A Multicenter Large‐Sample Shear Wave Ultrasound Elastographic Study of the Achilles Tendon in Chinese Adults
Objectives The changes in the viscoelasticity of the Achilles tendon are related to tendinopathy. Therefore, constructing a data model in the healthy population is essential to understanding the key factors affecting the viscoelasticity of the Achilles tendon. The purpose of our research was to obta...
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Veröffentlicht in: | Journal of ultrasound in medicine 2019-05, Vol.38 (5), p.1191-1200 |
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creator | Cao, Wen Sun, Yang Liu, Li Wang, Zhu Wu, Jin Yu Qiu, Li Wang, Yue Xiang Yuan, Yu Shen, Su Fang Chen, Qin Chen, Tao Zhang, Wen Wu, Chang Jun Liu, Feng Xia Zhong, Shi Gen Chen, Li Tong, Ming Hui Cui, Li Gang Guo, Rui Jun |
description | Objectives
The changes in the viscoelasticity of the Achilles tendon are related to tendinopathy. Therefore, constructing a data model in the healthy population is essential to understanding the key factors affecting the viscoelasticity of the Achilles tendon. The purpose of our research was to obtain large sample data, construct a data model, and determine parameters that affect the elastic modulus of the Achilles tendon in healthy Chinese adults.
Methods
We designed a prospective multicenter clinical trial to evaluate the viscoelasticity of the Achilles tendon by using shear wave elastography. A total of 1165 healthy adult participants from 17 Chinese hospitals were recruited for the assessment. The necessary parameters (age, height, weight, and body mass index) were recorded. The elastic modulus (Young modulus) was obtained from the middle of the Achilles tendon and calculated with feet in naturally relaxed, dorsal, and plantar positions. The thickness and perimeter of the Achilles tendon were measured via cross section on the same site. A multiple linear regression was performed to find the key factors affecting the Young modulus of the Achilles tendon.
Results
The Young modulus of the left Achilles tendon in the natural relaxed position followed a normal distribution (P > .05) with a mean ± SD of 374.24 ± 106.12 kPa. The regression equations showed a positive correlation between the Young modulus and weight and a negative correlation between the Young modulus and the circumference or thickness of the left Achilles tendon (P |
doi_str_mv | 10.1002/jum.14797 |
format | Article |
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The changes in the viscoelasticity of the Achilles tendon are related to tendinopathy. Therefore, constructing a data model in the healthy population is essential to understanding the key factors affecting the viscoelasticity of the Achilles tendon. The purpose of our research was to obtain large sample data, construct a data model, and determine parameters that affect the elastic modulus of the Achilles tendon in healthy Chinese adults.
Methods
We designed a prospective multicenter clinical trial to evaluate the viscoelasticity of the Achilles tendon by using shear wave elastography. A total of 1165 healthy adult participants from 17 Chinese hospitals were recruited for the assessment. The necessary parameters (age, height, weight, and body mass index) were recorded. The elastic modulus (Young modulus) was obtained from the middle of the Achilles tendon and calculated with feet in naturally relaxed, dorsal, and plantar positions. The thickness and perimeter of the Achilles tendon were measured via cross section on the same site. A multiple linear regression was performed to find the key factors affecting the Young modulus of the Achilles tendon.
Results
The Young modulus of the left Achilles tendon in the natural relaxed position followed a normal distribution (P > .05) with a mean ± SD of 374.24 ± 106.12 kPa. The regression equations showed a positive correlation between the Young modulus and weight and a negative correlation between the Young modulus and the circumference or thickness of the left Achilles tendon (P < .05).
