Sugimoto Katsutoshi, Moriyasu Fuminori, Oshiro Hisashi, Takeuchi Hirohito, Yoshimasu Yu, Kasai Yoshitaka, Furuichi Yoshihiro, Itoi Takao
Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan.
Department of Gastroenterology and Hepatology, International University of Health and Welfare, Sanno Hospital, Tokyo, Japan.
Ultrasound Med Biol. 2018 Sep;44(9):2018-2024. doi: 10.1016/j.ultrasmedbio.2018.05.008. Epub 2018 Jun 21.
To investigate the usefulness of shear-wave speed and dispersion slope measurements obtained, using an ultrasound elastography system in rat livers with various degrees of necroinflammation and fibrosis. A total of 25 male Sprague Dawley rats were randomly divided into 5 groups of 5 rats each: G0 (control), G1 (CCl injected twice a week for 1 wk), G2 (CCl injected four times a wk for 1 wk), G3 (CCl injected twice a wk for 6 wk) and G4 (CCl injected twice a wk for 10 wk). The shear-wave speed (m/s) and the dispersion slope ([m/s]/kHz) were measured. Histologic features (inflammation, necrosis and fibrosis) were used as reference standards. In multivariable analysis with histologic features as independent variables, the fibrosis grade was significantly related to shear-wave speed (p < 0.05) and the necrosis grade was significantly related to dispersion slope (p < 0.05). Dispersion slope is more useful than shear-wave speed for predicting the degree of necroinflammation.
为研究使用超声弹性成像系统获得的剪切波速度和频散斜率测量值在不同程度坏死性炎症和纤维化大鼠肝脏中的应用价值。总共25只雄性Sprague Dawley大鼠被随机分为5组,每组5只:G0(对照组)、G1(每周注射2次四氯化碳,共1周)、G2(每周注射4次四氯化碳,共1周)、G3(每周注射2次四氯化碳,共6周)和G4(每周注射2次四氯化碳,共10周)。测量剪切波速度(米/秒)和频散斜率([米/秒]/千赫)。组织学特征(炎症、坏死和纤维化)用作参考标准。在以组织学特征为自变量的多变量分析中,纤维化分级与剪切波速度显著相关(p<0.05),坏死分级与频散斜率显著相关(p<0.05)。频散斜率在预测坏死性炎症程度方面比剪切波速度更有用。