Diabetes Status is Associated With Plantar Soft Tissue Stiffness Measured Using Ultrasound Reverberant Shear Wave Elastography Approach | Zendy

Roozbeh Naemi | Zendy; Stefano E. Romero Gutierrez | Zendy; David Allan | Zendy; Gilmer Flores | Zendy; Juvenal Ormaechea | Zendy; Evelyn Gutiérrez | Zendy; Jessica Paola Casado-Peña | Zendy; Sharon Anyosa-Zavaleta | Zendy; Mauricio Juarez | Zendy; Fanny L. Casado | Zendy; Benjamín Castañeda | Zendy

Open Access

Diabetes Status is Associated With Plantar Soft Tissue Stiffness Measured Using Ultrasound Reverberant Shear Wave Elastography Approach

Author(s) -

Roozbeh Naemi,

Stefano E. Romero Gutierrez,

David Allan,

Gilmer Flores,

Juvenal Ormaechea,

Evelyn Gutiérrez,

Jessica Paola Casado-Peña,

Sharon Anyosa-Zavaleta,

Mauricio Juarez,

Fanny L. Casado,

Benjamín Castañeda

Publication year - 2020

Publication title -

journal of diabetes science and technology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.039

H-Index - 75

eISSN - 1932-3107

pISSN - 1932-2968

DOI - 10.1177/1932296820965259

Subject(s) - medicine , soft tissue , prediabetes , heel , diabetes mellitus , ultrasound , diabetic foot , elastography , body mass index , nuclear medicine , anatomy , surgery , endocrinology , type 2 diabetes , radiology

The purpose of this study was to investigate the association between the mechanical properties of plantar soft tissue and diabetes status.Method: 51 (M/F: 21/30) participants with prediabetes onset (fasting blood sugar [FBS] level > 100 mg/dL), age >18 years, and no lower limb amputation were recruited after ethical approval was granted from Pontificia Universidad Catolica del Peru ethical review board. Ultrasound reverberant shear wave elastography was used to assess the soft tissue stiffness at the 1st metatarsal head (MTH), 3rd MTH, and the heel at both feet.Results: Spearman’s rank-order correlation (rho) test indicated a significant ( P < .05) positive correlations between FBS level and the plantar soft tissue shear wave speed at the 1st MTH: rho = 0.402 (@400 Hz), rho = 0.373 (@450 Hz), rho = 0.474 (@500 Hz), rho= 0.395 (@550 Hz), and rho = 0.326 (@600 Hz) in the left foot and rho = 0.364 (@450 Hz) in the right foot. Mann-Whitney U test indicated a significantly ( P < .05) higher shear wave speed in the plantar soft tissue with the following effect sizes (r) at the 1st MTH of the left foot at all tested frequencies: r = 0.297 (@450 Hz), r = 0.345 (@500 Hz), r = 0.322 (@550 Hz), and r = 0.275 (@600 Hz), and at the 1st MTH of right foot r = 0.286 (@400 Hz) in diabetes as compared with the age and body mass index matched prediabetes group.Conclusion: An association between fasting blood sugar level and the stiffness of the plantar soft tissue with higher values of shear wave speed in diabetes versus prediabetes group was observed. This indicated that the proposed approach can improve the assessment of the severity of diabetic foot complications with potential implications in patient stratification.

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