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扩散张量成像评估大鼠跟腱切断术后小腿三头肌功能障碍。

Diffusion tensor imaging assesses triceps surae dysfunction after achilles tenotomy in rats.

作者信息

Hara Yusuke, Ikoma Kazuya, Kido Masamitsu, Sukenari Tsuyoshi, Arai Yuji, Fujiwara Hiroyoshi, Kawata Mitsuhiro, Kubo Toshikazu

机构信息

Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.

Department of Anatomy and Neurobiology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.

出版信息

J Magn Reson Imaging. 2015 Jun;41(6):1541-8. doi: 10.1002/jmri.24707. Epub 2014 Jul 10.

Abstract

PURPOSE

To elucidate the relationship of diffusion tensor imaging (DTI) with structural changes and muscle function in skeletal muscle.

MATERIALS AND METHODS

The subjects were 21 12-week-old male rats. Achilles tenotomy was performed on the right legs. Proton density-weighted images and DTI (7.04T) of the triceps surae at 2 and 4 weeks posttenotomy were obtained. Eigenvalues (λ) and fractional anisotropy (FA) were calculated from the muscle images. After imaging, histological specimens of the triceps surae were prepared. The long axis and cross-sectional area of the triceps surae were measured 2 and 4 weeks postoperatively. The strength of ankle plantar flexion was measured. Correlations of DTI parameters with morphological values and muscle strength were analyzed.

RESULTS

λ1 declined after tenotomy (P < 0.01), and λ2 and λ3 declined at 4 weeks posttenotomy (P < 0.01). FA increased at 4 weeks posttenotomy (P < 0.01). Atrophy of the triceps surae was observed in the tissues images of the treatment group. The muscle belly significantly shortened postoperatively, and a decline in plantar flexion force was observed after tenotomy. Positive correlations were observed between λ1 and muscle strength (r = 0.89) and between λ1 and the length of the long axis of the muscle belly (r = 0.81).

CONCLUSION

DTI may serve as a marker of muscle function.

摘要

目的

阐明扩散张量成像(DTI)与骨骼肌结构变化及肌肉功能之间的关系。

材料与方法

选取21只12周龄雄性大鼠作为研究对象。对其右下肢进行跟腱切断术。在跟腱切断术后2周和4周获取腓肠肌的质子密度加权图像和DTI(7.04T)图像。从肌肉图像中计算特征值(λ)和分数各向异性(FA)。成像后,制备腓肠肌的组织学标本。在术后2周和4周测量腓肠肌的长轴和横截面积。测量踝关节跖屈力量。分析DTI参数与形态学值及肌肉力量之间的相关性。

结果

跟腱切断术后λ1下降(P < 0.01),跟腱切断术后4周λ2和λ3下降(P < 0.01)。跟腱切断术后4周FA增加(P < 0.01)。在治疗组的组织图像中观察到腓肠肌萎缩。术后肌腹明显缩短,跟腱切断术后观察到跖屈力下降。λ1与肌肉力量之间呈正相关(r = 0.89),λ1与肌腹长轴长度之间呈正相关(r = 0.81)。

结论

DTI可作为肌肉功能的标志物。

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