Skip to main content
Erschienen in: Skeletal Radiology 6/2024

07.12.2023 | Scientific Article

Quantifying lower limb muscle stiffness in typically developing children and adolescents using acoustic radiation force impulse shear wave elastography (ARFI/SWE)—a pilot study

verfasst von: Wen-Yu Chou, Jeng-Yi Shieh, Wen-Chin Weng, Chia-Wei Lin

Erschienen in: Skeletal Radiology | Ausgabe 6/2024

Einloggen, um Zugang zu erhalten

Abstract

Objective

To investigate and quantify age-related changes in lower limb muscle stiffness in typically developing children and adolescents using acoustic radiation force impulse shear wave elastography.

Materials and methods

Shear wave velocities of bilateral rectus femoris, tibialis anterior, and medial gastrocnemius muscles at rest were obtained in typically developing children and adolescents aged 3 to 18 years. The participants were classified into three age groups: Group 1 (children), 3 to 7 years old; Group 2, 8 to 12 (pre-adolescent); and Group 3 (adolescent), 13 to 18. The shear wave velocities of muscle were compared across the three age groups, as well as compared between right- and left-side limbs. The correlation between shear wave velocities and body weight or body mass index was assessed.

Results

Of the 47 participants, 21 were in Group 1, 17 in Group 2, and 9 in Group 3. There were no significant differences among the three age groups’ shear wave velocities of bilateral lower limb muscles, and no significant differences between right and left sides. There was no correlation between muscle stiffness and body weight or body mass index.

