Investigation of the acute plantar fasciitis with contrast-enhanced ultrasound and shear wave elastography - first results

Putz, Franz Josef and Hautmann, Matthias G. and Banas, Miriam C. and Jung, Ernst Michael (2017) Investigation of the acute plantar fasciitis with contrast-enhanced ultrasound and shear wave elastography - first results. CLINICAL HEMORHEOLOGY AND MICROCIRCULATION, 67 (3-4). pp. 415-423. ISSN 1386-0291, 1875-8622

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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 (p = 0.0005) and peak (p = 0.037) 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.

Item Type: Article
Uncontrolled Keywords: DEGUM MULTICENTER TRIAL; FOCAL LIVER-LESIONS; CLINICAL-APPLICATIONS; DIAGNOSTIC-ACCURACY; EFSUMB GUIDELINES; CEUS; RECOMMENDATIONS; RADIOTHERAPY; TECHNOLOGY; PRINCIPLES; CEUS; plantar fasciitis; shear wave elastography; TIC; Analysis
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Abteilung für Nephrologie
Medicine > Lehrstuhl für Röntgendiagnostik
Depositing User: Dr. Gernot Deinzer
Date Deposited: 14 Dec 2018 13:01
Last Modified: 26 Apr 2019 12:09
URI: https://pred.uni-regensburg.de/id/eprint/602

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