Diagnostic Accuracy of Shear Wave Elastography Versus Ultrasound in Plantar Fasciitis Among Patients with and Without Ankylosing Spondylitis
<b>Background:</b> Plantar fasciitis (PF) is a common enthesopathy in patients with ankylosing spondylitis (AS). Shear wave elastography (SWE) and the Belgrade ultrasound enthesitis score (BUSES) may detect PF, but their comparative diagnostic performance is unclear. <b>Objective:&...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2025-08-01
|
| Series: | Diagnostics |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2075-4418/15/15/1967 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849239760462151680 |
|---|---|
| author | Mahyar Daskareh Mahsa Mehdipour Dalivand Saeid Esmaeilian Aseme Pourrajabi Seyed Ali Moshtaghioon Elham Rahmanipour Ahmadreza Jamshidi Majid Alikhani Mohammad Ghorbani |
| author_facet | Mahyar Daskareh Mahsa Mehdipour Dalivand Saeid Esmaeilian Aseme Pourrajabi Seyed Ali Moshtaghioon Elham Rahmanipour Ahmadreza Jamshidi Majid Alikhani Mohammad Ghorbani |
| author_sort | Mahyar Daskareh |
| collection | DOAJ |
| description | <b>Background:</b> Plantar fasciitis (PF) is a common enthesopathy in patients with ankylosing spondylitis (AS). Shear wave elastography (SWE) and the Belgrade ultrasound enthesitis score (BUSES) may detect PF, but their comparative diagnostic performance is unclear. <b>Objective:</b> To compare SWE with the BUSES for identifying PF in individuals with and without AS. <b>Methods:</b> In this cross-sectional study, 96 participants were stratified into AS and non-AS populations, each further divided based on the presence or absence of clinical PF. Demographic data, the American Orthopedic Foot and Ankle Society Score (AOFAS), and the BASDAI score were recorded. All subjects underwent grayscale ultrasonography, the BUSES scoring, and SWE assessment of the plantar fascia. Logistic regression models were constructed for each population, controlling for age, body mass index (BMI), and fascia–skin distance. ROC curve analyses were performed to evaluate diagnostic accuracy. <b>Results:</b> In both AS and non-AS groups, SWE and the BUSES were significant predictors of PF (<i>p</i> < 0.05). SWE demonstrated slightly higher diagnostic accuracy, with area under the curve (AUC) values of 0.845 (AS) and 0.837 (non-AS), compared to the BUSES with AUCs of 0.785 and 0.831, respectively. SWE also showed stronger adjusted odds ratios in regression models. The interobserver agreement was good to excellent for both modalities. <b>Conclusions:</b> Both SWE and the BUSES are effective for PF detection, with SWE offering marginally superior diagnostic performance, particularly in AS patients. SWE may enhance the early identification of biomechanical changes in the plantar fascia. |
| format | Article |
| id | doaj-art-cb6fe088e41a4e8aa3c122c575f330b4 |
| institution | Kabale University |
| issn | 2075-4418 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj-art-cb6fe088e41a4e8aa3c122c575f330b42025-08-20T04:00:50ZengMDPI AGDiagnostics2075-44182025-08-011515196710.3390/diagnostics15151967Diagnostic Accuracy of Shear Wave Elastography Versus Ultrasound in Plantar Fasciitis Among Patients with and Without Ankylosing SpondylitisMahyar Daskareh0Mahsa Mehdipour Dalivand1Saeid Esmaeilian2Aseme Pourrajabi3Seyed Ali Moshtaghioon4Elham Rahmanipour5Ahmadreza Jamshidi6Majid Alikhani7Mohammad Ghorbani8Department of Radiology, University of California San Diego, San Diego, CA 92093, USAGuilan Rheumatology Research Center, Department of Rheumatology, Razi Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht 41346-14335, IranMedical Imaging Research Center, Shiraz University of Medical Sciences, Shiraz 71348-14336, IranCardiovascular Diseases Research Center, Department of Cardiology, Heshmat Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht 41448-95655, IranDepartment of Orthopedic and Trauma Surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran 14117-13137, IranImmunology Research Center, Mashhad University of Medical Sciences, Mashhad 91779-48564, IranDepartment of Internal Medicine, School of Medicine, Rheumatology Research Center, Shariati Hospital, Tehran University of Medical Sciences, Tehran 14117-13137, IranDepartment of Internal Medicine, School of Medicine, Rheumatology Research Center, Shariati Hospital, Tehran University of Medical Sciences, Tehran 14117-13137, IranOrthopedic Research Center, Department of Orthopedic Surgery, Mashhad University of Medical Sciences, Mashhad 91379-13131, Iran<b>Background:</b> Plantar fasciitis (PF) is a common enthesopathy in patients