Conclusion

The present pilot study applied acoustic radiation force impulse shear wave elastography to quantify lower limb muscle stiffness in typically developing children and adolescents aged 3 to 18 years, suggesting no marked change in muscle stiffness occurs as they develop.
Literatur
1.
Zurück zum Zitat Hryhorczuk AL, Restrepo R, Lee EY. Pediatric musculoskeletal ultrasound: practical imaging approach. AJR Am J Roentgenol. 2016;206(5):W62–72.CrossRefPubMed Hryhorczuk AL, Restrepo R, Lee EY. Pediatric musculoskeletal ultrasound: practical imaging approach. AJR Am J Roentgenol. 2016;206(5):W62–72.CrossRefPubMed
2.
Zurück zum Zitat de Borja C, Watkins R, Woolridge T. Common ultrasound applications for pediatric musculoskeletal conditions. Curr Rev Musculoskelet Med. 2022;15(6):447–55.CrossRefPubMedPubMedCentral de Borja C, Watkins R, Woolridge T. Common ultrasound applications for pediatric musculoskeletal conditions. Curr Rev Musculoskelet Med. 2022;15(6):447–55.CrossRefPubMedPubMedCentral
3.
Zurück zum Zitat Brockmann K, Becker P, Schreiber G, Neubert K, Brunner E, Bönnemann C. Sensitivity and specificity of qualitative muscle ultrasound in assessment of suspected neuromuscular disease in childhood. Neuromuscul Disord. 2007;17(7):517–23.CrossRefPubMed Brockmann K, Becker P, Schreiber G, Neubert K, Brunner E, Bönnemann C. Sensitivity and specificity of qualitative muscle ultrasound in assessment of suspected neuromuscular disease in childhood. Neuromuscul Disord. 2007;17(7):517–23.CrossRefPubMed
4.
Zurück zum Zitat Drakonaki EE, Allen GM. Magnetic resonance imaging, ultrasound and real-time ultrasound elastography of the thigh muscles in congenital muscle dystrophy. Skelet Radiol. 2010;39(4):391–6.CrossRef Drakonaki EE, Allen GM. Magnetic resonance imaging, ultrasound and real-time ultrasound elastography of the thigh muscles in congenital muscle dystrophy. Skelet Radiol. 2010;39(4):391–6.CrossRef
5.
Zurück zum Zitat Klauser AS, Miyamoto H, Bellmann-Weiler R, Feuchtner GM, Wick MC, Jaschke WR. Sonoelastography: musculoskeletal applications. Radiology. 2014;272(3):622–33.CrossRefPubMed Klauser AS, Miyamoto H, Bellmann-Weiler R, Feuchtner GM, Wick MC, Jaschke WR. Sonoelastography: musculoskeletal applications. Radiology. 2014;272(3):622–33.CrossRefPubMed
7.
Zurück zum Zitat Shiina T, Nightingale KR, Palmeri ML, Hall TJ, Bamber JC, Barr RG, et al. WFUMB guidelines and recommendations for clinical use of ultrasound elastography: Part 1: basic principles and terminology. Ultrasound Med Biol. 2015;41(5):1126–47.CrossRefPubMed Shiina T, Nightingale KR, Palmeri ML, Hall TJ, Bamber JC, Barr RG, et al. WFUMB guidelines and recommendations for clinical use of ultrasound elastography: Part 1: basic principles and terminology. Ultrasound Med Biol. 2015;41(5):1126–47.CrossRefPubMed
8.
Zurück zum Zitat Brandenburg JE, Eby SF, Song P, Kingsley-Berg S, Bamlet W, Sieck GC, et al. Quantifying passive muscle stiffness in children with and without cerebral palsy using ultrasound shear wave elastography. Dev Med Child Neurol. 2016;58(12):1288–94.CrossRefPubMedPubMedCentral Brandenburg JE, Eby SF, Song P, Kingsley-Berg S, Bamlet W, Sieck GC, et al. Quantifying passive muscle stiffness in children with and without cerebral palsy using ultrasound shear wave elastography. Dev Med Child Neurol. 2016;58(12):1288–94.CrossRefPubMedPubMedCentral
9.
Zurück zum Zitat Kwon DR, Park GY, Lee SU, Chung I. Spastic cerebral palsy in children: dynamic sonoelastographic findings of medial gastrocnemius. Radiology. 2012;263(3):794–801.CrossRefPubMed Kwon DR, Park GY, Lee SU, Chung I. Spastic cerebral palsy in children: dynamic sonoelastographic findings of medial gastrocnemius. Radiology. 2012;263(3):794–801.CrossRefPubMed
10.
Zurück zum Zitat Lacourpaille L, Hug F, Guével A, Péréon Y, Magot A, Hogrel JY, et al. Non-invasive assessment of muscle stiffness in patients with Duchenne muscular dystrophy. Muscle Nerve. 2015;51(2):284–6.CrossRefPubMed Lacourpaille L, Hug F, Guével A, Péréon Y, Magot A, Hogrel JY, et al. Non-invasive assessment of muscle stiffness in patients with Duchenne muscular dystrophy. Muscle Nerve. 2015;51(2):284–6.CrossRefPubMed
11.
Zurück zum Zitat Lin C-W, Tsui P-H, Lu C-H, Hung Y-H, Tsai M-R, Shieh J-Y, et al. Quantifying lower limb muscle stiffness as ambulation function declines in duchenne muscular dystrophy with acoustic radiation force impulse shear wave elastography. Ultrasound Med Biol. 2021;47(10):2880–9.CrossRefPubMed Lin C-W, Tsui P-H, Lu C-H, Hung Y-H, Tsai M-R, Shieh J-Y, et al. Quantifying lower limb muscle stiffness as ambulation function declines in duchenne muscular dystrophy with acoustic radiation force impulse shear wave elastography. Ultrasound Med Biol. 2021;47(10):2880–9.CrossRefPubMed
