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A quantitative comparison of plantar soft tissue strainability distribution and homogeneity between ulcerated and non-ulcerated patients using ultrasound strain elastography

Patwari, Mayank, Chatzistergos, Panagiotis, Sundar, Lakshmi, CHOCKALINGAM, Nachiappan, Ramachandran, Ambadi and NAEMI, Roozbeh (2022) A quantitative comparison of plantar soft tissue strainability distribution and homogeneity between ulcerated and non-ulcerated patients using ultrasound strain elastography. Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine. 095441192210747. ISSN 0954-4119

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Abstract or description

The primary objective of this study was to develop a method that allows accurate quantification of plantar soft tissue stiffness distribution and homogeneity. The secondary aim of this study was to investigate if the differences in soft tissue stiffness distribution and homogeneity can be detected between ulcerated and non-ulcerated foot. Novel measures of individual pixel stiffness, named as quantitative strainability (QS) and relative strainability (RS) were developed. Strain Elastography data obtained from 39 (nine with active diabetic foot ulcers) patients with diabetic neuropathy. The patients with active diabetic foot ulcer had wound in parts of the foot other than the first metatarsal head and the heel where the elastography measures were conducted. RS was used to measure changes and gradients in the stiffness distribution of plantar soft tissues in participants with and without active diabetic foot ulcer. The plantar soft tissue homogeneity in superior-inferior direction in the left forefoot was found to be significantly (p < 0.05) higher in ulcerated group compared to non-ulcerated group. The assessment of homogeneity showed potentials to further explain the nature of the change in tissue that can increase internal stress. This can have implications in assessing the vulnerability to plantar soft tissue damage and ulceration in diabetes.

Item Type: Article
Additional Information: This is an Accepted Manuscript of an article published by SAGE Publications in Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine on 24 February 2022, available online: https://journals.sagepub.com/doi/10.1177/09544119221074786
Uncontrolled Keywords: Diabetes, elastography, homogeneity, plantar soft tissue, ultrasound, strainability, sonoelastography
Faculty: School of Life Sciences and Education > Sport and Exercise
Depositing User: Roozbeh NAEMI
Date Deposited: 25 Mar 2022 15:34
Last Modified: 26 Mar 2022 04:30
URI: https://eprints.staffs.ac.uk/id/eprint/7266

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