with ankylosing spondylitis (AS). Shear wave elastography (SWE) and the Belgrade ultrasound enthesitis score (BUSES) may detect PF, but their comparative diagnostic performance is unclear. <b>Objective:</b> To compare SWE with the BUSES for identifying PF in individuals with and without AS. <b>Methods:</b> In this cross-sectional study, 96 participants were stratified into AS and non-AS populations, each further divided based on the presence or absence of clinical PF. Demographic data, the American Orthopedic Foot and Ankle Society Score (AOFAS), and the BASDAI score were recorded. All subjects underwent grayscale ultrasonography, the BUSES scoring, and SWE assessment of the plantar fascia. Logistic regression models were constructed for each population, controlling for age, body mass index (BMI), and fascia–skin distance. ROC curve analyses were performed to evaluate diagnostic accuracy. <b>Results:</b> In both AS and non-AS groups, SWE and the BUSES were significant predictors of PF (<i>p</i> < 0.05). SWE demonstrated slightly higher diagnostic accuracy, with area under the curve (AUC) values of 0.845 (AS) and 0.837 (non-AS), compared to the BUSES with AUCs of 0.785 and 0.831, respectively. SWE also showed stronger adjusted odds ratios in regression models. The interobserver agreement was good to excellent for both modalities. <b>Conclusions:</b> Both SWE and the BUSES are effective for PF detection, with SWE offering marginally superior diagnostic performance, particularly in AS patients. SWE may enhance the early identification of biomechanical changes in the plantar fascia.https://www.mdpi.com/2075-4418/15/15/1967shear wave elastographyBelgrade ultrasound enthesitis scoreplantar fasciitisankylosing spondylitis |
| spellingShingle | Mahyar Daskareh Mahsa Mehdipour Dalivand Saeid Esmaeilian Aseme Pourrajabi Seyed Ali Moshtaghioon Elham Rahmanipour Ahmadreza Jamshidi Majid Alikhani Mohammad Ghorbani Diagnostic Accuracy of Shear Wave Elastography Versus Ultrasound in Plantar Fasciitis Among Patients with and Without Ankylosing Spondylitis Diagnostics shear wave elastography Belgrade ultrasound enthesitis score plantar fasciitis ankylosing spondylitis |
| title | Diagnostic Accuracy of Shear Wave Elastography Versus Ultrasound in Plantar Fasciitis Among Patients with and Without Ankylosing Spondylitis |
| title_full | Diagnostic Accuracy of Shear Wave Elastography Versus Ultrasound in Plantar Fasciitis Among Patients with and Without Ankylosing Spondylitis |
| title_fullStr | Diagnostic Accuracy of Shear Wave Elastography Versus Ultrasound in Plantar Fasciitis Among Patients with and Without Ankylosing Spondylitis |
| title_full_unstemmed | Diagnostic Accuracy of Shear Wave Elastography Versus Ultrasound in Plantar Fasciitis Among Patients with and Without Ankylosing Spondylitis |
| title_short | Diagnostic Accuracy of Shear Wave Elastography Versus Ultrasound in Plantar Fasciitis Among Patients with and Without Ankylosing Spondylitis |
| title_sort | diagnostic accuracy of shear wave elastography versus ultrasound in plantar fasciitis among patients with and without ankylosing spondylitis |
| topic | shear wave elastography Belgrade ultrasound enthesitis score plantar fasciitis ankylosing spondylitis |
| url | https://www.mdpi.com/2075-4418/15/15/1967 |
| work_keys_str_mv | AT mahyardaskareh diagnosticaccuracyofshearwaveelastographyversusultrasoundinplantarfasciitisamongpatientswithandwithoutankylosingspondylitis AT mahsamehdipourdalivand diagnosticaccuracyofshearwaveelastographyversusultrasoundinplantarfasciitisamongpatientswithandwithoutankylosingspondylitis AT saeidesmaeilian diagnosticaccuracyofshearwaveelastographyversusultrasoundinplantarfasciitisamongpatientswithandwithoutankylosingspondylitis AT asemepourrajabi diagnosticaccuracyofshearwaveelastographyversusultrasoundinplantarfasciitisamongpatientswithandwithoutankylosingspondylitis AT seyedalimoshtaghioon diagnosticaccuracyofshearwaveelastographyversusultrasoundinplantarfasciitisamongpatientswithandwithoutankylosingspondylitis AT elhamrahmanipour diagnosticaccuracyofshearwaveelastographyversusultrasoundinplantarfasciitisamongpatientswithandwithoutankylosingspondylitis AT ahmadrezajamshidi diagnosticaccuracyofshearwaveelastographyversusultrasoundinplantarfasciitisamongpatientswithandwithoutankylosingspondylitis AT majidalikhani diagnosticaccuracyofshearwaveelastographyversusultrasoundinplantarfasciitisamongpatientswithandwithoutankylosingspondylitis AT mohammadghorbani diagnosticaccuracyofshearwaveelastographyversusultrasoundinplantarfasciitisamongpatientswithandwithoutankylosingspondylitis |