Investigation of the acute plantar fasciitis with contrast-enhanced ultrasound and shear wave elastography - first results.
Clin Hemorheol Microcirc
; 67(3-4): 415-423, 2017.
Article
en En
| MEDLINE
| ID: mdl-28885209
ABSTRACT
BACKGROUND:
The plantar fasciitis is a common disease with a high prevalence in public and a frequent cause of heel pain.OBJECTIVE:
In our pilot study, we wanted to characterise the feasibility of shear-wave elastography and contrast-enhanced ultrasound (CEUS) in the assessment of the plantar fasciitis.METHODS:
23 cases of painful heels were examined by B-Mode ultrasound, Power Doppler (PD), shear wave elastography and contrast-enhanced ultrasound before anti-inflammatory radiation. Time-intensity-curves were analysed by the integrated software. The results for area-under-the-curve (AUC), peak, time-to-peak (TTP) and mean-transit-time (MTT) were compared between the plantar fascia and the surrounding tissue.RESULTS:
All cases showed thickening of the plantar fascia, in most cases with interstitial oedema (87.0%). Shear wave elastography showed inhomogeneous stiffness of the plantar fascia. 83.3% of cases showed a visible hyperperfusion in CEUS at the proximal plantar fascia in comparison to the surrounding tissue. This hyperperfusion could also be found in 75.0% of cases with no signs of vascularisation in PD. AUC (pâ=â0.0005) and peak (pâ=â0.037) were significantely higher in the plantar fascia than in the surrounding tissue.CONCLUSION:
CEUS and shear wave elastography are new diagnostic tools in the assessment of plantar fasciitis and can provide quantitative parameters for monitoring therapy.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Ultrasonografía
/
Medios de Contraste
/
Fascitis Plantar
/
Diagnóstico por Imagen de Elasticidad
Tipo de estudio:
Diagnostic_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Clin Hemorheol Microcirc
Asunto de la revista:
ANGIOLOGIA
/
HEMATOLOGIA
Año:
2017
Tipo del documento:
Article
País de afiliación:
Alemania