Quantification of Pediatric Burn Scar Stiffness Using Acoustic Radiation Force Impulse Ultrasound Elastography
The purpose of this study was to quantify the stiffness of hypertrophic scars using acoustic radiation force impulse ultrasound elastography. Sixteen pediatric patients with hypertrophic scars resulting from burn injuries participated in this study (mean age: 5.13, standard deviation: 3.20). Values...
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| Published in | Ultrasound in medicine & biology Vol. 45; no. 8; pp. 1918 - 1923 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
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Elsevier Inc
01.08.2019
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| Abstract | The purpose of this study was to quantify the stiffness of hypertrophic scars using acoustic radiation force impulse ultrasound elastography. Sixteen pediatric patients with hypertrophic scars resulting from burn injuries participated in this study (mean age: 5.13, standard deviation: 3.20). Values for the elastic modulus (E) of scar and control sites were obtained. Scarred areas were found to be almost four times stiffer than control sites (scar Emean = 39.29 kPa compared with control Emean = 10.19 kPa) (p = 0.0004). Correlations between scar stiffness and clinician-reported subjective scar scale scores were not observed (rs = 0.30, p = 0.27 and rs = 0.25, p = 0.35 respectively). We found that acoustic radiation force impulse imaging can discriminate between hypertrophic scars and normal skin and should be considered a potentially valuable tool in the armamentarium of objective scar measures. Future research should focus on evaluating the technology's ability to detect scar change over time in order to determine responsiveness to treatment. |
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| AbstractList | The purpose of this study was to quantify the stiffness of hypertrophic scars using acoustic radiation force impulse ultrasound elastography. Sixteen pediatric patients with hypertrophic scars resulting from burn injuries participated in this study (mean age: 5.13, standard deviation: 3.20). Values for the elastic modulus (E) of scar and control sites were obtained. Scarred areas were found to be almost four times stiffer than control sites (scar E
= 39.29 kPa compared with control E
= 10.19 kPa) (p = 0.0004). Correlations between scar stiffness and clinician-reported subjective scar scale scores were not observed (r
= 0.30, p = 0.27 and r
= 0.25, p = 0.35 respectively). We found that acoustic radiation force impulse imaging can discriminate between hypertrophic scars and normal skin and should be considered a potentially valuable tool in the armamentarium of objective scar measures. Future research should focus on evaluating the technology's ability to detect scar change over time in order to determine responsiveness to treatment. The purpose of this study was to quantify the stiffness of hypertrophic scars using acoustic radiation force impulse ultrasound elastography. Sixteen pediatric patients with hypertrophic scars resulting from burn injuries participated in this study (mean age: 5.13, standard deviation: 3.20). Values for the elastic modulus (E) of scar and control sites were obtained. Scarred areas were found to be almost four times stiffer than control sites (scar Emean = 39.29 kPa compared with control Emean = 10.19 kPa) (p = 0.0004). Correlations between scar stiffness and clinician-reported subjective scar scale scores were not observed (rs = 0.30, p = 0.27 and rs = 0.25, p = 0.35 respectively). We found that acoustic radiation force impulse imaging can discriminate between hypertrophic scars and normal skin and should be considered a potentially valuable tool in the armamentarium of objective scar measures. Future research should focus on evaluating the technology's ability to detect scar change over time in order to determine responsiveness to treatment. |
| Author | Fish, Joel S. Doria, Andrea S. Zuccaro, Jennifer Mohanta, Arun Perez, Manuela M. |
| Author_xml | – sequence: 1 givenname: Jennifer surname: Zuccaro fullname: Zuccaro, Jennifer organization: Division of Plastic and Reconstructive Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada – sequence: 2 givenname: Manuela M. surname: Perez fullname: Perez, Manuela M. organization: Department of Diagnostic Imaging, The Hospital for Sick Children, Toronto, Ontario, Canada – sequence: 3 givenname: Arun surname: Mohanta fullname: Mohanta, Arun organization: Department of Diagnostic Imaging, The Hospital for Sick Children, Toronto, Ontario, Canada – sequence: 4 givenname: Joel S. surname: Fish fullname: Fish, Joel S. organization: Division of Plastic and Reconstructive Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada – sequence: 5 givenname: Andrea S. surname: Doria fullname: Doria, Andrea S. email: andrea.doria@sickkids.ca organization: Department of Diagnostic Imaging, The Hospital for Sick Children, Toronto, Ontario, Canada |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/31104865$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1109_TUFFC_2022_3154235 crossref_primary_10_3390_children10081296 crossref_primary_10_1016_j_ultrasmedbio_2020_08_007 crossref_primary_10_1097_SHK_0000000000002042 crossref_primary_10_1038_s41598_021_02730_0 crossref_primary_10_1016_j_burns_2020_05_009 crossref_primary_10_1016_j_ijporl_2020_110257 |
| Cites_doi | 10.3899/jrheum.140873 10.1097/01.PRS.0000122207.28773.56 10.1111/1346-8138.14713 10.1016/S0889-857X(02)00010-8 10.1016/j.ultrasmedbio.2015.06.007 10.1016/j.burns.2014.02.005 10.1177/0161734617706170 10.1016/S0305-4179(03)00052-4 10.1016/j.burns.2015.06.019 10.1016/j.burns.2011.09.021 10.1016/j.ultrasmedbio.2017.02.009 10.1007/s00330-013-2927-6 10.1097/00004630-199509000-00013 10.1016/j.ultrasmedbio.2011.05.022 10.1097/GOX.0000000000000445 10.1016/j.burns.2016.09.014 10.1097/BCR.0b013e3182374452 |
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| Keywords | Burn Imaging Acoustic radiation force impulse elastography Hypertrophic scar Ultrasound Elastography Pediatric |
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doi: 10.1097/BCR.0b013e3182374452 contributor: fullname: Lawrence |
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| SubjectTerms | Acoustic radiation force impulse elastography Acoustics Burn Burns - complications Child Child, Preschool Cicatrix - diagnostic imaging Cicatrix - etiology Cicatrix - physiopathology Elastic Modulus Elasticity Imaging Techniques - methods Elastography Female Humans Hypertrophic scar Imaging Infant Longitudinal Studies Male Pediatric Ultrasound |
| Title | Quantification of Pediatric Burn Scar Stiffness Using Acoustic Radiation Force Impulse Ultrasound Elastography |
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