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磁共振成像灌注技术在兔跟腱损伤评估中的应用

MAGNETIC RESONANCE IMAGING PERFUSION TECHNIQUE IN THE EVALUATION OF ACHILLES TENDON INJURY IN RABBITS.

作者信息

Tavares Wilson Campos, Paulino Eduardo, Magalhaes Maria Angélica Baron, Fonseca Ana Clara Guimarães Gabrich, Rodrigues João Bernardo Sancio Rocha, Resende Vivian

机构信息

Faculdade de Medicina da Universidade Federal de Minas Gerais (UFMG), Department of Surgery, Belo Horizonte, MG, Brazil.

Faculdade de Medicina da Universidade Federal de Minas Gerais (UFMG), Departamento de Anatomia Patológica, Belo Horizonte, MG, Brazil.

出版信息

Acta Ortop Bras. 2019 Jan-Feb;27(1):12-15. doi: 10.1590/1413-785220192701132230.

Abstract

OBJECTIVE

This study aimed to evaluate the dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) in the experimental model of Achilles tendon injury.

METHODS

Twelve white male adults New Zealand rabbits were divided into two groups, a group with resection of the central portion of the Achilles tendon (n = 8) and a control group (n = 4). Dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) was performed 4 weeks after the surgical procedure, followed by histological analysis of the tendons.

RESULTS

The main finding of this study was the difference (p < 0.001) in peak contrast enhancement on DCE-MRI, which demonstrated that the operated group had greater contrast uptake. The operated tendons showed histological disruption of their architecture, and cluttered appearance of tendinous fibers, with vascular and fibroblast proliferations.

CONCLUSION

DCE-MRI is a technique with a potential to demonstrate changes in the vascularity pattern of the Achilles tendon before and after operation. DCE-MRI has a potential to be used in studies of tendinosis diagnosis and surgical follow-up. .

摘要

目的

本研究旨在评估动态对比增强磁共振成像(DCE-MRI)在跟腱损伤实验模型中的应用。

方法

将12只成年雄性新西兰白兔分为两组,一组切除跟腱中央部分(n = 8),另一组为对照组(n = 4)。手术后4周进行动态对比增强磁共振成像(DCE-MRI),随后对肌腱进行组织学分析。

结果

本研究的主要发现是DCE-MRI上对比剂峰值增强存在差异(p < 0.001),这表明手术组有更高的对比剂摄取。手术肌腱显示出组织结构的组织学破坏,肌腱纤维杂乱,伴有血管和成纤维细胞增生。

结论

DCE-MRI是一种有潜力显示跟腱手术前后血管模式变化的技术。DCE-MRI有潜力用于肌腱病诊断和手术随访研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/422c/6362701/02b4bf846d98/1809-4406-aob-27-01-0012-gf01.jpg

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