Conclusions
The Young modulus of the Achilles tendon as measured by shear wave elastography is related to body weight as well as the perimeter or thickness of the tendon.</description><identifier>ISSN: 0278-4297</identifier><identifier>EISSN: 1550-9613</identifier><identifier>DOI: 10.1002/jum.14797</identifier><identifier>PMID: 30208234</identifier><language>eng</language><publisher>England</publisher><subject>Achilles tendon ; Achilles Tendon - diagnostic imaging ; Achilles Tendon - physiology ; Adult ; China ; Elastic Modulus - physiology ; Elasticity Imaging Techniques - methods ; Female ; Humans ; Male ; musculoskeletal ; Prospective Studies ; Reference Values ; shear wave elastography ; viscoelasticity ; Young modulus</subject><ispartof>Journal of ultrasound in medicine, 2019-05, Vol.38 (5), p.1191-1200</ispartof><rights>2018 by the American Institute of Ultrasound in Medicine</rights><rights>2018 by the American Institute of Ultrasound in Medicine.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3257-2b64dc518e996ed6fee98e6c07955c3e3c8bb042d8ab9cbd535abe26b769b983</citedby><cites>FETCH-LOGICAL-c3257-2b64dc518e996ed6fee98e6c07955c3e3c8bb042d8ab9cbd535abe26b769b983</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjum.14797$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjum.14797$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,778,782,1414,27907,27908,45557,45558</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30208234$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cao, Wen</creatorcontrib><creatorcontrib>Sun, Yang</creatorcontrib><creatorcontrib>Liu, Li</creatorcontrib><creatorcontrib>Wang, Zhu</creatorcontrib><creatorcontrib>Wu, Jin Yu</creatorcontrib><creatorcontrib>Qiu, Li</creatorcontrib><creatorcontrib>Wang, Yue Xiang</creatorcontrib><creatorcontrib>Yuan, Yu</creatorcontrib><creatorcontrib>Shen, Su Fang</creatorcontrib><creatorcontrib>Chen, Qin</creatorcontrib><creatorcontrib>Chen, Tao</creatorcontrib><creatorcontrib>Zhang, Wen</creatorcontrib><creatorcontrib>Wu, Chang Jun</creatorcontrib><creatorcontrib>Liu, Feng Xia</creatorcontrib><creatorcontrib>Zhong, Shi Gen</creatorcontrib><creatorcontrib>Chen, Li</creatorcontrib><creatorcontrib>Tong, Ming Hui</creatorcontrib><creatorcontrib>Cui, Li Gang</creatorcontrib><creatorcontrib>Guo, Rui Jun</creatorcontrib><title>A Multicenter Large‐Sample Shear Wave Ultrasound Elastographic Study of the Achilles Tendon in Chinese Adults</title><title>Journal of ultrasound in medicine</title><addtitle>J Ultrasound Med</addtitle><description>Objectives
The changes in the viscoelasticity of the Achilles tendon are related to tendinopathy. Therefore, constructing a data model in the healthy population is essential to understanding the key factors affecting the viscoelasticity of the Achilles tendon. The purpose of our research was to obtain large sample data, construct a data model, and determine parameters that affect the elastic modulus of the Achilles tendon in healthy Chinese adults.
Methods
We designed a prospective multicenter clinical trial to evaluate the viscoelasticity of the Achilles tendon by using shear wave elastography. A total of 1165 healthy adult participants from 17 Chinese hospitals were recruited for the assessment. The necessary parameters (age, height, weight, and body mass index) were recorded. The elastic modulus (Young modulus) was obtained from the middle of the Achilles tendon and calculated with feet in naturally relaxed, dorsal, and plantar positions. The thickness and perimeter of the Achilles tendon were measured via cross section on the same site. A multiple linear regression was performed to find the key factors affecting the Young modulus of the Achilles tendon.
Results
The Young modulus of the left Achilles tendon in the natural relaxed position followed a normal distribution (P > .05) with a mean ± SD of 374.24 ± 106.12 kPa. The regression equations showed a positive correlation between the Young modulus and weight and a negative correlation between the Young modulus and the circumference or thickness of the left Achilles tendon (P < .05).
