电邮这篇文章 Shear wave elastography in the diagnosis of rhabdomyolysis
- 作者: Emelyantsev A.A.1, Bardakov S.N.1, Boikov I.V.1, Malakhovskiy V.N.1, Rameshvili T.E.1, Tsargush V.A.1, Romanov G.G.1, Bagrova A.A.1
-
隶属关系:
- Military Medical Academy
- 期: 卷 41, 编号 1 (2022)
- 页面: 23-30
- 栏目: Original articles
- URL: https://journals.rcsi.science/RMMArep/article/view/104383
- DOI: https://doi.org/10.17816/rmmar104383
- ID: 104383
如何引用文章
详细
Rhabdomyolysis is a life-threatening skeletal muscle disease, the time of diagnosis and initiation of treatment of which directly affects the likelihood of developing acute kidney injury and the quality of recovery of muscle function. The ultrasound method of diagnostics is accessible and can be used at the stage of primary diagnosis, but it has low sensitivity of 68% and specificity of 57% when using such ultrasound symptoms as a diffuse expressed increase of echogenicity (homogeneous or heterogeneous), disorder of transverse striation of the muscle structure and high volume of the muscular tissue damage (over 30%).
The possibility of ultrasonic elastography in the diagnosis of rhabdomyolysis in 95 patients admitted with suspected damage to muscle tissue are discussed. Comparison of the parameters of shear wave elastography in patients with rhabdomyolysis and patients with other diseases manifested by muscle edema (muscle contusion, inflammatory myopathies, post-exercise muscle edema), as well as with the control group, significant differences were noted (p < 0.01) allows to determine the quantitative ultrasound characteristics of muscle tissue, pathognomonic for rhabdomyolysis. The use of shear wave elastography with obtaining lateral wave velocity of less than 1.64 m/s increased the sensitivity and specificity of the method in the diagnosis of rhabdomyolysis to 75 and 62%, respectively.
A logit model with integrated use of elastography indices was developed, with a diagnostic accuracy of 77%. During muscle recovery, there was an increase in lateral wave velocity to the level of control group values, which can be used as one of the markers of patient recovery.
作者简介
Aleksandr Emelyantsev
Military Medical Academy
编辑信件的主要联系方式.
Email: yemelyantsev@gmail.com
ORCID iD: 0000-0001-5723-7058
SPIN 代码: 6895-7818
Scopus 作者 ID: 57223387651
M.D., Ph.D. (Medicine), Senior Lecturer of the Radiology and Radiology Department with a course of ultrasound diagnostics
俄罗斯联邦, 6, Akademika Lebedeva str., Saint Petersburg, 194044Sergey Bardakov
Military Medical Academy
Email: epistaxis@mail.ru
ORCID iD: 0000-0002-3804-6245
SPIN 代码: 2351-4096
Scopus 作者 ID: 57193732211
M.D., Ph.D. (Medicine), Lecturer at the Nephrology and Efferent Therapy Department
俄罗斯联邦, Saint PetersburgIgor’ Boikov
Military Medical Academy
Email: qwertycooolt@mail.ru
SPIN 代码: 1453-8437
M.D., D.Sc. (Medicine), Professor, Deputy Head of the Radiology and Radiology Department with a Course in Ultrasound Diagnostics
俄罗斯联邦, Saint PetersburgVladimir Malakhovskiy
Military Medical Academy
Email: malakhovskyvova@gmail.com
SPIN 代码: 2014-6335
M.D., D.Sc. (Medicine), Professor, Lecturer at the Radiology and Radiology Department with a course in ultrasound diagnostics
俄罗斯联邦, Saint PetersburgTamara Rameshvili
Military Medical Academy
Email: rentgenvma@mail.ru
SPIN 代码: 3034-3209
M.D., D.Sc. (Medicine), Professor, Senior Lecturer of the Radiology and Radiology Department with a course of ultrasound diagnostics
俄罗斯联邦, Saint PetersburgVadim Tsargush
Military Medical Academy
Email: tsargushvmf@mail.ru
ORCID iD: 0000-0002-5459-986X
SPIN 代码: 2599-1515
Scopus 作者 ID: 57214886746
M.D., Ph.D. (Medicine), radiologist
俄罗斯联邦, Saint PetersburgGennadiy Romanov
Military Medical Academy
Email: romanov_gennadiy@mail.ru
ORCID iD: 0000-0001-5987-8158
SPIN 代码: 9298-4494
Scopus 作者 ID: 56024998000
M.D., Ph.D. (Medicine), Associate Professor of the Radiology and Radiology Department with a course of ultrasound diagnostics
俄罗斯联邦, Saint PetersburgAnna Bagrova
Military Medical Academy
Email: annieba@mail.ru
SPIN 代码: 6969-7667
the Head of the medical department
俄罗斯联邦, Saint Petersburg参考
- Chavez LO, Leon M, Einav S, et al. Beyond muscle destruction: a systematic review of rhabdomyolysis for clinical practice. Crit Care. 2016;20(1):135. doi: 10.1186/s13054-016-1314-5
- Alpers JP, Jones LK. Natural history of exertional rhabdomyolysis: A population-based analysis. Muscle and Nerve. 2010;42(4): 487–491. doi: 10.1002/mus.21740
- Chatzizisis YS, Misirli G, Hatzitolios A, et al. The syndrome of rhabdomyolysis: Complications and treatment. Eur J Intern Med. 2008;19(8):568–574. doi: 10.1016/j.ejim.2007.06.037
- Cabral BMI, Edding SN, Portocarrero JP, et al. Rhabdomyolysis. Disease-a-Month. 2020;66(8):1010–1015. doi: 10.1016/j.disamonth.2020.101015
- Keltz E, Khan FY, Mann G. Rhabdomyolysis. The role of diagnostic and prognostic factors. Muscles, Ligam Tend J. 2014;3(4):303–312.
