在人体胸主动脉和主动脉夹层模型中测量磁共振弹性成像衍生硬度的可行性。
Feasibility of measuring magnetic resonance elastography-derived stiffness in human thoracic aorta and aortic dissection phantoms.
作者信息
Hirad Adnan, Fakhouri Faisal S, Raterman Brian, Lakony Ronald, Wang Maxwell, Gonring Dakota, Kedwai Baqir, Kolipaka Arunark, Mix Doran
机构信息
Department of Surgery, University of Rochester School of Medicine, Rochester, NY.
Department of Biomedical Technology, College of Applied Medical Sciences, King Saud University, Riyadh, Kingdom of Saudi Arabia.
出版信息
J Vasc Surg Cases Innov Tech. 2024 Nov 30;11(2):101697. doi: 10.1016/j.jvscit.2024.101697. eCollection 2025 Apr.
Type B aortic dissection (TBAD) represents a serious medical emergency with up to a 50% associated 5-year mortality caused by thoracic aorta, dissection-associated aneurysmal (DAA) degeneration, and rupture. Unfortunately, conventional size-related diagnostic methods cannot distinguish high-risk DAAs that benefit from surgical intervention from stable DAAs. Our goal is to use DAA stiffness measured with magnetic resonance elastography (MRE) as a biomarker to distinguish high-risk DAAs from stable DAAs. This is a feasibility study using MRE to (1) fabricate human-like geometries TBAD phantoms with different stiffnesses, (2) measure stiffness in TBAD phantoms with rheometry, and (3) demonstrate the first successful application of MRE to the thoracic aorta of a human volunteer. AD phantoms with heterogenous wall stiffness demonstrated the correlation between MRE-derived stiffness and rheometric measured stiffness. A pilot scan was performed in a healthy volunteer to test the technique's feasibility in the thoracic aorta.
B型主动脉夹层(TBAD)是一种严重的医疗急症,由胸主动脉、夹层相关动脉瘤(DAA)退变和破裂导致的5年死亡率高达50%。不幸的是,传统的与尺寸相关的诊断方法无法区分可从手术干预中获益的高危DAA和稳定的DAA。我们的目标是使用磁共振弹性成像(MRE)测量的DAA硬度作为生物标志物,以区分高危DAA和稳定的DAA。这是一项使用MRE的可行性研究,目的是(1)制作具有不同硬度的类人几何形状TBAD模型,(2)用流变学方法测量TBAD模型的硬度,以及(3)展示MRE首次成功应用于人类志愿者的胸主动脉。具有异质壁硬度的AD模型证明了MRE衍生硬度与流变学测量硬度之间的相关性。在一名健康志愿者身上进行了初步扫描,以测试该技术在胸主动脉中的可行性。
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本文引用的文献
Acta Biomater. 2019-2-5
Ann Thorac Surg. 2018-1-31
NMR Biomed. 2018-10
Magn Reson Med. 2017-2-5