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使用磁共振弹性成像技术量化九块大腿肌肉的弹性特性。

Quantifying the Elastic Property of Nine Thigh Muscles Using Magnetic Resonance Elastography.

作者信息

Chakouch Mashhour K, Charleux Fabrice, Bensamoun Sabine F

机构信息

Biomechanics and Bioengineering Laboratory, UMR CNRS 7338, Sorbonne University, Université de Technologie de Compiègne, Compiègne, France.

ACRIM-Polyclinique Saint Côme, Compiègne, France.

出版信息

PLoS One. 2015 Sep 23;10(9):e0138873. doi: 10.1371/journal.pone.0138873. eCollection 2015.

Abstract

BACKGROUND

Pathologies of the muscles can manifest different physiological and functional changes. To adapt treatment, it is necessary to characterize the elastic property (shear modulus) of single muscles. Previous studies have used magnetic resonance elastography (MRE), a technique based on MRI technology, to analyze the mechanical behavior of healthy and pathological muscles. The purpose of this study was to develop protocols using MRE to determine the shear modulus of nine thigh muscles at rest.

METHODS

Twenty-nine healthy volunteers (mean age = 26 ± 3.41 years) with no muscle abnormalities underwent MRE tests (1.5 T MRI). Five MRE protocols were developed to quantify the shear moduli of the nine following thigh muscles at rest: rectus femoris (RF), vastus medialis (VM), vastus intermedius (VI), vastus lateralis (VL), sartorius (Sr), gracilis (Gr), semimembranosus (SM), semitendinosus (ST), and biceps (BC). In addition, the shear modulus of the subcutaneous adipose tissue was analyzed.

RESULTS

The gracilis, sartorius, and semitendinosus muscles revealed a significantly higher shear modulus (μ_Gr = 6.15 ± 0.45 kPa, μ_ Sr = 5.15 ± 0.19 kPa, and μ_ ST = 5.32 ± 0.10 kPa, respectively) compared to other tissues (from μ_ RF = 3.91 ± 0.16 kPa to μ_VI = 4.23 ± 0.25 kPa). Subcutaneous adipose tissue had the lowest value (μ_adipose tissue = 3.04 ± 0.12 kPa) of all the tissues tested.

CONCLUSION

The different elasticities measured between the tissues may be due to variations in the muscles' physiological and architectural compositions. Thus, the present protocol could be applied to injured muscles to identify their behavior of elastic property. Previous studies on muscle pathology found that quantification of the shear modulus could be used as a clinical protocol to identify pathological muscles and to follow-up effects of treatments and therapies. These data could also be used for modelling purposes.

摘要

背景

肌肉病变可表现出不同的生理和功能变化。为了调整治疗方案,有必要对单个肌肉的弹性特性(剪切模量)进行表征。先前的研究使用磁共振弹性成像(MRE)技术(一种基于MRI技术的方法)来分析健康肌肉和病变肌肉的力学行为。本研究的目的是制定使用MRE测定九块大腿肌肉静息状态下剪切模量的方案。

方法

29名无肌肉异常的健康志愿者(平均年龄=26±3.41岁)接受了MRE测试(1.5T MRI)。制定了五种MRE方案,以量化以下九块大腿肌肉静息状态下的剪切模量:股直肌(RF)、股内侧肌(VM)、股中间肌(VI)、股外侧肌(VL)、缝匠肌(Sr)、股薄肌(Gr)、半膜肌(SM)、半腱肌(ST)和股二头肌(BC)。此外,还分析了皮下脂肪组织的剪切模量。

结果

与其他组织(从μ_RF = 3.91±0.16 kPa到μ_VI = 4.23±0.25 kPa)相比,股薄肌、缝匠肌和半腱肌的剪切模量显著更高(分别为μ_Gr = 6.15±0.45 kPa、μ_Sr = 5.15±0.19 kPa和μ_ST = 5.32±0.10 kPa)。皮下脂肪组织在所有测试组织中具有最低值(μ_脂肪组织 = 3.04±0.12 kPa)。

结论

不同组织间测量到的弹性差异可能归因于肌肉生理和结构组成的变化。因此,本方案可应用于受伤肌肉,以识别其弹性特性表现。先前关于肌肉病变的研究发现,剪切模量的量化可作为一种临床方案,用于识别病变肌肉以及跟踪治疗和疗法的效果。这些数据也可用于建模目的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5c4/4580449/36aa89351497/pone.0138873.g001.jpg

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