Two-dimensional strain ultrasound speckle tracking as a novel approach for the evaluation of right hemidiaphragmatic longitudinal deformation

Ye,Xiong; Xiao,Hui; Bai,Weiming; Liang,Yongjie; Chen,Ming; Zhang,Suiyang

doi:10.3892/etm.2013.1133

Two-dimensional strain ultrasound speckle tracking as a novel approach for the evaluation of right hemidiaphragmatic longitudinal deformation

Authors:
- Xiong Ye
- Hui Xiao
- Weiming Bai
- Yongjie Liang
- Ming Chen
- Suiyang Zhang
View Affiliations

Affiliations: Medical College of Soochow University, Suzhou, Jiangsu 215123, P.R. China, Department of Laboratory Medicine, Shanghai First People's Hospital, Shanghai Jiaotong University, Shanghai 200080, P.R. China, Department of Ultrasound, East Hospital, Tongji University, Shanghai 200120, P.R. China, Department of Respiratory Medicine, East Hospital, Tongji University, Shanghai 200120, P.R. China, Department of Respiratory Medicine, The Second Artillery General Hospital, Beijing 100088, P.R. China
Published online on: May 30, 2013 https://doi.org/10.3892/etm.2013.1133
Pages: 368-372

Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )

Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )

Cited By (CrossRef): 0 citations Loading Articles...

Abstract

The diaphragm is an important respiratory organ. The aim of this study was to quantitatively evaluate the longitudinal deformation of the right hemidiaphragm in normal subjects using two-dimensional strain ultrasound speckle tracking. Twenty-one healthy subjects were enrolled in this study. GE Healthcare Vivid E9 equipment with M5S probe and Q-analysis software were used. Negative strain values first appeared in the zone of apposition and then in the crura of the right hemidiaphragm in the inspiratory phase; the dome of the diaphragm was observed to be passively stretched. The longitudinal strain of the right hemidiaphragm in the zone of apposition was higher than that in the crura in forced breathing (P=0.024). The strains of the whole diaphragm and the zone of apposition changed significantly in quiet (P=0.000) and forced breathing (P=0.005). Ultrasound strain imaging may quantitatively assess diaphragm deformation and provide another useful modality for evaluating diaphragm kinetics.

View Figures

View References

1.	Downey R: Anatomy of the normal diaphragm. Thorac Surg Clin. 21:273–279. 2011. View Article : Google Scholar
2.	Poole DC, Sexton WL, Farkas GA, Powers SK and Reid MB: Diaphragm structure and function in health and disease. Med Sci Sports Exerc. 29:738–754. 1997. View Article : Google Scholar : PubMed/NCBI
3.	Maish MS: The diaphragm. Surg Clin North Am. 90:955–968. 2010. View Article : Google Scholar
4.	Kamata S, Usui N, Sawai T, Nose K, Kamiyama M and Fukuzawa M: Radiographic changes in the diaphragm after repair of congenital diaphragmatic hernia. J Pediatr Surg. 43:2156–2160. 2008. View Article : Google Scholar : PubMed/NCBI
5.	Plathow C, Fink C, Ley S, et al: Measurement of diaphragmatic length during the breathing cycle by dynamic MRI: comparison between healthy adults and patients with an intrathoracic tumor. Eur Radiol. 14:1392–1399. 2004. View Article : Google Scholar
6.	Chen M and Siochi RA: Diaphragm motion quantification in megavoltage cone-beam CT projection images. Med Phys. 37:2312–2320. 2010. View Article : Google Scholar : PubMed/NCBI
7.	Gethin-Jones TL, Noble VE and Morse CR: Quantification of diaphragm function using ultrasound: evaluation of a novel technique. Ultrasound Med Biol. 36:1965–1969. 2010. View Article : Google Scholar : PubMed/NCBI
8.	Gerscovich EO, Cronan M, McGahan JP, Jain K, Jones CD and McDonald C: Ultrasonographic evaluation of diaphragmatic motion. J Ultrasound Med. 20:597–604. 2001.PubMed/NCBI
9.	Testa A, Soldati G, Giannuzzi R, Berardi S, Portale G and Gentiloni Silveri N: Ultrasound M-mode assessment of diaphragmatic kinetics by anterior transverse scanning in healthy subjects. Ultrasound Med Biol. 37:44–52. 2011. View Article : Google Scholar : PubMed/NCBI
10.	Ayoub J, Cohendy R, Dauzat M, et al: Non-invasive quantification of diaphragm kinetics using m-mode sonography. Can J Anaesth. 44:739–744. 1997. View Article : Google Scholar : PubMed/NCBI
11.	Houston JG, Angus RM, Cowan MD, McMillan NC and Thomson NC: Ultrasound assessment of normal hemidiaphragmatic movement: relation to inspiratory volume. Thorax. 49:500–503. 1994.PubMed/NCBI
12.	Gilman G, Khandheria BK, Hagen ME, Abraham TP, Seward JB and Belohlavek M: Strain rate and strain: a step-by-step approach to image and data acquisition. J Am Soc Echocardiogr. 17:1011–1020. 2004. View Article : Google Scholar : PubMed/NCBI
13.	Dandel M, Lehmkuhl H, Knosalla C, Suramelashvili N and Hetzer R: Strain and strain rate imaging by echocardiography - basic concepts and clinical applicability. Curr Cardiol Rev. 5:133–148. 2009. View Article : Google Scholar : PubMed/NCBI
14.	Nason LK, Walker CM, McNeeley MF, Burivong W, Fligner CL and Godwin JD: Imaging of the diaphragm: anatomy and function. Radiographics. 32:E51–E70. 2012. View Article : Google Scholar : PubMed/NCBI
15.	Cohen E, Mier A, Heywood P, Murphy K, Boultbee J and Guz A: Diaphragmatic movement in hemiplegic patients measured by ultrasonography. Thorax. 49:890–895. 1994. View Article : Google Scholar : PubMed/NCBI
16.	Kleinman BS, Frey K, VanDrunen M, et al: Motion of the diaphragm in patients with chronic obstructive pulmonary disease while spontaneously breathing versus during positive pressure breathing after anesthesia and neuromuscular blockade. Anesthesiology. 97:298–305. 2002. View Article : Google Scholar
17.	Boussuges A, Gole Y and Blanc P: Diaphragmatic motion studied by m-mode ultrasonography: methods, reproducibility, and normal values. Chest. 135:391–400. 2009. View Article : Google Scholar : PubMed/NCBI
18.	Perk G, Tunick PA and Kronzon I: Non-Doppler two-dimensional strain imaging by echocardiography - from technical considerations to clinical applications. J Am Soc Echocardiogr. 20:234–243. 2007. View Article : Google Scholar : PubMed/NCBI
19.	Boriek AM, Wilson TA and Rodarte JR: Displacements and strains in the costal diaphragm of the dog. J Appl Physiol. 76:223–229. 1994.PubMed/NCBI
20.	Suzuki M, Suzuki S, Akahori T, et al: Patterns of inspiratory muscle shortening during hypoxia and hypercapnia in dogs. Eur Respir J. 10:430–436. 1997. View Article : Google Scholar : PubMed/NCBI