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双能CT分子成像诊断膝关节前交叉韧带损伤的基础研究

A basic study for the molecular imaging of dual-energy CT in diagnosing anterior cruciate ligament injury of knee joint.

作者信息

Bai Rui, He Xiaohua, Huang Juncheng

机构信息

Radiology Department, Gosun Medical Imaging Diagnostic Center, Guangzhou, PR China.

Radiology Department, General Hospital of the Southern Theater, Guangzhou, PR China.

出版信息

Acta Radiol. 2023 Apr;64(4):1589-1599. doi: 10.1177/02841851221135853. Epub 2022 Nov 10.

DOI:10.1177/02841851221135853
PMID:36357954
Abstract

BACKGROUND

Anterior cruciate ligament (ACL) injury is a common disease in clinical practice that seriously affects the daily life of patients.

PURPOSE

To explore the molecular imaging basis of "diminution sign on dual-energy colour mapping" for the diagnosis of ACL injury by dual-energy computed tomography (DECT).

MATERIAL AND METHODS

The hydroxylysine and hydroxyproline reagents were prepared in different concentrations. The grouping was shown as follows: a simple concentration change group of an amino acid (group 1/2); a mixed solution group with the concentration increasing synchronously (group 3); a mixed solution group with the concentration reverse increasing and decreasing (group 4); and a mixed solution group that fix one amino acid with increasing concentration of the other (group 5/6). The samples were scanned by DECT. The solution CT value and image signal-to-noise ratio were analyzed.

RESULTS

In group 1/2, the brightness of the dual-energy color mapping of each test tube solution and the CT value increased with increasing the concentration of amino acid. In group 6, there was no significant change in the brightness and brilliance of the dual-energy color mapping and the CT value. The remaining three groups showed an increase in the brightness and brilliance of the dual-energy color mapping and the CT value, and this increase was positively associated with the hydroxylysine concentration.

CONCLUSION

The dual-energy staining of the DECT imaging in "tendon" mode is related to hydroxylysine and hydroxyproline. Moreover, the degree of dual-energy color mapping is positively correlated with the change of CT value.

摘要

背景

前交叉韧带(ACL)损伤是临床常见疾病,严重影响患者日常生活。

目的

探讨双能计算机断层扫描(DECT)“双能彩色成像减影征”诊断ACL损伤的分子影像学基础。

材料与方法

制备不同浓度的羟赖氨酸和羟脯氨酸试剂。分组如下:氨基酸单纯浓度变化组(1/2组);浓度同步增加的混合溶液组(3组);浓度反向增减的混合溶液组(4组);一种氨基酸固定、另一种氨基酸浓度增加的混合溶液组(5/6组)。采用DECT对样本进行扫描。分析溶液CT值及图像信噪比。

结果

1/2组各试管溶液双能彩色成像亮度及CT值随氨基酸浓度增加而升高。6组双能彩色成像亮度及辉度和CT值无明显变化。其余三组双能彩色成像亮度及辉度和CT值升高,且这种升高与羟赖氨酸浓度呈正相关。

结论

DECT成像“肌腱”模式下的双能染色与羟赖氨酸和羟脯氨酸有关。而且,双能彩色成像程度与CT值变化呈正相关。

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