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The aim of the study is to assess the accuracy of shear wave elastography in volunteers. Shear wave elastography is a non-invasive, non-painful measure of tissue stiffness obtained using an ultrasound machine. It may be easier to think of shear wave elastography as a special type of ultrasound imaging which gives doctors a colour picture of body structures based on their stiffness.
Shear wave elastography is a quantitative ultrasound modality increasingly used to differentiate between "hard" breast cancer masses and "soft" normal tissue. Unlike strain elastography, shear wave elastography applies a non-compressive longitudinal acoustic radiation force to underlying tissues, inducing transverse shear waves. Studies in Thiel embalmed human cadavers have shown significant differences in Young's modulus between intraneural and extraneural tissue, and ready colour differentiation between tissues.
Therefore, before clinical application, we wish to measure the repeatability and reproducibility of Young's modulus of intraneural and extraneural tissue in volunteers. For measurement, a region of interest (ROI) will be selected over the appropriate nerve and adjacent tissue. The ROI results will be regarded as paired data. Paired data will be measured over and adjacent to the interscalene C5 nerve root, infraclavicular lateral cord, musculocutaneous, median, femoral, saphenous and sciatic nerves.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Healthy Volunteers | Single group of healthy male medical students at Ninewells Hospital & Medical School, Dundee. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| shear wave elastography | Device | ultrasound |
|
| Measure | Description | Time Frame |
|---|---|---|
| To determine the reproducibility of Young's modulus in volunteers using shear wave elastography | To determine the reproducibility of Young's modulus in volunteers using shear wave elastography | 4 hours |
| To determine the repeatability Young's modulus in volunteers using shear wave elastography | To determine the repeatability Young's modulus in volunteers using shear wave elastography | 4 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Video Young's Modulus | To video changes in tissue stiffness (using the elastography colour map) in concert with changes in the B-Mode image | max 2 minutes |
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Inclusion Criteria:
Exclusion Criteria:
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Study of 8 subjects - volunteer medical students. Recruitment: Male medical students at Ninewells Hospital & Medical School, Dundee.
Male medical students will be e-mailed by the chief investigator.
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| Name | Affiliation | Role |
|---|---|---|
| Graeme A McLeod, MBChB FRCA | NHS Tayside | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Anaesthesia, Ninewells Hospital & Medical School | Dundee | DD19SY | United Kingdom |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 19130163 | Background | Macfarlane AJ, Prasad GA, Chan VW, Brull R. Does regional anesthesia improve outcome after total knee arthroplasty? Clin Orthop Relat Res. 2009 Sep;467(9):2379-402. doi: 10.1007/s11999-008-0666-9. Epub 2009 Jan 7. | |
| 21122101 | Background | Evans A, Whelehan P, Thomson K, McLean D, Brauer K, Purdie C, Jordan L, Baker L, Thompson A. Quantitative shear wave ultrasound elastography: initial experience in solid breast masses. Breast Cancer Res. 2010;12(6):R104. doi: 10.1186/bcr2787. Epub 2010 Dec 1. |
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| 21320084 | Background | Liu SS, YaDeau JT, Shaw PM, Wilfred S, Shetty T, Gordon M. Incidence of unintentional intraneural injection and postoperative neurological complications with ultrasound-guided interscalene and supraclavicular nerve blocks. Anaesthesia. 2011 Mar;66(3):168-74. doi: 10.1111/j.1365-2044.2011.06619.x. |
| 20216027 | Background | Neal JM. Ultrasound-guided regional anesthesia and patient safety: An evidence-based analysis. Reg Anesth Pain Med. 2010 Mar-Apr;35(2 Suppl):S59-67. doi: 10.1097/AAP.0b013e3181ccbc96. |
| 20216019 | Background | Neal JM, Brull R, Chan VW, Grant SA, Horn JL, Liu SS, McCartney CJ, Narouze SN, Perlas A, Salinas FV, Sites BD, Tsui BC. The ASRA evidence-based medicine assessment of ultrasound-guided regional anesthesia and pain medicine: Executive summary. Reg Anesth Pain Med. 2010 Mar-Apr;35(2 Suppl):S1-9. doi: 10.1097/AAP.0b013e3181d22fe0. |