Xing Fangxu, Ye Chuyang, Woo Jonghye, Stone Maureen, Prince Jerry L
Dept. Electrical and Computer Engineering, Johns Hopkins University, Baltimore, MD, US 21218.
Ctr. Advanced Medical Imaging Science, Massachusetts General Hospital, Boston, MA, US 02114.
Proc SPIE Int Soc Opt Eng. 2015 Feb 21;9413. doi: 10.1117/12.2081652.
The human tongue is composed of multiple internal muscles that work collaboratively during the production of speech. Assessment of muscle mechanics can help understand the creation of tongue motion, interpret clinical observations, and predict surgical outcomes. Although various methods have been proposed for computing the tongue's motion, associating motion with muscle activity in an interdigitated fiber framework has not been studied. In this work, we aim to develop a method that reveals different tongue muscles' activities in different time phases during speech. We use four-dimensional tagged magnetic resonance (MR) images and static high-resolution MR images to obtain tongue motion and muscle anatomy, respectively. Then we compute strain tensors and local tissue compression along the muscle fiber directions in order to reveal their shortening pattern. This process relies on the support from multiple image analysis methods, including super-resolution volume reconstruction from MR image slices, segmentation of internal muscles, tracking the incompressible motion of tissue points using tagged images, propagation of muscle fiber directions over time, and calculation of strain in the line of action, etc. We evaluated the method on a control subject and two post-glossectomy patients in a controlled speech task. The normal subject's tongue muscle activity shows high correspondence with the production of speech in different time instants, while both patients' muscle activities show different patterns from the control due to their resected tongues. This method shows potential for relating overall tongue motion to particular muscle activity, which may provide novel information for future clinical and scientific studies.
人类舌头由多个内部肌肉组成,这些肌肉在言语产生过程中协同工作。肌肉力学评估有助于理解舌头运动的产生、解释临床观察结果以及预测手术效果。尽管已经提出了各种计算舌头运动的方法,但在相互交错的纤维框架中将运动与肌肉活动相关联的研究尚未开展。在这项工作中,我们旨在开发一种方法,以揭示言语过程中不同时间阶段不同舌肌的活动情况。我们分别使用四维标记磁共振(MR)图像和静态高分辨率MR图像来获取舌头运动和肌肉解剖结构。然后,我们计算应变张量和沿肌肉纤维方向的局部组织压缩,以揭示它们的缩短模式。这个过程依赖于多种图像分析方法的支持,包括从MR图像切片进行超分辨率体积重建、内部肌肉分割、使用标记图像跟踪组织点的不可压缩运动、肌肉纤维方向随时间的传播以及作用线上应变的计算等。我们在一项受控言语任务中对一名对照受试者和两名舌切除术后患者进行了该方法的评估。正常受试者的舌肌活动在不同时刻与言语产生高度对应,而两名患者由于舌头被切除,其肌肉活动与对照呈现出不同模式。该方法显示出将整体舌头运动与特定肌肉活动相关联的潜力,这可能为未来的临床和科学研究提供新的信息。