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探索人体中的磁流体动力学电压分布:初步结果。

Exploring magnetohydrodynamic voltage distributions in the human body: Preliminary results.

机构信息

College of Engineering, University of Georgia, Athens, Georgia, United States of America.

AU/UGA Medical Partnership, University of Georgia, Athens, Georgia, United States of America.

出版信息

PLoS One. 2019 Mar 6;14(3):e0213235. doi: 10.1371/journal.pone.0213235. eCollection 2019.

Abstract

BACKGROUND

The aim of this study was to noninvasively measure regional contributions of vasculature in the human body using magnetohydrodynamic voltages (VMHD) obtained from electrocardiogram (ECG) recordings performed inside MRI's static magnetic field (B0). Integrating the regional VMHD over the Swave-Twave segment of the cardiac cycle (Vsegment) provides a non-invasive method for measuring regional blood volumes, which can be rapidly obtained during MRI without incurring additional cost.

METHODS

VMHD was extracted from 12-lead ECG traces acquired during gradual introduction into a 3T MRI. Regional contributions were computed utilizing weights based on B0's strength at specified distances from isocenter. Vsegment mapping was performed in six subjects and validated against MR angiograms (MRA).

RESULTS

Fluctuations in Vsegment, which presented as positive trace deflections, were found to be associated with aortic-arch flow in the thoracic cavity, the main branches of the abdominal aorta, and the bifurcation of the common iliac artery. The largest fluctuation corresponded to the location where the aortic arch was approximately orthogonal to B0. The smallest fluctuations corresponded to areas of vasculature that were parallel to B0. Significant correlations (specifically, Spearman's ranked correlation coefficients of 0.96 and 0.97 for abdominal and thoracic cavities, respectively) were found between the MRA and Vsegment maps (p < 0.001).

CONCLUSIONS

A novel non-invasive method to extract regional blood volumes from ECGs was developed and shown to be a rapid means to quantify peripheral and abdominal blood volumes.

摘要

背景

本研究旨在通过从 MRI 静磁场(B0)内进行的心电图(ECG)记录中获得的磁流体动力学电压(VMHD),无创地测量人体的血管区域贡献。在心动周期的 S 波-T 波段(V 段)上对区域 VMHD 进行积分,提供了一种非侵入性的方法来测量区域血流量,这种方法可以在 MRI 期间快速获得,而不会增加额外的成本。

方法

从在 3T MRI 中逐渐引入时获得的 12 导联 ECG 迹线上提取 VMHD。利用基于 B0 在距等中心特定距离处的强度的权重来计算区域贡献。在 6 个对象中进行了 V 段映射,并与磁共振血管造影(MRA)进行了验证。

结果

V 段的波动,表现为正迹线偏移,被发现与胸腔中的主动脉弓流、腹主动脉的主要分支以及髂总动脉的分叉有关。最大波动对应于主动脉弓大致垂直于 B0 的位置。最小波动对应于与 B0 平行的血管区域。MRA 和 V 段图之间存在显著相关性(具体而言,胸腔和腹腔的斯皮尔曼等级相关系数分别为 0.96 和 0.97,p<0.001)。

结论

开发了一种从 ECG 提取区域血流量的新的非侵入性方法,并证明了它是一种快速量化外周和腹部血流量的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3746/6402669/4345e880f163/pone.0213235.g001.jpg

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