Conclusions
The Young modulus of the Achilles tendon as measured by shear wave elastography is related to body weight as well as the perimeter or thickness of the tendon.</description><subject>Achilles tendon</subject><subject>Achilles Tendon - diagnostic imaging</subject><subject>Achilles Tendon - physiology</subject><subject>Adult</subject><subject>China</subject><subject>Elastic Modulus - physiology</subject><subject>Elasticity Imaging Techniques - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>musculoskeletal</subject><subject>Prospective Studies</subject><subject>Reference Values</subject><subject>shear wave elastography</subject><subject>viscoelasticity</subject><subject>Young modulus</subject><issn>0278-4297</issn><issn>1550-9613</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kMlOwzAQQC0EgrIc-AHkIxwCXpI4PlZV2VTEoUUcIy_TJpWTFDsB9cYn8I18CYEWbpxmpHl6Iz2ETim5pISwq2VXXdJYSLGDBjRJSCRTynfRgDCRRTGT4gAdhrDsUUJFvI8OeL9ljMcD1AzxQ-fa0kDdgscT5Rfw-f4xVdXKAZ4WoDx-Vq-An1zrVWi62uKxU6FtFl6titLgadvZNW7muC0AD01ROgcBz6C2TY3LGo-KsobQn2z_JxyjvblyAU628wjNrsez0W00eby5Gw0nkeEsERHTaWxNQjOQMgWbzgFkBqkhQiaJ4cBNpjWJmc2UlkbbhCdKA0u1SKWWGT9C5xvtyjcvHYQ2r8pgwDlVQ9OFnFHCUyFjwXv0YoMa34TgYZ6vfFkpv84pyb_z5n3e_Cdvz55ttZ2uwP6Rvz174GoDvJUO1v-b8vunh43yCxzIhkg</recordid><startdate>201905</startdate><enddate>201905</enddate><creator>Cao, Wen</creator><creator>Sun, Yang</creator><creator>Liu, Li</creator><creator>Wang, Zhu</creator><creator>Wu, Jin Yu</creator><creator>Qiu, Li</creator><creator>Wang, Yue Xiang</creator><creator>Yuan, Yu</creator><creator>Shen, Su Fang</creator><creator>Chen, Qin</creator><creator>Chen, Tao</creator><creator>Zhang, Wen</creator><creator>Wu, Chang Jun</creator><creator>Liu, Feng Xia</creator><creator>Zhong, Shi Gen</creator><creator>Chen, Li</creator><creator>Tong, Ming Hui</creator><creator>Cui, Li Gang</creator><creator>Guo, Rui Jun</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201905</creationdate><title>A Multicenter Large‐Sample Shear Wave Ultrasound Elastographic Study of the Achilles Tendon in Chinese Adults</title><author>Cao, Wen ; Sun, Yang ; Liu, Li ; Wang, Zhu ; Wu, Jin Yu ; Qiu, Li ; Wang, Yue Xiang ; Yuan, Yu ; Shen, Su Fang ; Chen, Qin ; Chen, Tao ; Zhang, Wen ; Wu, Chang Jun ; Liu, Feng Xia ; Zhong, Shi Gen ; Chen, Li ; Tong, Ming Hui ; Cui, Li Gang ; Guo, Rui Jun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3257-2b64dc518e996ed6fee98e6c07955c3e3c8bb042d8ab9cbd535abe26b769b983</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Achilles tendon</topic><topic>Achilles Tendon - diagnostic imaging</topic><topic>Achilles Tendon - physiology</topic><topic>Adult</topic><topic>China</topic><topic>Elastic Modulus - physiology</topic><topic>Elasticity Imaging Techniques - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>musculoskeletal</topic><topic>Prospective Studies</topic><topic>Reference Values</topic><topic>shear wave elastography</topic><topic>viscoelasticity</topic><topic>Young modulus</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cao, Wen</creatorcontrib><creatorcontrib>Sun, Yang</creatorcontrib><creatorcontrib>Liu, Li</creatorcontrib><creatorcontrib>Wang, Zhu</creatorcontrib><creatorcontrib>Wu, Jin Yu</creatorcontrib><creatorcontrib>Qiu, Li</creatorcontrib><creatorcontrib>Wang, Yue Xiang</creatorcontrib><creatorcontrib>Yuan, Yu</creatorcontrib><creatorcontrib>Shen, Su Fang</creatorcontrib><creatorcontrib>Chen, Qin</creatorcontrib><creatorcontrib>Chen, Tao</creatorcontrib><creatorcontrib>Zhang, Wen</creatorcontrib><creatorcontrib>Wu, Chang