Journal of Biomechanics
Acoustoelastic (AE) ultrasound image analysis is a promising non-invasive approach that uses load-dependent echo intensity changes to characterize stiffness of tendinous tissue. The purpose of this studywas to investigate whether AE can detect localized changes in tendon stiffness due to partial and full-thickness tendon tears. Ovine infraspinatus tendons with different levels of damage (Intact, 33%, 66% andfull thickness cuts initiated on the articular and bursal sides) were cyclically loaded in a mechanicaltesting system while cine ultrasound images were recorded. The load-induced changes in echo intensityon the bursal and articular side of the tendon were determined. Consistent with AE theory, theundamaged tendons exhibited an increase in echo intensity with tendon loading, reflecting the strain-stiffening behavior of the tissue. In the intact condition, the articular region demonstrated a significantlygreater increase in echo intensity during loading than the bursal region. Cuts initiated on the bursal sideresulted in a progressive decrease in echo intensity of the adjacent tissue, likely reflecting the reducedload transmission through that region. However, image intensity information was less sensitive foridentifying load transmission changes that result from partial thickness cuts initiated on the articularside. We conclude that AE approaches may be useful to quantitatively assess load-dependent changes intendon stiffness, and that disruption of AE behavior may be indicative of substantial tendon damage.
Tendon, Mechanics, Ultrasound, Acoustoelastic, Damage, Tear
Frisch, Kayt E.; Marcu, David; Baer, Geoffrey S.; Thelen, Darryl G.; and Vanderby, Ray, "Influence of Tendon Tears on Ultrasound Echo Intensity in Response to Loading" (2014). Faculty Publications - Biomedical, Mechanical, and Civil Engineering. 80.