Quantitative Ultrasound Texture Analysis to Assess the Spastic Muscles in Stroke Patients

This study aimed to investigate the feasibility of sonoelastography for determining echotexture in post-stroke patients. Moreover, the relationships of muscle echotexture features, muscle stiffness, and functional performance in spastic muscle were explored. The study population comprised 22 males w...

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Main Authors: Peng-Ta Liu, Ta-Sen Wei, Congo Tak-Shing Ching
Format: Article
Language:English
Published: MDPI AG 2020-12-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/11/1/11
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author Peng-Ta Liu
Ta-Sen Wei
Congo Tak-Shing Ching
author_facet Peng-Ta Liu
Ta-Sen Wei
Congo Tak-Shing Ching
author_sort Peng-Ta Liu
collection DOAJ
description This study aimed to investigate the feasibility of sonoelastography for determining echotexture in post-stroke patients. Moreover, the relationships of muscle echotexture features, muscle stiffness, and functional performance in spastic muscle were explored. The study population comprised 22 males with stroke. The echotexture features (entropy and energy) of the biceps brachii muscles (BBM) in both arms were extracted by local binary pattern (LBP) from ultrasound images, whereas the stiffness of BBM was assessed by shear wave velocity (SWV) in the transverse and longitudinal planes. The Fugl–Meyer assessment (FMA) was used to assess the functional performance of the upper arm. The results showed that echotexture was more inhomogeneous in the paretic BBM than in the non-paretic BBM. SWV was significantly faster in paretic BBM than in non-paretic BBM. Both echotexture features were significantly correlated with SWV in the longitudinal plane. The feature of energy was significantly negatively correlated with FMA in the longitudinal plane and was significantly positively correlated with the duration from stroke onset in the transverse plane. The echotexture extracted by LBP may be a promising approach for quantitative assessment of the spastic BBM in post-stroke patients.
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spelling doaj.art-28974a4876d84812b9ec26353fef5f882023-11-21T02:07:33ZengMDPI AGApplied Sciences2076-34172020-12-011111110.3390/app11010011Quantitative Ultrasound Texture Analysis to Assess the Spastic Muscles in Stroke PatientsPeng-Ta Liu0Ta-Sen Wei1Congo Tak-Shing Ching2Graduate Institute of Biomedical Engineering, National Chung Hsing University, Taichung 402, TaiwanFall Prevention Center and Department of Physical Medicine & Rehabilitation, Changhua Christian Hospital, Changhua 500, TaiwanGraduate Institute of Biomedical Engineering, National Chung Hsing University, Taichung 402, TaiwanThis study aimed to investigate the feasibility of sonoelastography for determining echotexture in post-stroke patients. Moreover, the relationships of muscle echotexture features, muscle stiffness, and functional performance in spastic muscle were explored. The study population comprised 22 males with stroke. The echotexture features (entropy and energy) of the biceps brachii muscles (BBM) in both arms were extracted by local binary pattern (LBP) from ultrasound images, whereas the stiffness of BBM was assessed by shear wave velocity (SWV) in the transverse and longitudinal planes. The Fugl–Meyer assessment (FMA) was used to assess the functional performance of the upper arm. The results showed that echotexture was more inhomogeneous in the paretic BBM than in the non-paretic BBM. SWV was significantly faster in paretic BBM than in non-paretic BBM. Both echotexture features were significantly correlated with SWV in the longitudinal plane. The feature of energy was significantly negatively correlated with FMA in the longitudinal plane and was significantly positively correlated with the duration from stroke onset in the transverse plane. The echotexture extracted by LBP may be a promising approach for quantitative assessment of the spastic BBM in post-stroke patients.https://www.mdpi.com/2076-3417/11/1/11echotexturelocal binary pattern (LBP)shear wave velocityspasticitystroke
spellingShingle Peng-Ta Liu
Ta-Sen Wei
Congo Tak-Shing Ching
Quantitative Ultrasound Texture Analysis to Assess the Spastic Muscles in Stroke Patients
Applied Sciences
echotexture
local binary pattern (LBP)
shear wave velocity
spasticity
stroke
title Quantitative Ultrasound Texture Analysis to Assess the Spastic Muscles in Stroke Patients
title_full Quantitative Ultrasound Texture Analysis to Assess the Spastic Muscles in Stroke Patients
title_fullStr Quantitative Ultrasound Texture Analysis to Assess the Spastic Muscles in Stroke Patients
title_full_unstemmed Quantitative Ultrasound Texture Analysis to Assess the Spastic Muscles in Stroke Patients
title_short Quantitative Ultrasound Texture Analysis to Assess the Spastic Muscles in Stroke Patients
title_sort quantitative ultrasound texture analysis to assess the spastic muscles in stroke patients
topic echotexture
local binary pattern (LBP)
shear wave velocity
spasticity
stroke
url https://www.mdpi.com/2076-3417/11/1/11
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