Ultrasound Elastography in Musculoskeletal Disorders: From Bench to Bedside

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Medical Imaging and Theranostics".

Deadline for manuscript submissions: 28 February 2026 | Viewed by 696

Special Issue Editor


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Guest Editor
Graduate School of Science and Technology, Gunma University, 1-5-1 Tenjin-cho, Kiryu-shi 376-8515, Japan
Interests: shear wave elastography; ultrasound imaging; tissue characterization by ultrasound; elastic properties of biological tissue; portable ultrasonic echo device

Special Issue Information

Dear Colleagues,

Ultrasound elastography, particularly Shear Wave Elastography (SWE), originally developed for liver and breast imaging, has recently gained traction in the field of musculoskeletal ultrasound. Evaluating tissue elasticity in muscles, tendons, ligaments, fascia, and fibrotic tissue provides valuable clinical information for both diagnosis and therapeutic monitoring. SWE has shown utility in musculoskeletal disorders such as tendinopathies, muscle injuries, myofascial pain syndromes, and post-surgical tissue healing. Furthermore, its ability to quantify biomechanical properties in real time has expanded its use beyond traditional clinical settings to rehabilitation rooms, sports facilities, and even bedside monitoring.

However, musculoskeletal elastography faces unique challenges. Tissues often exceed the measurable elasticity range of conventional systems, while imaging small or complex structures (e.g., tendons, ligaments) demands higher spatial resolution than standard ultrasound typically offers. Additionally, standardized protocols and diagnostic thresholds for musculoskeletal applications remain under development.

This Special Issue highlights recent advances in ultrasound elastography technology, its clinical applications in orthopedics, rehabilitation, and sports medicine, and ongoing standardization efforts. We invite original research, technical developments, and comprehensive reviews to foster multidisciplinary collaboration and further establish elastography as an essential tool in diagnostics and treatment.

Prof. Dr. Yoshiki Yamakoshi
Guest Editor

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Keywords

  • ultrasound elastography
  • shear wave elastography
  • musculoskeletal ultrasound
  • tissue elasticity
  • tendon and ligament imaging
  • myofascial pain syndrome
  • sports medicine
  • rehabilitation
  • diagnostic imaging
  • muscle stiffness

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Published Papers (1 paper)

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Research

10 pages, 1093 KB  
Article
Diagnostic Accuracy of Shear Wave Elastography Versus Ultrasound in Plantar Fasciitis Among Patients with and Without Ankylosing Spondylitis
by Mahyar Daskareh, Mahsa Mehdipour Dalivand, Saeid Esmaeilian, Aseme Pourrajabi, Seyed Ali Moshtaghioon, Elham Rahmanipour, Ahmadreza Jamshidi, Majid Alikhani and Mohammad Ghorbani
Diagnostics 2025, 15(15), 1967; https://doi.org/10.3390/diagnostics15151967 - 5 Aug 2025
Cited by 1 | Viewed by 557
Abstract
Background: Plantar fasciitis (PF) is a common enthesopathy in patients with ankylosing spondylitis (AS). Shear wave elastography (SWE) and the Belgrade ultrasound enthesitis score (BUSES) may detect PF, but their comparative diagnostic performance is unclear. Objective: To compare SWE with the BUSES for [...] Read more.
Background: Plantar fasciitis (PF) is a common enthesopathy in patients with ankylosing spondylitis (AS). Shear wave elastography (SWE) and the Belgrade ultrasound enthesitis score (BUSES) may detect PF, but their comparative diagnostic performance is unclear. Objective: To compare SWE with the BUSES for identifying PF in individuals with and without AS. Methods: In this cross-sectional study, 96 participants were stratified into AS and non-AS populations, each further divided based on the presence or absence of clinical PF. Demographic data, the American Orthopedic Foot and Ankle Society Score (AOFAS), and the BASDAI score were recorded. All subjects underwent grayscale ultrasonography, the BUSES scoring, and SWE assessment of the plantar fascia. Logistic regression models were constructed for each population, controlling for age, body mass index (BMI), and fascia–skin distance. ROC curve analyses were performed to evaluate diagnostic accuracy. Results: In both AS and non-AS groups, SWE and the BUSES were significant predictors of PF (p < 0.05). SWE demonstrated slightly higher diagnostic accuracy, with area under the curve (AUC) values of 0.845 (AS) and 0.837 (non-AS), compared to the BUSES with AUCs of 0.785 and 0.831, respectively. SWE also showed stronger adjusted odds ratios in regression models. The interobserver agreement was good to excellent for both modalities. Conclusions: Both SWE and the BUSES are effective for PF detection, with SWE offering marginally superior diagnostic performance, particularly in AS patients. SWE may enhance the early identification of biomechanical changes in the plantar fascia. Full article
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