Sonoelastography in the musculoskeletal system: Current role and future directions

doi:10.4329/wjr.v8.i11.868

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World Journal of Radiology

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World J Radiol. Nov 28, 2016; 8(11): 868-879
Published online Nov 28, 2016. doi: 10.4329/wjr.v8.i11.868

Sonoelastography in the musculoskeletal system: Current role and future directions

Naomi Winn, Radhesh Lalam, Victor Cassar-Pullicino

Naomi Winn, Radhesh Lalam, Victor Cassar-Pullicino, Department of Radiology, Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust, Oswestry SY10 7AG, United Kingdom

Author contributions: Winn N wrote the manuscript; Lalam R and Cassar-Pullicino V critically reviewed the text and images.

Conflict-of-interest statement: No potential conflicts of interest. No financial support.

Correspondence to: Dr. Victor Cassar-Pullicino, Department of Radiology, Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust, Gobowen, Oswestry SY10 7AG, United Kingdom. victor.pullicino@rjah.nhs.uk

Telephone: +44-1691-404000

Received: June 27, 2016
Peer-review started: June 29, 2016
First decision: August 5, 2016
Revised: August 17, 2016
Accepted: September 7, 2016
Article in press: October 28, 2016
Published online: November 28, 2016
Processing time: 147 Days and 2.8 Hours

Abstract

Ultrasound is an essential modality within musculoskeletal imaging, with the recent addition of elastography. The elastic properties of tissues are different from the acoustic impedance used to create B mode imaging and the flow properties used within Doppler imaging, hence elastography provides a different form of tissue assessment. The current role of ultrasound elastography in the musculoskeletal system will be reviewed, in particular with reference to muscles, tendons, ligaments, joints and soft tissue tumours. The different ultrasound elastography methods currently available will be described, in particular strain elastography and shear wave elastography. Future directions of ultrasound elastography in the musculoskeletal system will also be discussed.

Keywords: Ultrasound; Elastography; Musculoskeletal system

Core tip: This review article describes the different techniques of ultrasound elastography and their current and future role in the musculoskeletal system.