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成年男性骨骼弦长分布的比较。

A comparison of skeletal chord-length distributions in the adult male.

作者信息

Shah Amish P, Rajon Didier A, Jokisch Derek W, Patton Phillip W, Bolch Wesley E

机构信息

Department of Biomedical Engineering, University of Florida, Gainesville, FL 32611-8300, USA.

出版信息

Health Phys. 2005 Sep;89(3):199-215. doi: 10.1097/01.hp.0000164653.55582.fd.

Abstract

In radiation protection, skeletal dose estimates are required for the tissues of the hematopoietically active bone marrow and the osteogenic cells of the trabecular and cortical endosteum. Similarly, skeletal radiation dose estimates are required in therapy nuclear medicine in order to develop dose-response functions for myelotoxicity where active bone marrow is generally the dose-limiting organ in cancer radioimmunotherapy. At the present time, skeletal dose models in both radiation protection and medical dosimetry are fundamentally reliant on a single set of chord-length distribution measurements performed at the University of Leeds in the late 1970's for a 44-y-old male subject. These distributions describe the relative frequency at which linear pathlengths are seen across both the marrow cavities and bone trabeculae in seven individual bone sites: vertebrae (cervical and lumbar), proximal femur (head and neck), ribs, cranium (parietal bone), and pelvis (iliac crest). In the present study, we present an alternative set of chord-length distribution data acquired within a total of 14 skeletal sites of a 66-y-old male subject. The University of Florida (UF) distributions are assembled via 3D image processing of microCT scans of physical sections of trabecular spongiosa at each skeletal site. In addition, a tri-linear interpolation Marching Cube algorithm is employed to smooth the digital surfaces of the bone trabeculae while chord-length measurements are performed. A review of mean chord lengths indicate that larger marrow cavities are noted on average in the UF individual for the cervical vertebrae (1,038 vs. 910 microm), lumbar vertebrae (1,479 vs. 1,233 microm), ilium (1,508 vs. 904 microm), and parietal bone (812 vs. 389 microm), while smaller marrow cavities are noted in the UF individual for the femoral head (1,043 microm vs. 1,157 microm), the femoral neck (1,454 microm vs. 1,655 microm), and the ribs (1,630 microm vs. 1,703 microm). The mean chord-lengths for the bone trabeculae show close agreement for both individuals in the ilium (approximately 240 microm) and cervical vertebrae (approximately 280 microm). Thicker trabeculae were seen on average in the UF individual for the femoral head (ratio of 1.50), femoral neck (ratio of 1.10), lumbar vertebrae (ratio of 1.29), and ribs (ratio of 1.14), while thinner trabeculae were seen on average in the UF individual for the parietal bone of the cranium (ratio of 0.92). In two bone sites, prominent discrepancies in chord distribution shape were noted between the Leeds 44-y-old male and the UF 66-y-old male: (1) the bone trabeculae in the ribs, and (2) the marrow cavities and bone trabeculae within the cranium.

摘要

在辐射防护中,需要对造血活跃的骨髓组织以及小梁和皮质骨内膜的成骨细胞进行骨骼剂量估计。同样,在治疗核医学中也需要进行骨骼辐射剂量估计,以便为骨髓毒性建立剂量反应函数,在癌症放射免疫治疗中,活跃骨髓通常是剂量限制器官。目前,辐射防护和医学剂量测定中的骨骼剂量模型基本上都依赖于20世纪70年代末在利兹大学对一名44岁男性受试者进行的一组弦长分布测量。这些分布描述了在七个个体骨骼部位(颈椎和腰椎、股骨近端(头部和颈部)、肋骨、颅骨(顶骨)和骨盆(髂嵴))的骨髓腔和骨小梁中观察到线性路径长度的相对频率。在本研究中,我们展示了一组在一名66岁男性受试者的总共14个骨骼部位获取的弦长分布数据的替代数据集。佛罗里达大学(UF)的分布是通过对每个骨骼部位的小梁海绵体物理切片的微CT扫描进行三维图像处理来组装的。此外,在进行弦长测量时,采用三线性插值移动立方体算法来平滑骨小梁的数字表面。对平均弦长的回顾表明,UF个体的颈椎(1038微米对910微米)、腰椎(1479微米对1233微米)、髂骨(1508微米对904微米)和顶骨(812微米对389微米)的骨髓腔平均较大,而UF个体的股骨头(1043微米对1157微米)、股骨颈(1454微米对1655微米)和肋骨(1630微米对1703微米)的骨髓腔较小。两个个体在髂骨(约240微米)和颈椎(约280微米)的骨小梁平均弦长显示出密切一致性。UF个体的股骨头(比例为1.50)、股骨颈(比例为1.10)、腰椎(比例为1.29)和肋骨(比例为1.14)的骨小梁平均较厚,而UF个体颅骨顶骨的骨小梁平均较薄(比例为0.92)。在两个骨骼部位,利兹44岁男性和UF 66岁男性之间的弦分布形状存在显著差异:(1)肋骨中的骨小梁,以及(2)颅骨内的骨髓腔和骨小梁。

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