Diagnostic Performance of Superb Microvascular Imaging and Other Sonographic Modalities in the Assessment of Lateral Epicondylosis

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dc.contributor.authorArslan, Serdar
dc.contributor.authorKarahan, Ali Yavuz
dc.contributor.authorOncu, Fatih
dc.contributor.authorBakdik, Suleyman
dc.contributor.authorDurmaz, Mehmet Sedat
dc.contributor.authorTolu, Ismet
dc.date.accessioned2024-02-23T12:20:15Z
dc.date.available2024-02-23T12:20:15Z
dc.date.issued2018
dc.departmentNEÜen_US
dc.description.abstractObjectives-The aim of this study was to compare the diagnostic performance of different sonographic modalities for diagnosing lateral epicondylosis. Methods-A total of 50 symptomatic and 50 asymptomatic common extensor tendons in 44 patients with lateral epicondylosis, and 25 healthy participants were prospectively examined by B-mode sonography, color Doppler imaging, power Doppler imaging, Superb Microvascular Imaging (SMI; Toshiba Medical Systems Corporation, Tokyo, Japan), and strain elastography. We evaluated blood flow in common extensor tendons by using a grading system with color Doppler imaging, power Doppler imaging, and SMI. The diagnostic performance of the modalities was compared. Results-When a cutoff value of hypoechogenicity was used for the mean strain ratio, the sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy rates were 92.0%, 94%.0, 93.9%, 92.2%, and 93.0%, respectively. When a cutoff point of grade 1 was used, the sensitivity, specificity, PPV, NPV, and accuracy rates were 26.0%, 10.0%, 10.0%, 57.5%, and 63.0, for color Doppler imaging; 40.0%, 10.0%, 10.0%, 62.5%, and 70.0% for power Doppler imaging; and 84.0%, 94.0%, 93.0%, 85.5%, and 89.0% for SMI. When a cutoff value of 3.94 was used for the mean strain ratio, the sensitivity, specificity, PPV, NPV, and accuracy rates were 78.0%, 92.0%, 90.7%, 80.7%, and 85.0%, respectively. A statistically significant correlation was detected between SMI, strain elastography, and visual analog scale scores (P < .001). Conclusions-The combination of SMI and B-mode sonography was found to have excellent diagnostic performance for lateral epicondylosis. Neovascularzation in patients' tendons with lateral epicondylosis was identified much better with SMI compared to color or power Doppler imaging.en_US
dc.identifier.doi10.1002/jum.14369
dc.identifier.endpage593en_US
dc.identifier.issn0278-4297
dc.identifier.issn1550-9613
dc.identifier.issue3en_US
dc.identifier.pmid28850740en_US
dc.identifier.scopus2-s2.0-85045844712en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage585en_US
dc.identifier.urihttps://doi.org/10.1002/jum.14369
dc.identifier.urihttps://hdl.handle.net/20.500.12452/10600
dc.identifier.volume37en_US
dc.identifier.wosWOS:000425592700006en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofJournal Of Ultrasound In Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectDoppleren_US
dc.subjectElastographyen_US
dc.subjectExtremitiesen_US
dc.subjectHigh-Frequency Imagingen_US
dc.subjectLateral Epicondylosisen_US
dc.subjectMusculoskeletalen_US
dc.subjectSonographyen_US
dc.subjectSuperb Microvascular Imagingen_US
dc.titleDiagnostic Performance of Superb Microvascular Imaging and Other Sonographic Modalities in the Assessment of Lateral Epicondylosisen_US
dc.typeArticleen_US

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