12.
Zurück zum Zitat Kwon DR, Park GY. Diagnostic value of real-time sonoelastography in congenital muscular torticollis. J Ultrasound Med. 2012;31(5):721–7.CrossRefPubMed Kwon DR, Park GY. Diagnostic value of real-time sonoelastography in congenital muscular torticollis. J Ultrasound Med. 2012;31(5):721–7.CrossRefPubMed
13.
Zurück zum Zitat Bertan H, Oncu J, Vanli E, Alptekin K, Sahillioglu A, Kuran B, et al. Use of shear wave elastography for quantitative assessment of muscle stiffness after botulinum toxin injection in children with cerebral palsy. J Ultrasound Med. 2020;39(12):2327–37.CrossRefPubMed Bertan H, Oncu J, Vanli E, Alptekin K, Sahillioglu A, Kuran B, et al. Use of shear wave elastography for quantitative assessment of muscle stiffness after botulinum toxin injection in children with cerebral palsy. J Ultrasound Med. 2020;39(12):2327–37.CrossRefPubMed
14.
Zurück zum Zitat Hwang D, Shin YJ, Choi JY, Jung SJ, Yang SS. Changes in muscle stiffness in infants with congenital muscular torticollis. Diagnostics (Basel). 2019;9(4) Hwang D, Shin YJ, Choi JY, Jung SJ, Yang SS. Changes in muscle stiffness in infants with congenital muscular torticollis. Diagnostics (Basel). 2019;9(4)
15.
Zurück zum Zitat Wenz H, Dieckmann A, Lehmann T, Brandl U, Mentzel HJ. Strain ultrasound elastography of muscles in healthy children and healthy adults. Rofo. 2019;191(12):1091–8.CrossRefPubMed Wenz H, Dieckmann A, Lehmann T, Brandl U, Mentzel HJ. Strain ultrasound elastography of muscles in healthy children and healthy adults. Rofo. 2019;191(12):1091–8.CrossRefPubMed
16.
Zurück zum Zitat Liu X, Yu HK, Sheng SY, Liang SM, Lu H, Chen RY, et al. Quantitative evaluation of passive muscle stiffness by shear wave elastography in healthy individuals of different ages. Eur Radiol. 2021;31(5):3187–94.CrossRefPubMed Liu X, Yu HK, Sheng SY, Liang SM, Lu H, Chen RY, et al. Quantitative evaluation of passive muscle stiffness by shear wave elastography in healthy individuals of different ages. Eur Radiol. 2021;31(5):3187–94.CrossRefPubMed
17.
Zurück zum Zitat Brandenburg JE, Eby SF, Song P, Zhao H, Landry BW, Kingsley-Berg S, et al. Feasibility and reliability of quantifying passive muscle stiffness in young children by using shear wave ultrasound elastography. J Ultrasound Med. 2015;34(4):663–70.CrossRefPubMedPubMedCentral Brandenburg JE, Eby SF, Song P, Zhao H, Landry BW, Kingsley-Berg S, et al. Feasibility and reliability of quantifying passive muscle stiffness in young children by using shear wave ultrasound elastography. J Ultrasound Med. 2015;34(4):663–70.CrossRefPubMedPubMedCentral
18.
Zurück zum Zitat Berko NS, Fitzgerald EF, Amaral TD, Payares M, Levin TL. Ultrasound elastography in children: establishing the normal range of muscle elasticity. Pediatr Radiol. 2014;44(2):158–63.CrossRefPubMed Berko NS, Fitzgerald EF, Amaral TD, Payares M, Levin TL. Ultrasound elastography in children: establishing the normal range of muscle elasticity. Pediatr Radiol. 2014;44(2):158–63.CrossRefPubMed
19.
Zurück zum Zitat Gennisson J-L, Deffieux T, Macé E, Montaldo G, Fink M, Tanter M. Viscoelastic and anisotropic mechanical properties of in vivo muscle tissue assessed by supersonic shear imaging. Ultrasound Med Biol. 2010;36(5):789–801.CrossRefPubMed Gennisson J-L, Deffieux T, Macé E, Montaldo G, Fink M, Tanter M. Viscoelastic and anisotropic mechanical properties of in vivo muscle tissue assessed by supersonic shear imaging. Ultrasound Med Biol. 2010;36(5):789–801.CrossRefPubMed
20.
Zurück zum Zitat Cortez CD, Hermitte L, Ramain A, Mesmann C, Lefort T, Pialat JB. Ultrasound shear wave velocity in skeletal muscle: a reproducibility study. Diagn Interv Imaging. 2016;97(1):71–9.CrossRefPubMed Cortez CD, Hermitte L, Ramain A, Mesmann C, Lefort T, Pialat JB. Ultrasound shear wave velocity in skeletal muscle: a reproducibility study. Diagn Interv Imaging. 2016;97(1):71–9.CrossRefPubMed
21.
Zurück zum Zitat Brashear SE, Wohlgemuth RP, Gonzalez G, Smith LR. Passive stiffness of fibrotic skeletal muscle in mdx mice relates to collagen architecture. J Physiol. 2021;599(3):943–62.CrossRefPubMed Brashear SE, Wohlgemuth RP, Gonzalez G, Smith LR. Passive stiffness of fibrotic skeletal muscle in mdx mice relates to collagen architecture. J Physiol. 2021;599(3):943–62.CrossRefPubMed
23.
24.
Zurück zum Zitat Bell RD, MacDougall JD, Billeter R, Howald H. Muscle fiber types and morphometric analysis of skeletal msucle in six-year-old children. Med Sci Sports Exerc. 1980;12(1):28–31.CrossRefPubMed Bell RD, MacDougall JD, Billeter R, Howald H. Muscle fiber types and morphometric analysis of skeletal msucle in six-year-old children. Med Sci Sports Exerc. 1980;12(1):28–31.CrossRefPubMed
