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体外超声对桡骨的评估。

Ultrasonic assessment of the radius in vitro.

作者信息

Le Floch Vincent, Luo Gangming, Kaufman Jonathan J, Siffert Robert S

机构信息

Ecole Nationale Superieure d'Arts et Metiers, Aix-en-Provence, Provence-Alpes-Cote-d'Azur, France.

出版信息

Ultrasound Med Biol. 2008 Dec;34(12):1972-9. doi: 10.1016/j.ultrasmedbio.2008.05.010. Epub 2008 Aug 9.

DOI:10.1016/j.ultrasmedbio.2008.05.010
PMID:18692295
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2607572/
Abstract

The overall objective of this research is to develop an ultrasonic system for noninvasive assessment of the distal radius. The specific objective of this study was to examine the relationship between geometrical features of cortical bone and ultrasound measurements in vitro. Nineteen radii were measured in through transmission in a water bath. A 3.5 MHz rectangular (1 cm x 4.8 cm) single element transducer served as the source and a 3.5 MHz rectangular (1 cm x 4.8 cm) linear array transducer served as the receiver. The linear array consisted of 64 elements with a pitch of 0.75 mm. Ultrasound measurements were carried out at a location that was 1/3rdrd of the length from the distal end of each radius and two net time delay parameters, tau(NetDW) and tau(NetCW), associated with a direct wave (DW) and a circumferential wave (CW), respectively, were evaluated. The cortical thickness (CT), medullar thickness (MT) and cross-sectional area (CSA) of each radius was also evaluated based on a digital image of the cross-section at the 1/3rd location. The linear correlations between CT and tau(NetDW) was r = 0.91 (p < 0.001) and between MT and tau(NetCW) - tau(NetDW) was r = 0.63 (p < 0.05). The linear correlation between CSA and a nonlinear combination of the two net time delays, tau(NetDW) and tau(NetCW), was r = 0.95 (p < 0.001). The study shows that ultrasound measurements can be used to noninvasively assess cortical bone geometrical features in vitro as represented by cortical thickness, medullar thickness and cross-sectional area.

摘要

本研究的总体目标是开发一种用于无创评估桡骨远端的超声系统。本研究的具体目标是在体外研究皮质骨几何特征与超声测量之间的关系。在水浴中通过透射对19根桡骨进行测量。一个3.5兆赫兹的矩形(1厘米×4.8厘米)单元素换能器作为声源,一个3.5兆赫兹的矩形(1厘米×4.8厘米)线性阵列换能器作为接收器。线性阵列由64个元件组成,间距为0.75毫米。在距每根桡骨远端长度的1/3处进行超声测量,并分别评估与直达波(DW)和圆周波(CW)相关的两个净时延参数tau(NetDW)和tau(NetCW)。还基于在1/3位置处的横截面数字图像评估每根桡骨的皮质厚度(CT)、髓腔厚度(MT)和横截面积(CSA)。CT与tau(NetDW)之间的线性相关系数r = 0.91(p < 0.001),MT与tau(NetCW) - tau(NetDW)之间的线性相关系数r = 0.63(p < 0.05)。CSA与两个净时延tau(NetDW)和tau(NetCW)的非线性组合之间的线性相关系数r = 0.95(p < 0.001)。该研究表明,超声测量可用于在体外无创评估以皮质厚度、髓腔厚度和横截面积表示的皮质骨几何特征。

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本文引用的文献

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Ultrasound simulation in bone.骨骼中的超声模拟
IEEE Trans Ultrason Ferroelectr Freq Control. 2008;55(6):1205-18. doi: 10.1109/TUFFC.2008.784.
2
Ultrasound simulation in the distal radius using clinical high-resolution peripheral-CT images.使用临床高分辨率外周CT图像对桡骨远端进行超声模拟。
Ultrasound Med Biol. 2008 Aug;34(8):1317-26. doi: 10.1016/j.ultrasmedbio.2008.01.006. Epub 2008 Mar 14.
3
Finite element analysis based on in vivo HR-pQCT images of the distal radius is associated with wrist fracture in postmenopausal women.基于绝经后女性桡骨远端体内高分辨率外周定量CT图像的有限元分析与腕部骨折相关。
J Bone Miner Res. 2008 Mar;23(3):392-9. doi: 10.1359/jbmr.071108.
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Ultrasonically determined thickness of long cortical bones: two-dimensional simulations of in vitro experiments.超声测定长皮质骨的厚度:体外实验的二维模拟
J Acoust Soc Am. 2007 Sep;122(3):1818. doi: 10.1121/1.2756758.
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A portable real-time ultrasonic bone densitometer.一种便携式实时超声骨密度仪。
Ultrasound Med Biol. 2007 Sep;33(9):1445-52. doi: 10.1016/j.ultrasmedbio.2007.04.007. Epub 2007 Jun 27.
6
Assessment of the cortical bone thickness using ultrasonic guided waves: modelling and in vitro study.使用超声导波评估皮质骨厚度:建模与体外研究。
Ultrasound Med Biol. 2007 Feb;33(2):254-62. doi: 10.1016/j.ultrasmedbio.2006.07.038.
7
Variation of ultrasonic parameters with microstructure and material properties of trabecular bone: a 3D model simulation.超声参数随松质骨微观结构和材料特性的变化:三维模型模拟
J Bone Miner Res. 2007 May;22(5):665-74. doi: 10.1359/jbmr.070209.
8
Alterations of cortical and trabecular architecture are associated with fractures in postmenopausal women, partially independent of decreased BMD measured by DXA: the OFELY study.皮质骨和小梁骨结构改变与绝经后女性骨折相关,部分独立于双能X线吸收法(DXA)测量的骨密度降低:OFELY研究。
J Bone Miner Res. 2007 Mar;22(3):425-33. doi: 10.1359/jbmr.061206.
9
Ultrasonic bone assessment: "the time has come".超声骨评估:“时机已至”。
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Quantitative Ultrasound--it is time to focus research efforts.定量超声——是时候集中研究精力了。
Bone. 2007 Jan;40(1):9-13. doi: 10.1016/j.bone.2006.07.014. Epub 2006 Sep 1.