- Sein Anand Ł, Kosiak W. Sonographic appearance of rhabdomyolysis – a systematic review of the literature. Med Ultrason. 2020;22(1):92–96. doi: 10.11152/mu-2285
- Xu Q, Tian M, Xia J, et al. Application of ultrasonography in the diagnosis of rhabdomyolysis. Ultrasound Med Biol. 2021;47(12): 3349–3355. doi: 10.1016/j.ultrasmedbio.2021.08.012
- Long S, Garret J, Bhargava P, et al. Multimodality imaging findings in rhabdomyolysis and a brief review of differential diagnoses. Emerg Radiol. 2017;24(4):387–392. doi: 10.1007/s10140-017-1512-8
- Boyle J, Marks P, Read J. Rectus abdominis rhabdomyolysis: report of 2 cases: rectus abdominis rhabdomyolysis. J Uultrasound Med. 2017;36(10):2165–2171. doi: 10.1002/jum.14242
- Nassar A, Talbot R, Grant A, et al. Rapid diagnosis of rhabdomyolysis with point-of-care ultrasound. West J Emerg Med. 2016;17(6):801–804. doi: 10.5811/westjem.2016.8.31255
- Brockmann K, Becker P, Schreiber G, et al. Sensitivity and specificity of qualitative muscle ultrasound in assessment of suspected neuromuscular disease in childhood. NMD. 2007;17(7):517–523. doi: 10.1016/j.nmd.2007.03.015
- Litvinenko IV, Zhivolupov SA, Bardakov SN, et al. Inflammatory myopathies: pathogenesis, clinic, diagnosis, treatment. Bulletin of the Russian Military Medical Academy. 2015;51(3):217–226. (In Russ.)
- Nevzorova MS, Vysotin SA, Saifitova AT. Possibilities of modern methods of elastography. International Student Scientific Bulletin. 2018;(1):28. (In Russ.)
- Rotemberg V, Palmeri M, Nightingale R, et al. The impact of hepatic pressurization on liver shear wave speed estimates in constrained versus unconstrained conditions. Phys Med Biol. 2012;57(2);329–341. doi: 10.1088/0031-9155/57/2/329
- Dirrichs T, Quack V, Gatz M, et al. Shear wave elastography (SWE) for the evaluation of patients with tendinopathies. Academic Radiology. 2016;23(10):1204–1213. doi: 10.1016/j.acra.2016.05.012
- Lacourpaille L, Gross R, Hug F, et al. Effects of Duchenne muscular dystrophy on muscle stiffness and response to electrically-induced muscle contraction: A 12-month follow-up. Neuromuscular Disorders. 2017;27(3):214–220. doi: 10.1016/j.nmd.2017.01.001
- Pichiecchio A, Alessand F, Bortolotto C, et al. Muscle ultrasound elastography and MRI in preschool children with Duchenne muscular dystrophy. Neuromuscular Disords. 2018;28(6):476–483. doi: 10.1016/j.nmd.2018.02.007
- Fedorova AA, Kutepov DE, Zubarev AV. Evaluation of the structure of the quadriceps of the thigh muscle in a patient with rhabdomyolysis. Lechenie i profilaktika. 2019;9(4):87–91. (In Russ.)
- Agten CA, Buck FM, Dyer L, et al. Delayed-onset muscle soreness: temporal assessment with quantitative MRI and shear-wave ultrasound elastography. AJR Am J Roentgenol. 2016;208(2): 402–412. doi: 10.2214/ajr.16.16617
- Alfuraih AM, O’Connor P, Tan AL, et al. An investigation into the variability between different shear wave elastography systems in muscle. Med Ultrason. 2017;19(4):392–400. doi: 10.11152/mu-1113
- Botar-Jid C, Damian L, Dudea SM, et al. The contribution of ultrasonography and sonoelastography in assessment of myositis. Med Ultrason. 2010;12(2):120–126.
补充文件