25.
Zurück zum Zitat Elder GCB, Kakulas BA. Histochemical and contractile property changes during human muscle development. Muscle Nerve. 1993;16(11):1246–53.CrossRefPubMed Elder GCB, Kakulas BA. Histochemical and contractile property changes during human muscle development. Muscle Nerve. 1993;16(11):1246–53.CrossRefPubMed
26.
Zurück zum Zitat Taljanovic MS, Gimber LH, Becker GW, Latt LD, Klauser AS, Melville DM, et al. Shear-wave elastography: basic physics and musculoskeletal applications. Radiographics. 2017;37(3):855–70.CrossRefPubMed Taljanovic MS, Gimber LH, Becker GW, Latt LD, Klauser AS, Melville DM, et al. Shear-wave elastography: basic physics and musculoskeletal applications. Radiographics. 2017;37(3):855–70.CrossRefPubMed
27.
Zurück zum Zitat Stiver ML, Mirjalili SA, Agur AMR. Measuring shear wave velocity in adult skeletal muscle with ultrasound 2-D shear wave elastography: a scoping review. Ultrasound Med Biol. 2023;49(6):1353–62.CrossRefPubMed Stiver ML, Mirjalili SA, Agur AMR. Measuring shear wave velocity in adult skeletal muscle with ultrasound 2-D shear wave elastography: a scoping review. Ultrasound Med Biol. 2023;49(6):1353–62.CrossRefPubMed
28.
Zurück zum Zitat Bastijns S, De Cock AM, Vandewoude M, Perkisas S. Usability and pitfalls of shear-wave elastography for evaluation of muscle quality and its potential in assessing sarcopenia: a review. Ultrasound Med Biol. 2020;46(11):2891–907.CrossRefPubMed Bastijns S, De Cock AM, Vandewoude M, Perkisas S. Usability and pitfalls of shear-wave elastography for evaluation of muscle quality and its potential in assessing sarcopenia: a review. Ultrasound Med Biol. 2020;46(11):2891–907.CrossRefPubMed
29.
Zurück zum Zitat Dubois G, Kheireddine W, Vergari C, Bonneau D, Thoreux P, Rouch P, et al. Reliable protocol for shear wave elastography of lower limb muscles at rest and during passive stretching. Ultrasound Med Biol. 2015;41(9):2284–91.CrossRefPubMed Dubois G, Kheireddine W, Vergari C, Bonneau D, Thoreux P, Rouch P, et al. Reliable protocol for shear wave elastography of lower limb muscles at rest and during passive stretching. Ultrasound Med Biol. 2015;41(9):2284–91.CrossRefPubMed
30.
Zurück zum Zitat Morgan PT, Smeuninx B, Breen L. Exploring the impact of obesity on skeletal muscle function in older age. Front Nutr. 2020:7. Morgan PT, Smeuninx B, Breen L. Exploring the impact of obesity on skeletal muscle function in older age. Front Nutr. 2020:7.
31.
Zurück zum Zitat Correa-de-Araujo R, Addison O, Miljkovic I, Goodpaster BH, Bergman BC, Clark RV, et al. Myosteatosis in the context of skeletal muscle function deficit: an interdisciplinary workshop at the National Institute on Aging. Front Physiol. 2020;11:963.CrossRefPubMedPubMedCentral Correa-de-Araujo R, Addison O, Miljkovic I, Goodpaster BH, Bergman BC, Clark RV, et al. Myosteatosis in the context of skeletal muscle function deficit: an interdisciplinary workshop at the National Institute on Aging. Front Physiol. 2020;11:963.CrossRefPubMedPubMedCentral
32.
Zurück zum Zitat Goo M, Tucker K, Johnston LM. A profile of reference data for shear modulus for lower limb muscles in typically developing children. Clin Biomech (Bristol, Avon). 2021;83:105254.CrossRefPubMed Goo M, Tucker K, Johnston LM. A profile of reference data for shear modulus for lower limb muscles in typically developing children. Clin Biomech (Bristol, Avon). 2021;83:105254.CrossRefPubMed
33.
Zurück zum Zitat Koppenhaver SL, Scutella D, Sorrell BA, Yahalom J, Fernández-de-Las-Peñas C, Childs JD, et al. Normative parameters and anthropometric variability of lumbar muscle stiffness using ultrasound shear-wave elastography. Clin Biomech (Bristol, Avon). 2019;62:113–20.CrossRefPubMed Koppenhaver SL, Scutella D, Sorrell BA, Yahalom J, Fernández-de-Las-Peñas C, Childs JD, et al. Normative parameters and anthropometric variability of lumbar muscle stiffness using ultrasound shear-wave elastography. Clin Biomech (Bristol, Avon). 2019;62:113–20.CrossRefPubMed
Metadaten
Titel
Quantifying lower limb muscle stiffness in typically developing children and adolescents using acoustic radiation force impulse shear wave elastography (ARFI/SWE)—a pilot study
verfasst von
Wen-Yu Chou
Jeng-Yi Shieh
Wen-Chin Weng
Chia-Wei Lin
Publikationsdatum
07.12.2023
Verlag
Springer Berlin Heidelberg
Erschienen in
Skeletal Radiology / Ausgabe 6/2024
Print ISSN: 0364-2348
Elektronische ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-023-04534-x

