Skip to main content

Table 3 Study characteristics and main results

From: Use and applicability of magnetic resonance elastography of the lumbar spine in adults: a scoping review

Author, year, country

Number of participants

Total (women/men)

Age range

Weight or BMI ± standarddeviation

Study sample

In vivo measures

Main results

Intervertebral disc

Streitberger, 2015, Germany

16 (3/13)

31 years (range 25–50 years)

NA

Asymptomatic

Shear stiffness

Phase angle

OSS-SNR

Pfirrmann score vs. stiffness

Reproducibility

Shear stiffness |G*| decreased with increased Pfirrmann score.

Phase angle φ unchanged.

Diurnal changes were ~ 11% for |G*| and φ.

Shear wave images were reliable based on OSS-SNR.

Wavelengths decreased with increasing excitation frequency.

Walter, 2017, USA

47 (17/30)

20–71 years

NA

Asymptomatic

Shear stiffness

Pfirrmann vs. stiffness

Repeatability

No notable variation between morning and afternoon scans.

Shear stiffness varied across IVD levels.

Shear stiffness increased with increasing Pfirrmann score.

Weak correlation between age and shear stiffness.

Co, 2022, USA

28 (13/15)

19–55 years

NA

Asymptomatic

Shear stiffness

Repeatability

Reproducibility

OSS-SNR

Good correlation between SE-EPI and GRE derived shear stiffness

OSS-SNR not significantly different between SE-EPI and GRE

SE-EPI generated highly reproducible and repeatable stiffness measurements

SE-EPI reduced scan time by 51%

Paraspinal muscles

Creze, 2018, France

7 (4/3)

25.6 ± 6 years

Weight: 65 ± 12 kg

Asymptomatic

Shear stiffness at rest, stretch and contract

No significant difference in shear stiffness between left and right.

Variations between relaxed, stretched and contracted states.

Significant difference in shear stiffness between erector spinae and multifidus at rest and stretch, but not during contraction.

Wang, 2019, Taiwan

66 (31/35)

28.4 ± 8.4 years (range 19–60)

NA

Asymptomatic

Shear stiffness

With/without Kinesio Tape

Different ROI sizes and depths

Repeatability

Taped side exhibited significant decrease in shear stiffness vs. non-taped side at superficial depth. Deeper muscle layers were non-significant.

No significant difference in shear stiffness between genders.

No significant correlation between taping directions and stiffness changes.

Moderate repeatability.

Hsieh, 2022, Taiwan

80 (40/40)

38.6 ± 11.2 years (range 21–60)

NA

Asymptomatic

Shear stiffness

Reproducibility

Technical failure rate

Technical failure rate was 0-2.5%.

Quality score (0–15) was 7.31–7.71.

Mean CV ~ 25.24%±6.95 (low reproducibility).

Chevalier, 2023, France

17 (11/6)

28 ± 4 years

BMI: 21.3 ± 2.4

Asymptomatic

Shear stiffness

Repeatability

Reproducibility

Technical failure rate

Excellent interobserver agreement.

Within-day reproducibility fair to good.

Inter-day reproducibility poor (erector spinae), excellent (multifidus).

Reproducibility after relocating the actuator was excellent.

Technical failure rate of 2.5%.

Significant differences in stiffness for multifidus across different slices and scans.

Psoas Major

Numano, 2015, Japan

3 males

NA

NA

Asymptomatic

Shear stiffness

Shear stiffness was measured in vivo.

Sensitivity to vibration increased in later TE.

Lumbar spine transferred vibrations to psoas major.

Numano, 2019, Japan

7 males

20–25 years

NA

Asymptomatic

Shear stiffness

Mean oscillation amplitude

MAV exhibited higher values in AP compared to LR readout direction.

Different vibration pads placements significantly influenced MAV.

Shear stiffness remained consistent across different vibration pad positions.

Habe, 2021, Japan

9 males

23.4 ± 5.5 years

NA

Asymptomatic

Shear stiffness

Reproducibility

Repeatability

Discomfort score

Low discomfort score for developed actuator.

Repeatability coefficient close to the QIBA standard.

Exceptional reproducibility.

Habe, 2022, Japan

9 males

23.1 ± 2.1 years

64.2 ± 6.8 kg

Asymptomatic

Shear stiffness

T2 and ADC maps

Exercise

Significant shifts in shear stiffness, T2 values and ADCs over various post-exercise durations compared to pre-exercise values.

Hsieh,

2022, Taiwan

80 (40/40)

38.6 ± 11.2 years (range 21–60)

NA

Asymptomatic

Shear stiffness

Reproducibility

Technical failure rate

Technical failure rate 60-66.3%.

Quality score (0–15) was 1.83–2.06.

Mean CV ~ 21.95+-4.82 (low reproducibility).

  1. Overview of study characteristics such as subject demographics, in vivo measures and main results. NA = Not Available. OSS-SNR = octahedral shear strain-based measure of SNR. AP = Anterior/Posterior. LR = Left/Right. TE = Time Echo. MAV = Mean Oscillation Amplitude. ROI = Region of Interest. QIBA = Quantitative Imaging Biomarkers Alliance. SE-EPI = Spin Echo Echo Planar Imaging. GE = Gradient Echo