Reliability and methodology of quantitative assessment of harvested and unharvested patellar tendons of ACL injured athletes using ultrasound tissue characterization

<p>Ultrasound tissue characterization (UTC) imaging has been previously used to describe the characteristics of patellar and Achilles tendons. UTC imaging compares and correlates successive ultrasonographic transverse tendon images to calculate the distribution of four color-coded echo-types t...

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Main Author: Carla S. Pereira (14153325) (author)
Other Authors: Rafael C. G. Santos (14153328) (author), Rod Whiteley (14150088) (author), Taija Finni (287869) (author)
Published: 2019
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_version_ 1864513566571233280
author Carla S. Pereira (14153325)
author2 Rafael C. G. Santos (14153328)
Rod Whiteley (14150088)
Taija Finni (287869)
author2_role author
author
author
author_facet Carla S. Pereira (14153325)
Rafael C. G. Santos (14153328)
Rod Whiteley (14150088)
Taija Finni (287869)
author_role author
dc.creator.none.fl_str_mv Carla S. Pereira (14153325)
Rafael C. G. Santos (14153328)
Rod Whiteley (14150088)
Taija Finni (287869)
dc.date.none.fl_str_mv 2019-07-19T00:00:00Z
dc.identifier.none.fl_str_mv 10.1186/s13102-019-0124-x
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Reliability_and_methodology_of_quantitative_assessment_of_harvested_and_unharvested_patellar_tendons_of_ACL_injured_athletes_using_ultrasound_tissue_characterization/21598479
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Health sciences
Allied health and rehabilitation science
Rehabilitation
Physical Therapy, Sports Therapy and Rehabilitation
Orthopedics and Sports Medicine
dc.title.none.fl_str_mv Reliability and methodology of quantitative assessment of harvested and unharvested patellar tendons of ACL injured athletes using ultrasound tissue characterization
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p>Ultrasound tissue characterization (UTC) imaging has been previously used to describe the characteristics of patellar and Achilles tendons. UTC imaging compares and correlates successive ultrasonographic transverse tendon images to calculate the distribution of four color-coded echo-types that represent different tendon tissue types. However, UTC has not been used to describe the characteristics of patellar tendons after anterior cruciate ligament reconstruction (ACLR). The aim of this cross-sectional study was to assess the intra and inter-rater reliability of the UTC in unharvested and harvested patellar tendons of patients undergoing ACLR. Intra and inter-rater reliability of both UTC data collection and analysis were assessed. Ten harvested and twenty unharvested patellar tendons from eighteen participants were scanned twice by the same examiner. Eleven harvested and ten unharvested patellar tendons from sixteen participants were scanned and analyzed twice by two different examiners. Twenty harvested and nineteen unharvested patellar tendons from twenty-three participants were analyzed twice by two examiners. Quantification of the proportion of echo-types I, II, III and IV in the areas of interest: (1) patella apex, (2) proximal tendon, (3) mid tendon, (4) distal tendon, and overall tendon of harvested and unharvested patellar tendons all displayed excellent intra-rater reliability (ICC2,1: 0.94 to 0.99), excellent inter-rater reliability for harvested and unharvested patellar tendon scanning and analysis (ICC2,1: 0.89 to 0.98), and excellent inter-rater reliability for analysis (ICC2,1: 0.95 to 0.99). Intra-rater reliability for the measure of volume was good (ICC2,1: 0.69 harvested, 0.67 unharvested), whilst mixed results were observed for the measure of mid tendon thickness (ICC2,1: 0.88 harvested, 0.57 unharvested). Inter-rater reliability for scanning and analysis was good for volume (ICC2,1: 0.67) and excellent for thickness (ICC2,1: 0.97), while the inter-rater reliability for analysis was fair to poor for volume (ICC2,1: 0.59 harvested, 0.30 unharvested), and excellent to poor for mid tendon thickness (ICC2,1: 0.85 harvested, 0.24 unharvested). UTC imaging is a reliable tool to characterize the quality of most aspects of unharvested and harvested patellar tendons in subjects undergoing ACLR.</p><h2>Other Information</h2> <p> Published in: BMC Sports Science, Medicine and Rehabilitation<br> License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1186/s13102-019-0124-x" target="_blank">http://dx.doi.org/10.1186/s13102-019-0124-x</a></p>
eu_rights_str_mv openAccess
id Manara2_5f67c10ece0f507ba7d97a3ebb85078d
identifier_str_mv 10.1186/s13102-019-0124-x
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/21598479
publishDate 2019
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rights_invalid_str_mv CC BY 4.0
