Department of Health Technology and Informatics, Hong Kong Polytechnic University, Hong Kong, China.
Ultrasound Med Biol. 2011 Jan;37(1):112-21. doi: 10.1016/j.ultrasmedbio.2010.10.015. Epub 2010 Nov 16.
Osteoarthritis (OA) produces degenerative changes both in articular cartilage and subchondral bone. During OA, reflection of high frequency ultrasound from the cartilage-bone interface is affected by both changes in attenuation of the cartilage layer and acoustic properties of the interface. The objective of this study was to experimentally investigate the spectral content of ultrasound reflection from the cartilage-bone interface. Specifically, we analyzed the center frequency and -6 dB bandwidth of the broadband high-frequency (40 MHz) ultrasound signal. Intact bovine articular cartilage samples with and without the underlying subchondral bone (n = 6) were measured in vitro using a commercial high-frequency ultrasound scanner. Furthermore, the diagnostic potential of the measurement of center frequency and bandwidth for OA was studied with another series of bovine articular cartilage samples (n = 40) after enzymatic degradations of tissue proteoglycans and collagen. Compared with the reference spectrum at the same depth from a perfect reflector, a major downshift (>51%) of the center frequency and a reduction (>42%) of the bandwidth were observed in both sample groups when analyzing the ultrasound reflection from the cartilage-bone interface. The results suggest that attenuation in the cartilage layer primarily controls the observed downshift of the center frequency and acoustic properties of the subchondral bone play only a minor role in affecting the spectrum of the cartilage-bone interface. Changes in the ultrasound bandwidth of the cartilage-bone interface signals, compared with reference signals, were found to vary more than those in the center frequency in both cartilage sample groups. Compared with pretreatment values, a significant downshift in center frequency (p < 0.01) and a minor reduction in bandwidth of spectra from the cartilage-bone interface were recorded after chemical degradation of proteoglycans with trypsin. In contrast, center frequency and bandwidth of the echoes from the cartilage-bone interface did not change after the chemical degradation of cartilage collagen fibrils. The results suggest that proteoglycan loss, typical to OA, may be detected via the changes in the center frequency of the ultrasound reflected from the cartilage-bone interface.
骨关节炎 (OA) 会导致关节软骨和软骨下骨的退行性变化。在 OA 中,软骨-骨界面的高频超声反射受到软骨层衰减和界面声特性的影响。本研究旨在实验研究软骨-骨界面超声反射的光谱内容。具体来说,我们分析了宽带高频 (40MHz) 超声信号的中心频率和-6dB 带宽。使用商用高频超声扫描仪,对有和无软骨下骨的完整牛关节软骨样本(n=6)进行了离体测量。此外,还对经组织蛋白聚糖和胶原酶降解后的另一组牛关节软骨样本(n=40)进行了中心频率和带宽测量的 OA 诊断潜力研究。与同一深度完美反射体的参考光谱相比,在分析软骨-骨界面的超声反射时,两组样本的中心频率均发生了较大的下移(>51%),带宽均减小(>42%)。结果表明,软骨层的衰减主要控制了中心频率的观察到的下移,而软骨下骨的声特性仅在一定程度上影响软骨-骨界面的光谱。与参考信号相比,两组软骨样本的软骨-骨界面信号的带宽变化大于中心频率变化。与预处理值相比,在用胰蛋白酶化学降解蛋白聚糖后,从软骨-骨界面获得的光谱的中心频率显著下移(p<0.01),带宽略有减小。相比之下,软骨胶原纤维化学降解后,软骨-骨界面回波的中心频率和带宽没有变化。结果表明,OA 中典型的蛋白聚糖丢失可能通过软骨-骨界面反射超声的中心频率变化来检测。