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评估骨质疏松动物皮质骨的不同诊断技术。

Different diagnostic techniques for the assessment of cortical bone on osteoporotic animals.

作者信息

Giavaresi G, Borsari V, Fini M, Martini L, Tschon M, De Terlizzi F, Nicolini A, Carpi A, Giardino R

机构信息

Department of Experimental Surgery, Istituti Ortopedici Rizzoli, Istituto di Ricerca Codivilla-Putti, Via di Barbiano, 1/10, 40136 Bologna, Italy.

出版信息

Biomed Pharmacother. 2004 Nov;58(9):494-9. doi: 10.1016/j.biopha.2004.08.017.

Abstract

The aim of this study was to assess the capability of ultrasonography and densitometry to predict the mechanical competence of cortical bone in healthy and osteopenic rats, respectively. Thirty 10-month-old Sprague-Dawley retired breeder female rats were used and randomized into three groups of 10 animals each. A group underwent bilateral ovariectomy by dorsal approach (Ovx), another group underwent a simulated ovariectomy (Sham-Ovx), and the last group served as a sham-aged control group (Control). Sixteen weeks after surgery, the animals were euthanized and the femurs of each rat excised for ultrasonographic and densitometric measurements, and mechanical analyses. The Ovx Group had a significantly decreased amplitude dependent speed of sound (AD-SoS-about 7-8%) when compared to the other groups (p<0.0005). For Ovx animals compared with Sham-Ovx and Control rats, significant decreases in densitometric data were observed (6-13%), as well as significant decreases in femoral Max. Load (about 18%) and flexural rigidity (about 30%). The best correlation (R2=0.55, p<0.0005) found was between SoS and femoral shaft bone mineral density (SBMD). The regression coefficient R2 increased when power-law fits were used, particularly from 0.34 (p<0.001) to 0.36 (p<0.0005) in the correlation between SoS and Max. Load and from 0.21 (p<0.05) to 0.25 (p<0.01) in the correlation between SBMD and Max. Load. The ability of QUS or DXA to accurately predict the actual mechanical characteristics of bone, and in particular bone elasticity, remained relatively poor and the improvement of the power-law model did not describe exhaustively the relationships between the variables tested. The DXA and QUS capability to discriminate between ovariectomized and non-ovariectomized rats did not improve when tested together.

摘要

本研究的目的是分别评估超声检查和骨密度测定法预测健康大鼠和骨质减少大鼠皮质骨力学性能的能力。选用30只10月龄的斯普拉格-道利退休繁殖雌性大鼠,并随机分为三组,每组10只动物。一组通过背部入路进行双侧卵巢切除术(去卵巢组),另一组进行模拟卵巢切除术(假去卵巢组),最后一组作为假衰老对照组(对照组)。术后16周,对动物实施安乐死,并切除每只大鼠的股骨进行超声检查和骨密度测量以及力学分析。与其他组相比,去卵巢组的振幅依赖声速(AD-SoS)显著降低(约7-8%)(p<0.0005)。与假去卵巢组和对照组大鼠相比,去卵巢动物的骨密度数据显著降低(6-13%),股骨最大负荷(约18%)和抗弯刚度(约30%)也显著降低。发现声速(SoS)与股骨干骨矿物质密度(SBMD)之间的相关性最佳(R2=0.55,p<0.0005)。当使用幂律拟合时,回归系数R2增加,特别是在SoS与最大负荷之间的相关性中,从0.34(p<0.001)增加到0.36(p<0.0005),在SBMD与最大负荷之间的相关性中,从0.21(p<0.05)增加到0.25(p<0.01)。定量超声(QUS)或双能X线吸收法(DXA)准确预测骨实际力学特性,尤其是骨弹性的能力仍然相对较差,幂律模型的改进并未详尽描述所测试变量之间的关系。当联合测试时,DXA和QUS区分去卵巢大鼠和未去卵巢大鼠的能力并未提高。

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