spelling Reliability and methodology of quantitative assessment of harvested and unharvested patellar tendons of ACL injured athletes using ultrasound tissue characterizationCarla S. Pereira (14153325)Rafael C. G. Santos (14153328)Rod Whiteley (14150088)Taija Finni (287869)Health sciencesAllied health and rehabilitation scienceRehabilitationPhysical Therapy, Sports Therapy and RehabilitationOrthopedics and Sports Medicine<p>Ultrasound tissue characterization (UTC) imaging has been previously used to describe the characteristics of patellar and Achilles tendons. UTC imaging compares and correlates successive ultrasonographic transverse tendon images to calculate the distribution of four color-coded echo-types that represent different tendon tissue types. However, UTC has not been used to describe the characteristics of patellar tendons after anterior cruciate ligament reconstruction (ACLR). The aim of this cross-sectional study was to assess the intra and inter-rater reliability of the UTC in unharvested and harvested patellar tendons of patients undergoing ACLR. Intra and inter-rater reliability of both UTC data collection and analysis were assessed. Ten harvested and twenty unharvested patellar tendons from eighteen participants were scanned twice by the same examiner. Eleven harvested and ten unharvested patellar tendons from sixteen participants were scanned and analyzed twice by two different examiners. Twenty harvested and nineteen unharvested patellar tendons from twenty-three participants were analyzed twice by two examiners. Quantification of the proportion of echo-types I, II, III and IV in the areas of interest: (1) patella apex, (2) proximal tendon, (3) mid tendon, (4) distal tendon, and overall tendon of harvested and unharvested patellar tendons all displayed excellent intra-rater reliability (ICC2,1: 0.94 to 0.99), excellent inter-rater reliability for harvested and unharvested patellar tendon scanning and analysis (ICC2,1: 0.89 to 0.98), and excellent inter-rater reliability for analysis (ICC2,1: 0.95 to 0.99). Intra-rater reliability for the measure of volume was good (ICC2,1: 0.69 harvested, 0.67 unharvested), whilst mixed results were observed for the measure of mid tendon thickness (ICC2,1: 0.88 harvested, 0.57 unharvested). Inter-rater reliability for scanning and analysis was good for volume (ICC2,1: 0.67) and excellent for thickness (ICC2,1: 0.97), while the inter-rater reliability for analysis was fair to poor for volume (ICC2,1: 0.59 harvested, 0.30 unharvested), and excellent to poor for mid tendon thickness (ICC2,1: 0.85 harvested, 0.24 unharvested). UTC imaging is a reliable tool to characterize the quality of most aspects of unharvested and harvested patellar tendons in subjects undergoing ACLR.</p><h2>Other Information</h2> <p> Published in: BMC Sports Science, Medicine and Rehabilitation<br> License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1186/s13102-019-0124-x" target="_blank">http://dx.doi.org/10.1186/s13102-019-0124-x</a></p>2019-07-19T00:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1186/s13102-019-0124-xhttps://figshare.com/articles/journal_contribution/Reliability_and_methodology_of_quantitative_assessment_of_harvested_and_unharvested_patellar_tendons_of_ACL_injured_athletes_using_ultrasound_tissue_characterization/21598479CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/215984792019-07-19T00:00:00Z
spellingShingle Reliability and methodology of quantitative assessment of harvested and unharvested patellar tendons of ACL injured athletes using ultrasound tissue characterization
Carla S. Pereira (14153325)
Health sciences
Allied health and rehabilitation science
Rehabilitation
Physical Therapy, Sports Therapy and Rehabilitation
Orthopedics and Sports Medicine
status_str publishedVersion
title Reliability and methodology of quantitative assessment of harvested and unharvested patellar tendons of ACL injured athletes using ultrasound tissue characterization
title_full Reliability and methodology of quantitative assessment of harvested and unharvested patellar tendons of ACL injured athletes using ultrasound tissue characterization
title_fullStr Reliability and methodology of quantitative assessment of harvested and unharvested patellar tendons of ACL injured athletes using ultrasound tissue characterization
title_full_unstemmed Reliability and methodology of quantitative assessment of harvested and unharvested patellar tendons of ACL injured athletes using ultrasound tissue characterization
title_short Reliability and methodology of quantitative assessment of harvested and unharvested patellar tendons of ACL injured athletes using ultrasound tissue characterization
title_sort Reliability and methodology of quantitative assessment of harvested and unharvested patellar tendons of ACL injured athletes using ultrasound tissue characterization
topic Health sciences
Allied health and rehabilitation science
Rehabilitation
Physical Therapy, Sports Therapy and Rehabilitation
Orthopedics and Sports Medicine