Non-Contact Evaluation for Articular Cartilage Using Ultrasound

K. Mori, Y. Nakagawa, H. Kuroki, Keisuke Nakashima, K. Ikeuchi, T. Mine, Takashi Nakamura, S. Kawai, Takashi Saito
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引用次数: 6

Abstract

In orthopedic field, various new treatments of articular cartilage defect, for example autogenous osteochondral grafts, have been developed. With the spread of these treatments, orthopedists began to focus on the mechanical properties of recovered articular cartilage. The quantitative evaluation of articular cartilage before and after these treatments gives orthopedists the important information to improve these treatments and develop new treatments. We have been investigating the non-contact ultrasonic evaluation for articular cartilage under arthroscopy. In this paper, it was hypothesized that the ultrasonic evaluation depended on the collagen fiber in cartilage. The enzymatically degradation of collagen fiber in cartilage surface was performed. The effect of the degradation on sound velocity, attenuation coefficient and signal intensity, which is the index of cartilage stiffness calculated from the proposed method, was measured. The numerical analysis was performed to clear the relation between the cartilage character and ultrasonic parameters. Experimental and numerical results suggest that the present method can be expanded the sensitive evaluation for cartilage disease in clinical field.
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超声对关节软骨的非接触评价
在骨科领域,自体骨软骨移植等治疗关节软骨缺损的新方法已经发展起来。随着这些治疗方法的普及,骨科医生开始关注恢复关节软骨的力学特性。关节软骨在这些治疗前后的定量评估为骨科医生提供了重要的信息,以改进这些治疗和开发新的治疗方法。我们一直在研究关节镜下关节软骨的非接触超声评估。本文假设超声评价依赖于软骨中的胶原纤维。研究了软骨表面胶原纤维的酶解作用。测量了退化对声速、衰减系数和信号强度的影响,信号强度是根据该方法计算的软骨刚度指标。通过数值分析,明确了超声参数与软骨特性之间的关系。实验和数值结果表明,该方法可在临床领域扩大对软骨疾病的敏感评价。
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