{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T14:52:06Z","timestamp":1791643926000,"version":"4.3.4"},"reference-count":33,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T00:00:00Z","timestamp":1791590400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T00:00:00Z","timestamp":1791590400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Ultrasound Medicine"],"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To investigate the associations among diabetic peripheral neuropathy (DPN), diabetic tendinopathy, and diabetic myopathy and their respective influencing factors using shear wave elastography (SWE).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study enrolled 65 diabetic patients (22 with DPN [PN\u2010DM group], 43 without DPN [NPN\u2010DM group]) and 35 healthy controls. Their general clinical data and laboratory indicators were collected. High\u2010resolution ultrasound and SWE evaluated the morphology and elasticity of the tibial nerve (TN), Achilles tendon (AT), and medial head of gastrocnemius (MG). Parameters were compared among 3 groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Diabetic patients exhibited larger cross\u2010sectional area (CSA) and transverse diameter (TD) of the TN than controls (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.05). Longitudinal TN shear wave velocity (SWV) progressively increased from controls to NPN\u2010DM to PN\u2010DM groups. The right TN Emax (cutoff: 3.87\u2009m\/s) demonstrated the highest diagnostic accuracy for DPN, with 90.9% sensitivity and 61.8% specificity. Diabetic patients displayed significantly reduced cross\u2010sectional AT SWV, as well as lower absolute difference in pennation angle and SWV of the MG than controls (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.01). The AT's SWV and MG's \u0394SWV correlated positively (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001), but neither correlated with TN's SWV. HbA1c was independently associated with all 3 structures' elasticity (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>TN's SWV increased significantly from the control to NPN\u2010DM, and further to the PN\u2010DM group. AT and MG's elasticity decreased significantly in diabetic patients with a positive correlation, but neither correlated with TN's elasticity. HbA1c was the solely independent risk factor common to the TN, AT, and MG elasticity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jum.70502","type":"journal-article","created":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T14:35:07Z","timestamp":1791642907000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Shear Wave Elastography of the Tibial Nerve and Lower Limb Nerve\u2010Muscle\u2010Tendon Complex in Diabetic Peripheral Neuropathy"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5538-1870","authenticated-orcid":false,"given":"Pengfeng","family":"Yang","sequence":"first","affiliation":[{"name":"Department of Ultrasound Medicine, Guangdong Provincial Key Laboratory of Major Obstetric Diseases; Guangdong Provincial Clinical Research Center for Obstetrics and Gynecology The Third Affiliated Hospital, Guangzhou Medical University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianmei","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Medicine, Guangdong Provincial Key Laboratory of Major Obstetric Diseases; Guangdong Provincial Clinical Research Center for Obstetrics and Gynecology The Third Affiliated Hospital, Guangzhou Medical University  Guangzhou China"},{"name":"Department of Ultrasound Medicine The Second Affiliated Hospital of Guangdong Medical University  Zhanjiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanhong","family":"Xiao","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Medicine, Guangdong Provincial Key Laboratory of Major Obstetric Diseases; Guangdong Provincial Clinical Research Center for Obstetrics and Gynecology The Third Affiliated Hospital, Guangzhou Medical University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiaying","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Medicine, Guangdong Provincial Key Laboratory of Major Obstetric Diseases; Guangdong Provincial Clinical Research Center for Obstetrics and Gynecology The Third Affiliated Hospital, Guangzhou Medical University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"He","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Medicine, Guangdong Provincial Key Laboratory of Major Obstetric Diseases; Guangdong Provincial Clinical Research Center for Obstetrics and Gynecology The Third Affiliated Hospital, Guangzhou Medical University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,10]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.250347"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.12701\/jyms.2023.00731"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2022.869921"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp18X700169"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.4103\/jmu.jmu_109_22"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2021.110058"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpm.2016.10.002"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000045492"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ultrasmedbio.2020.07.023"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3647"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/jcu.23365"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40520-015-0391-7"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2021.719356"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.37015\/AUDT.2024.230006"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dsx.2018.03.026"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc16-2042"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-019-06573-2"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967119879052"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc12-0739"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.15557\/JoU.2020.0051"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.3760\/cma.j.cn112138-20211027-00751"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2021.109063"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1055\/a-0840-3292"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-017-2843-y"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.21037\/qims.2019.02.05"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(12)70065-0"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1155\/2021\/2482453"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2020.109038"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.21037\/atm-21-1230"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2023.1265372"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0200548"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dcn.2014.04.004"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ultrasmedbio.2023.10.005"}],"container-title":["Journal of Ultrasound in Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jum.70502","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jum.70502","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jum.70502","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T14:35:09Z","timestamp":1791642909000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jum.70502"}},"subtitle":["Elastic Alterations and Clinical Implications"],"short-title":[],"issued":{"date-parts":[[2026,10,10]]},"references-count":33,"alternative-id":["10.1002\/jum.70502"],"URL":"https:\/\/doi.org\/10.1002\/jum.70502","archive":["Portico"],"relation":{},"ISSN":["0278-4297","1550-9613"],"issn-type":[{"value":"0278-4297","type":"print"},{"value":"1550-9613","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,10]]},"assertion":[{"value":"2026-08-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"jum.70502"}}