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将组织学变化与肝脏粘弹性联系起来:一种混合分析-计算微观力学方法。

Towards linking histological changes to liver viscoelasticity: a hybrid analytical-computational micromechanics approach.

作者信息

Shah Haritya, Guddati Murthy N

机构信息

North Carolina State University, Raleigh, NC 27695-7908, United States of America.

出版信息

Phys Med Biol. 2025 Feb 4;70(4). doi: 10.1088/1361-6560/adaad3.

DOI:10.1088/1361-6560/adaad3
PMID:39813799
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11829796/
Abstract

Motivated by elastography that utilizes tissue mechanical properties as biomarkers for liver disease, with the eventual objective of quantitatively linking histopathology and bulk mechanical properties, we develop a micromechanical modeling approach to capture the effects of fat and collagen deposition in the liver. Specifically, we utilize computational homogenization to convert the microstructural changes in hepatic lobule to the effective viscoelastic modulus of the liver tissue, i.e. predict the bulk material properties by analyzing the deformation of repeating unit cell. The lipid and collagen deposition is simulated with the help of ad hoc algorithms informed by histological observations. Collagen deposition is directly included in the computational model, while composite material theory is used to convert fat content to the microscopic mechanical properties, which in turn is included in the computational model. The results illustrate the model's ability to capture the effect of both fat and collagen deposition on the viscoelastic moduli and represents a step towards linking histopathological changes in the liver to its bulk mechanical properties, which can eventually provide insights for accurate diagnosis with elastography.

摘要

受弹性成像技术的启发,该技术利用组织力学特性作为肝病的生物标志物,最终目标是将组织病理学与整体力学特性进行定量关联,我们开发了一种微观力学建模方法来捕捉肝脏中脂肪和胶原蛋白沉积的影响。具体而言,我们利用计算均匀化方法将肝小叶的微观结构变化转化为肝组织的有效粘弹性模量,即通过分析重复单元胞的变形来预测整体材料特性。借助基于组织学观察的特殊算法模拟脂质和胶原蛋白沉积。胶原蛋白沉积直接包含在计算模型中,而复合材料理论用于将脂肪含量转化为微观力学特性,进而包含在计算模型中。结果表明该模型能够捕捉脂肪和胶原蛋白沉积对粘弹性模量的影响,代表了朝着将肝脏组织病理学变化与其整体力学特性相联系迈出的一步,最终可为弹性成像的准确诊断提供见解。

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本文引用的文献

1
Magnetic resonance elastography in a nutshell: Tomographic imaging of soft tissue viscoelasticity for detecting and staging disease with a focus on inflammation.磁共振弹性成像简述:用于检测疾病及进行疾病分期的软组织粘弹性断层成像,重点在于炎症。
Prog Nucl Magn Reson Spectrosc. 2024 Nov-Dec;144-145:1-14. doi: 10.1016/j.pnmrs.2024.05.002. Epub 2024 May 29.
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US Markers and Necroinflammation, Steatosis, and Fibrosis in Metabolic Dysfunction-associated Steatotic Liver Disease: The iLEAD Study.美国标志物与代谢相关脂肪性肝病中脂肪变性、坏死性炎症、肝纤维化:iLEAD 研究。
Radiology. 2024 Aug;312(2):e233377. doi: 10.1148/radiol.233377.
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Mechanical rheological model on the assessment of elasticity and viscosity in tissue inflammation: A systematic review.机械流变学模型评估组织炎症中的弹性和粘度:系统评价。
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Glycogen synthase kinase 3 activity enhances liver inflammation in MASH.糖原合酶激酶3活性增强了非酒精性脂肪性肝炎中的肝脏炎症。
JHEP Rep. 2024 Mar 26;6(6):101073. doi: 10.1016/j.jhepr.2024.101073. eCollection 2024 Jun.
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Local fat content determines global and local stiffness in livers with simple steatosis.局部脂肪含量决定单纯性脂肪变性肝脏的整体和局部硬度。
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7
Hepatic steatosis leads to overestimation of liver stiffness measurement in both chronic hepatitis B and metabolic-associated fatty liver disease patients.肝脂肪变性可导致慢性乙型肝炎和代谢相关脂肪性肝病患者的肝硬度测量值高估。
Clin Res Hepatol Gastroenterol. 2022 Oct;46(8):101957. doi: 10.1016/j.clinre.2022.101957. Epub 2022 May 21.
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Power laws prevail in medical ultrasound.医学超声中存在幂律现象。
Phys Med Biol. 2022 Apr 20;67(9). doi: 10.1088/1361-6560/ac637e.
9
Triglyceride and glucose index: a useful tool for non-alcoholic liver disease assessed by liver biopsy in patients with metabolic syndrome?甘油三酯葡萄糖指数:代谢综合征患者经肝活检评估非酒精性肝病的有用工具?
Rom J Morphol Embryol. 2021 Apr-Jun;62(2):475-480. doi: 10.47162/RJME.62.2.13.
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The quantification of liver fat from wave speed and attenuation.基于声速和衰减定量肝脏脂肪。
Phys Med Biol. 2021 Jul 14;66(14). doi: 10.1088/1361-6560/ac1023.