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    pfranks@stanford.edu
    University - Student Department: Mechanical Engineering Position: Graduate

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  • Mail Code: 4040

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  • Demonstration of extended field-of-view ultrasound's potential to increase the pool of muscles for which in vivo fascicle length is measurable JOURNAL OF BIOMECHANICS Adkins, A. N., Franks, P. W., Murray, W. M. 2017; 63: 179–85

    Abstract

    Static, B-mode ultrasound is the most common method of measuring fascicle length in vivo. However, most forearm muscles have fascicles that are longer than the field-of-view of traditional ultrasound (T-US). As such, little work has been done to quantify in vivo forearm muscle architecture. The extended field-of-view ultrasound (EFOV-US) method, which fits together a sequence of B-mode images taken from a continuous ultrasound scan, facilitates direct measurements of longer, curved fascicles. Here, we test the validity and reliability of the EFOV-US method for obtaining fascicle lengths in the extensor carpi ulnaris (ECU). Fascicle lengths from images of the ECU captured in vivo with EFOV-US were compared to lengths from a well-established method, T-US. Images were collected in a joint posture that shortens the ECU such that entire fascicle lengths were captured within a single T-US image. Resulting measurements were not significantly different (p=0.18); a Bland-Altman test demonstrated their agreement. A novice sonographer implemented EFOV-US in a phantom and in vivo on the ECU. The novice sonographer's measurements from the ultrasound phantom indicate that the combined imaging and analysis method is valid (average error=2.2±1.3mm) and the in vivo fascicle length measurements demonstrate excellent reliability (ICC=0.97). To our knowledge, this is the first study to quantify in vivo fascicle lengths of the ECU using any method. The ability to define a muscle's architecture in vivo using EFOV-US could lead to improvements in diagnosis, model development, surgery guidance, and rehabilitation techniques.

    View details for DOI 10.1016/j.jbiomech.2017.08.012

    View details for Web of Science ID 000414818400024

    View details for PubMedID 28882331

    View details for PubMedCentralID PMC5648603