Virtual touch IQ elastography in evaluation of Achilles tendon in patients with chronic renal failure

• Published in: Journal of medical ultrasonics (2001) Vol. 46; no. 1; pp. 45 - 49
• Main Authors: Caglar, Emrah, Oz, Ibrahim Ilker, Guneyli, Serkan, Bilici, Muammer, Yılmaz, Fatih, Ilikhan, Sevil Uygun, Borazan, Ali
• Format: Journal Article
• Language: English
• Published: Singapore Springer Singapore 01-01-2019; Springer; Springer Nature B.V
• Subjects: Achilles Tendon - diagnostic imaging; Achilles Tendon - physiopathology; Adult; Aged; Body mass index; Body size; Bone surgery; Care and treatment; Case-Control Studies; Chronic kidney failure; Elasticity Imaging Techniques - methods; Evaluation; Female; Healthy Volunteers; Hemodialysis; Humans; Imaging; Kidney Failure, Chronic - complications; Kidney Failure, Chronic - therapy; Male; Medicine; Medicine & Public Health; Methods; Middle Aged; Original Article; Prospective Studies; Radiation; Radiology; Renal Dialysis; Rupture, Spontaneous - diagnostic imaging; Rupture, Spontaneous - etiology; Statistical analysis; Stiffness; Tendinopathy - diagnostic imaging; Tendinopathy - etiology; Tendons; Thickness; Ultrasonic imaging; Ultrasound; Ultrasound imaging; Wave propagation; Wave velocity; Achilles tendon; Hemodialysis; Elastography; VTIQ
• ISSN: 1346-4523; 1613-2254
• DOI: 10.1007/s10396-018-0907-9

Purpose
To evaluate the sonoelastographic changes in the Achilles tendon in patients with chronic renal failure (CRF) using virtual touch imaging quantification (VTIQ) elastography.
Methods
Twenty-six patients undergoing three hemodialysis sessions per week and 26 subjects admitted to our institution between January 2016 and April 2016 were included in this prospective study. The characteristics and body mass index of the patients were noted. Ultrasonography was performed parallel to the long axis of the bilateral Achilles tendons during relaxation of the legs using the Siemens Acuson S3000™ ultrasound device (Siemens HealthCare, Erlangen, Germany). Tendon thickness was reviewed, and tissue stiffness was quantitatively assessed using VTIQ elastography. Independent samples
t
test and Mann–Whitney
U
test were used for statistical analyses.
Results
The median values of shear wave velocities of the Achilles tendon in patients with CRF were 7.19 m/s (4.23–9.77 m/s) on the right and 6.98 m/s (4.00–9.82 m/s) on the left, while they were 5.11 m/s (4.09–8.82 m/s) on the right and 5.36 m/s (4.05–8.80 m/s) on the left in controls. The stiffness of the Achilles tendons in patients with CRF was found to be higher than that in controls (right:
P 
< 0.001, left:
P 
= 0.004). There was no statistically significant difference in tendon thickness between the CRF and control groups (
P 
> 0.05).
Conclusion
The thickness and stiffness of tendon can be effectively evaluated with sonoelastography. The thickness of the Achilles tendon did not significantly differ between the patients with CRF and healthy subjects. However, the stiffness of the Achilles tendon measured with VTIQ elastography was demonstrated to be increased in the patients with CRF.