-SR value was found to be closely related to TRPG, LVEF, and LV volumes. A close relationship was found between PTO-SR and TRPG. Conclusion: In patients with HF, the PTO-SR obtained by SE is higher than in patients with NS and can be used as an objective parameter for HF differential diagnosis in addition to conventional HF diagnostic methods.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Pretibial edema strain ratio obtained by elastography can be used in differential diagnosis of patients with chronic heart failure and nephrotic syndrome

Demirtaş

2019

Acta Medica

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“…At the same level, elastographic images were obtained using SE. SE was graded automatically by the US device as follows: Grade 1 – hardest or hard tissue (red to yellow); Grade 2 – intermediate tissue (green); and Grade 3 – soft tissue (blue) [ 13 ]. The mean value of three consecutive measurements in a circular region of interest area at 1-3 mm intervals was taken into consideration ( Figure 2 ).…”

Section: Methodsmentioning

confidence: 99%

Diaphragm thickness and stiffness in patients with hyperkyphosis due to osteoporotic vertebral fracture: an ultrasonographic and elastographic study

Çiloğlu¹,

Karaali²,

Görgülü³

et al. 2020

Pol J Radiol

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Purpose The objective of this study was to evaluate the thickness and stiffness of the diaphragm, using ultrasound (US) and strain elastography (SE) in patients with hyperkyphosis due to osteoporotic vertebral fracture. Material and methods This prospective and case-control study was conducted between October 2019 and December 2019. Diaphragm thickness, SE, and strain ratio values of patients with hyperkyphosis due to osteoporotic vertebral fracture were compared with those of the control group. Results There were 42 patients (14 males, 28 females) with a mean age of 81.10 ± 6.3 years in the kyphosis group and 36 subjects (11 males, 25 females) with a mean age of 81.00 ± 5.5 years in the control group. End-inspirium thickness, change level, and thickening ratio of the diaphragm were significantly higher in the control group ( p < 0.001 for all). Strain ratio values were significantly higher in the kyphosis group, and the rate of hardest colour code was significantly higher in the control group. The diaphragm thickness at end-inspirium and thickening ratio values correlated positively with the forced expiratory volume in the first second (FEV 1 , %) and forced vital capacity (FVC, %) values. The strain ratio values correlated inversely with the FEV 1 (%) and FVC (%) values. The diaphragm thickness at end-inspirium and thickening ratio values correlated inversely with the Cobb values and number of vertebra fractures. A positive correlation was determined between the strain ratio values and the Cobb values and number of vertebra fractures. Conclusions Ultrasonography is a promising imaging tool to evaluate and quantify the diaphragm function and stiffness in relevant patients.

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“…5 In another study, not only the increase in thickness but also the stiffness of the AT were independent predictors of CAD. 6 However, data on the relationships between changes in the AT and atherosclerosis of other vascular beds are limited and require further study. The purpose of the present study was to evaluate the relationship of markers of carotid atherosclerosis and morphometric parameters of AT according to ultrasound data.…”

Section: Introductionmentioning

confidence: 99%

Achilles Tendon Thickness Is an Independent Predictor of Carotid Atherosclerosis and Is Associated With a Carotid Plaque Burden

et al. 2020

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The aim of the study was to research the relationship between carotid atherosclerosis markers and ultrasound parameters of Achilles tendons (AT). The study included 150 patients at high and very high cardiovascular risk (CVR). All patients underwent a carotid ultrasound scanning. We evaluated carotid plaque, carotid plaque score (cPS), carotid total plaque area (cTPA), and the percentage of stenosis. All patients underwent AT ultrasound with an assessment of thickness (Achilles tendon thickness [ATT]), width (Achilles tendon width), and cross-sectional area. An increase in the ATT ≥5.07 mm was associated with a 4.55-fold increase in the relative risk of carotid atherosclerosis (sensitivity 68.3% and specificity 62.5%). Direct correlations between the ATT and carotid stenosis ( r = 0.277; P = .004), cPS ( r = 0.225; P = .035), and cTPA ( r = 0.305; P = .004) were determined. An increase in the mean ATT by 1 mm was associated with an increase in cTPA by 8.09 mm2 (95% CI: 2.26-13.9; P = .007) and carotid stenosis by 4.11% (95% CI: 0.64-7.60; P = .021). Thus, in patients with high and very high CVR, an increase in ATT is an independent predictor of carotid atherosclerosis. The ATT directly correlates with the markers of carotid plaque burden.

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Usability of Achilles tendon strain elastography for the diagnosis of coronary artery disease

Cited by 10 publications

References 36 publications

The Pretibial edema strain ratio obtained by elastography can be used in differential diagnosis of patients with chronic heart failure and nephrotic syndrome

The Pretibial edema strain ratio obtained by elastography can be used in differential diagnosis of patients with chronic heart failure and nephrotic syndrome

Diaphragm thickness and stiffness in patients with hyperkyphosis due to osteoporotic vertebral fracture: an ultrasonographic and elastographic study

Achilles Tendon Thickness Is an Independent Predictor of Carotid Atherosclerosis and Is Associated With a Carotid Plaque Burden

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