Weitere Artikel der Ausgabe 6/2024

Skeletal Radiology 6/2024 Zur Ausgabe

Mammakarzinom: Brustdichte beeinflusst rezidivfreies Überleben

26.05.2024 Mammakarzinom Nachrichten

Frauen, die zum Zeitpunkt der Brustkrebsdiagnose eine hohe mammografische Brustdichte aufweisen, haben ein erhöhtes Risiko für ein baldiges Rezidiv, legen neue Daten nahe.

„Übersichtlicher Wegweiser“: Lauterbachs umstrittener Klinik-Atlas ist online

17.05.2024 Klinik aktuell Nachrichten

Sie sei „ethisch geboten“, meint Gesundheitsminister Karl Lauterbach: mehr Transparenz über die Qualität von Klinikbehandlungen. Um sie abzubilden, lässt er gegen den Widerstand vieler Länder einen virtuellen Klinik-Atlas freischalten.

Klinikreform soll zehntausende Menschenleben retten

15.05.2024 Klinik aktuell Nachrichten

Gesundheitsminister Lauterbach hat die vom Bundeskabinett beschlossene Klinikreform verteidigt. Kritik an den Plänen kommt vom Marburger Bund. Und in den Ländern wird über den Gang zum Vermittlungsausschuss spekuliert.

Darf man die Behandlung eines Neonazis ablehnen?

08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.