Objectives To systematically review the current literature concerning the role of superb microvascular imaging (SMI), a novel Doppler technique that enables detection of fine vessels and slow blood flow, in the evaluation of musculoskeletal disorders. Methods An online search of the literature was conducted for the period 2013 to April 2019 and included original articles written in English language. A data analysis was performed at the end of the literature search. Results Eight original articles with prospective design and one with retrospective design were included in this review: 4 studies focused on rheumatoid arthritis, 2 on rheumatoid and other arthritides, 1 on lateral epicondylosis and 2 on carpal tunnel syndrome. Sample size ranged from 26 to 83 patients. Despite some methodological differences, all studies compared the performance of SMI with that of a conventional Doppler technique such as power and color Doppler and found an improvement in vascularity detection with SMI. The main variations were in sample size, evaluated parameters and vascularity interpretation methods. Inter-observer agreement for SMI ranged from moderate to excellent. Conclusions SMI is a promising tool for the diagnosis and treatment planning of different musculoskeletal disorders. Future investigations should include larger samples of patients with long-term follow-up.

Superb microvascular imaging (SMI) in the evaluation of musculoskeletal disorder s: a systematic review / S. Gitto, C. Messina, V. Chianca, B. Tuscano, A. Lazzara, A. Corazza, L. Pedone, D. Albano, L.M. Sconfienza. - In: LA RADIOLOGIA MEDICA. - ISSN 0033-8362. - 125:5(2020 May), pp. 481-490. [10.1007/s11547-020-01141-x]

Superb microvascular imaging (SMI) in the evaluation of musculoskeletal disorder s: a systematic review

Gitto, Salvatore;Messina, Carmelo;Tuscano, Bruno;Lazzara, Angelo;Sconfienza, Luca Maria
2020-05

Abstract

Objectives To systematically review the current literature concerning the role of superb microvascular imaging (SMI), a novel Doppler technique that enables detection of fine vessels and slow blood flow, in the evaluation of musculoskeletal disorders. Methods An online search of the literature was conducted for the period 2013 to April 2019 and included original articles written in English language. A data analysis was performed at the end of the literature search. Results Eight original articles with prospective design and one with retrospective design were included in this review: 4 studies focused on rheumatoid arthritis, 2 on rheumatoid and other arthritides, 1 on lateral epicondylosis and 2 on carpal tunnel syndrome. Sample size ranged from 26 to 83 patients. Despite some methodological differences, all studies compared the performance of SMI with that of a conventional Doppler technique such as power and color Doppler and found an improvement in vascularity detection with SMI. The main variations were in sample size, evaluated parameters and vascularity interpretation methods. Inter-observer agreement for SMI ranged from moderate to excellent. Conclusions SMI is a promising tool for the diagnosis and treatment planning of different musculoskeletal disorders. Future investigations should include larger samples of patients with long-term follow-up.
Doppler; Microflow imaging; Musculoskeletal imaging; Superb microvascular imaging; Ultrasound
Settore MED/36 - Diagnostica per Immagini e Radioterapia
4-feb-2020
LA RADIOLOGIA MEDICA
Article (author)
File in questo prodotto:
File Dimensione Formato  
10.1007_s11547-020-01141-x.pdf

non disponibili

Tipologia: Publisher's version/PDF
Dimensione 955.31 kB
Formato Adobe PDF
955.31 kB Adobe PDF   Visualizza/Apri   Richiedi una copia
Gitto2020_Article_SuperbMicrovascularImagingSMII.pdf

non disponibili

Tipologia: Publisher's version/PDF
Dimensione 890.83 kB
Formato Adobe PDF
890.83 kB Adobe PDF   Visualizza/Apri   Richiedi una copia
Pubblicazioni consigliate

Caricamento pubblicazioni consigliate

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/710076
Citazioni
  • ???jsp.display-item.citation.pmc??? 5
  • Scopus 15
  • ???jsp.display-item.citation.isi??? 16
social impact