Jun</creatorcontrib><creatorcontrib>Liu, Feng Xia</creatorcontrib><creatorcontrib>Zhong, Shi Gen</creatorcontrib><creatorcontrib>Chen, Li</creatorcontrib><creatorcontrib>Tong, Ming Hui</creatorcontrib><creatorcontrib>Cui, Li Gang</creatorcontrib><creatorcontrib>Guo, Rui Jun</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of ultrasound in medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cao, Wen</au><au>Sun, Yang</au><au>Liu, Li</au><au>Wang, Zhu</au><au>Wu, Jin Yu</au><au>Qiu, Li</au><au>Wang, Yue Xiang</au><au>Yuan, Yu</au><au>Shen, Su Fang</au><au>Chen, Qin</au><au>Chen, Tao</au><au>Zhang, Wen</au><au>Wu, Chang Jun</au><au>Liu, Feng Xia</au><au>Zhong, Shi Gen</au><au>Chen, Li</au><au>Tong, Ming Hui</au><au>Cui, Li Gang</au><au>Guo, Rui Jun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Multicenter Large‐Sample Shear Wave Ultrasound Elastographic Study of the Achilles Tendon in Chinese Adults</atitle><jtitle>Journal of ultrasound in medicine</jtitle><addtitle>J Ultrasound Med</addtitle><date>2019-05</date><risdate>2019</risdate><volume>38</volume><issue>5</issue><spage>1191</spage><epage>1200</epage><pages>1191-1200</pages><issn>0278-4297</issn><eissn>1550-9613</eissn><abstract>Objectives
The changes in the viscoelasticity of the Achilles tendon are related to tendinopathy. Therefore, constructing a data model in the healthy population is essential to understanding the key factors affecting the viscoelasticity of the Achilles tendon. The purpose of our research was to obtain large sample data, construct a data model, and determine parameters that affect the elastic modulus of the Achilles tendon in healthy Chinese adults.
Methods
We designed a prospective multicenter clinical trial to evaluate the viscoelasticity of the Achilles tendon by using shear wave elastography. A total of 1165 healthy adult participants from 17 Chinese hospitals were recruited for the assessment. The necessary parameters (age, height, weight, and body mass index) were recorded. The elastic modulus (Young modulus) was obtained from the middle of the Achilles tendon and calculated with feet in naturally relaxed, dorsal, and plantar positions. The thickness and perimeter of the Achilles tendon were measured via cross section on the same site. A multiple linear regression was performed to find the key factors affecting the Young modulus of the Achilles tendon.
Results
The Young modulus of the left Achilles tendon in the natural relaxed position followed a normal distribution (P > .05) with a mean ± SD of 374.24 ± 106.12 kPa. The regression equations showed a positive correlation between the Young modulus and weight and a negative correlation between the Young modulus and the circumference or thickness of the left Achilles tendon (P < .05).
Conclusions
The Young modulus of the Achilles tendon as measured by shear wave elastography is related to body weight as well as the perimeter or thickness of the tendon.</abstract><cop>England</cop><pmid>30208234</pmid><doi>10.1002/jum.14797</doi><tpages>11</tpages></addata></record> |
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subjects | Achilles tendon Achilles Tendon - diagnostic imaging Achilles Tendon - physiology Adult China Elastic Modulus - physiology Elasticity Imaging Techniques - methods Female Humans Male musculoskeletal Prospective Studies Reference Values shear wave elastography viscoelasticity Young modulus |
title | A Multicenter Large‐Sample Shear Wave Ultrasound Elastographic Study of the Achilles Tendon in Chinese Adults |
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