SWE技术在小儿先天性肌性斜颈的诊断及非手术治疗疗效评估中的应用研究

doi:10.12117/jccmi.2018.09.002

Abstract
Figure/Table
References (0)
Related Citation (15)

Download: PDF (10000 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective: The diagnostic value of real-time shear wave elastography(SWE) to infants congenital muscular torticollis(CMT) and the clinical application of SWE in assessing the no-surgical treatment effect of children’s CMT were discussed. Methods: One hundred and two cases of suspected children with CMT(outpatient in our hospital from Jan. 2015 to June. 2017) were collected. All of them were examined by ultrasound and SWE was used to collect the elastic modulus data of sternocleidomastoid muscle on the affected side and the healthy side. After that, the children patients’ therapeutic process was followed up. The no-surgical treatment mainly includes massage and ultrasonic short wave physiotherapy. When a follow-up to three months was fulfilled, ultrasound reexamination was performed and the elastic modulus data of the children patients’ sternocleidomastoid muscle was recollected. Results: In the 102 cases of children patients, 76 cases were diagnosed with CMT. The area under ROC curve of diagnosing CMT by SWE was 0.844, and the diagnostic threshold was 182 kPa, and the sensitivity was 84.2%, and the specificity was 73.1%, and the positive predictive value was 90.1%, and the negative predictive value was 61.2%, and the Youden index was 0.573. To the children patients with CMT, a comparison of the elastic modulus data between sternocleidomastoid muscle on the affected side and the healthy side was performed, and the difference is statistically significant(P<0.05). Through the reexamination after no-surgical conservative treatment, the average elastic modulus value of sternocleidomastoid muscle on the affected side was significantly reduced, and the difference is statistically significant(P<0.05). Conclusion: Real-time SWE yields theoretical foundations to the diagnosis and the treatment effect evaluation of infants CMT. It embraces a certain value of popularization and application.

Key words： Torticollis Ultrasonography, Doppler, color

Received: 21 December 2017

PACS:	Ｒ682.12
	Ｒ445.1

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	LIU Na
	ZHANG Lan
	QIAO Hong-fei
	HUANG Li-li
	ZHOU Qi

Cite this article:

LIU Na,ZHANG Lan,QIAO Hong-fei, et al. A study of SWE for the diagnosis of infants congenital muscular torticollis and its application in assessing the no-surgical treatment effect[J]. JOURNAL OF CHINA MEDICAL IMAGING, 2018, 29(9): 612-615.

URL:

http://www.jccmi.com.cn/EN/10.12117/jccmi.2018.09.002 OR http://www.jccmi.com.cn/EN/Y2018/V29/I9/612

[1]Suhr MC, Oledzka M. Considerations and intervention in congenital muscular torticollis[J]. Curr Opin Pediatr, 2015, 27(1): 75-81.
[2]Lee K, Chung E, Koh S, et al. Outcomes of asymmetry in infants with congenital muscular torticollis[J]. J Physical Therapy Sci, 2015, 27(2): 461-464.
[3]Jung AY, Kang EY, Lee SH, et al. Factors That Affect the Rehabilitation Duration in Patients With Congenital Muscular Torticollis[J]. Ann Rehab Med, 2015, 39(1): 18-24.
[4]赵章帅. 先天性肌性斜颈的治疗进展[J]. 临床小儿外科杂志，2013，12（3）：237-239.
[5]Dhyani M, Gee MS, Misdraji J, et al. Feasibility study for assessing liver fibrosis in paediatric and adolescent patients using real-time shear wave elastography[J]. J Med Imag Radia Oncol, 2016, 59(6): 687-694.
[6]Ryu JH, Kim DW, Kim SH, et al. Factors Correlating Outcome in Young Infants With Congenital Muscular Torticollis[J]. Can Assoc Radiologists J, 2016, 67(1): 82-87.
[7]王娟，唐毅. 先天性肌性斜颈影像学表现的研究进展[J]. 中国介入影像与治疗学，2016，13（8）：510-513.
[8]Tian W, Hao S, Gao B, et al. Comparing the Diagnostic Accuracy of RTE and SWE in Differentiating Malignant Thyroid Nodules from Benign Ones: a Meta-Analysis[J]. Cell Physiol Biochem Intern J Experimental Cell Physiol Biochem Pharmacol, 2016, 39(6): 2451-2463.
[9]Yanagisawa O, Sakuma J, Kawakami Y, et al. Effect of exercise-induced muscle damage on muscle hardness evaluated by ultrasound real-time tissue elastography[J]. Springerplus, 2015, 4(1): 1-9.
[10]Aubry S, Nueffer JP, Tanter M, et al. Viscoelasticity in Achilles tendonopathy: quantitative assessment by using real-time shear-wave elastography[J]. Radiology, 2015, 274(3): 821-829.
[11]Li X, Wang JN, Fan ZY, et al. Determination of the Elasticity of Breast Tissue during the Menstrual Cycle Using Real-Time Shear Wave Elastography[J]. Ultrasound Med Biol, 2015, 41(12): 3140-3147.
[12]Yim SY, Yoon D, Park MC, et al. Integrative analysis of congenital muscular torticollis: from gene expression to clinical significance[J]. Bmc Med Genomics, 2013, 6(2): 1-13.
[13]林向前，赵娜. 推拿治疗先天性肌性斜颈的临床及基础研究进展[J]. 中医外治杂志，2016，25（1）：47-48.
[14]刘静利，甘元昕，官凤婷，等. 推拿治疗小儿肌性斜颈临床研究进展[J]. 亚太传统医药，2016，12（22）：55-57.
[15]栾云，殷立平，吴意赟，等. 超声四分型法在先天性肌性斜颈诊断中的应用价值[J]. 临床超声医学杂志，2014，16（12）：827-829.
[16]Wang L, Zhang L, Tang Y, et al. The value of high-frequency and color Doppler ultrasonography in diagnosing congenital muscular torticollis[J]. Bmc Musculoskeletal Disorders, 2012, 13(1): 209-216.