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Guided wave elastography of human skins with a layered model incorporating the effect of muscle state 利用包含肌肉状态影响的分层模型对人体皮肤进行导波弹性成像。
IF 2.4 3区 医学 Q3 BIOPHYSICS Pub Date : 2024-08-10 DOI: 10.1016/j.jbiomech.2024.112279

In vivo mechanical characterization of skin finds broad applications in understanding skin aging, diagnosis of some skin diseases and assessing the effectiveness of diverse skin care strategies. Skin has a layered structure consisting of the epidermis, dermis and subcutaneous layers. Although much effort has been made towards mechanical characterization of skin, it remains a challenging issue to measure the mechanical properties of an individual layer in vivo. To address this issue, we here report a guided wave elastography method for layered human skin which incorporates the effect of muscle states. Both finite element simulations and phantom experiments have been performed to validate the method. For skin-mimicking phantoms with different fat layer thicknesses, the errors in the identified shear modulus of the skin layers are no more than 11 %. In vivo experiments have been carried out on 6 healthy subjects to demonstrate the potential use of the method in clinics. A statistical analysis indicates the muscle contraction contributes to the stiffening of the skin (p < 0.001). Finally, a phase diagram has been constructed to reveal the extent to which muscle sates (including both passive and active states) affect the measurement of elastic modulus of a skin layer, which may guide the application of the method in practice.

皮肤的活体机械特征描述在了解皮肤老化、诊断某些皮肤病和评估各种皮肤护理策略的有效性方面有着广泛的应用。皮肤具有分层结构,由表皮层、真皮层和皮下层组成。虽然人们在皮肤的机械特性分析方面做出了很多努力,但在体内测量单个层的机械特性仍然是一个具有挑战性的问题。为了解决这个问题,我们在此报告一种结合肌肉状态影响的分层人体皮肤导波弹性成像方法。为验证该方法,我们进行了有限元模拟和模型实验。对于不同脂肪层厚度的皮肤模拟模型,皮肤层剪切模量的识别误差不超过 11%。对 6 名健康受试者进行了体内实验,以证明该方法在临床中的潜在用途。统计分析表明,肌肉收缩对皮肤僵化有一定的作用(p
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引用次数: 0
Synovium friction properties are influenced by proteoglycan content 滑膜摩擦特性受蛋白多糖含量的影响。
IF 2.4 3区 医学 Q3 BIOPHYSICS Pub Date : 2024-08-10 DOI: 10.1016/j.jbiomech.2024.112272

The synovium plays a crucial role in diarthrodial joint health, and its study has garnered appreciation as synovitis has been linked to osteoarthritis symptoms and progression. Quantitative synovium structure–function data, however, remain sparse. In the present study, we hypothesized that tissue glycosaminoglycan (GAG) content contributes to the low friction properties of the synovium. Bovine and human synovium tribological properties were evaluated using a custom friction testing device in two different cases: (1) proteoglycan depletion to isolate the influence of tissue GAGs in the synovium friction response and (2) interleukin-1 (IL) treatment to observe inflammation-induced structural and functional changes. Following proteoglycan depletion, synovium friction coefficients increased while GAG content decreased. Conversely, synovium explants treated with the proinflammatory cytokine IL exhibited elevated GAG concentrations and decreased friction coefficients. For the first time, a relationship between synovium friction coefficient and GAG concentration is demonstrated. The study of synovium tribology is necessary to fully understand the mechanical environment of the healthy and diseased joint.

滑膜在二关节健康中起着至关重要的作用,由于滑膜炎与骨关节炎的症状和进展有关,因此对滑膜的研究备受关注。然而,滑膜结构与功能的定量数据仍然很少。在本研究中,我们假设组织中的糖胺聚糖(GAG)含量有助于滑膜的低摩擦特性。我们在两种不同情况下使用定制的摩擦测试装置评估了牛和人滑膜的摩擦学特性:(1)消耗蛋白多糖以分离组织 GAG 在滑膜摩擦反应中的影响;(2)白细胞介素-1(IL)处理以观察炎症引起的结构和功能变化。蛋白多糖耗竭后,滑膜摩擦系数增加,而 GAG 含量下降。相反,用促炎细胞因子IL处理的滑膜外植体则表现出GAG浓度升高和摩擦系数降低。这是首次证明滑膜摩擦系数与 GAG 浓度之间的关系。滑膜摩擦学研究对于全面了解健康和患病关节的机械环境非常必要。
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引用次数: 0
Shear modulus of lower limb muscles in school-aged children with mild hypotonia 轻度肌张力低下学龄儿童下肢肌肉的剪切模量
IF 2.4 3区 医学 Q3 BIOPHYSICS Pub Date : 2024-08-08 DOI: 10.1016/j.jbiomech.2024.112267

The objective of this study is to compare shear modulus of lower limb muscles between children with hypotonia versus typical development (TD) or developmental disorders associated with altered tone. Nineteen children with mild hypotonia (mean age 9.4 ± 2.3y, 13 male) completed assessment of resting shear modulus of rectus femoris, biceps femoris (BF), tibialis anterior (TA) and gastrocnemius lateralis (GL) at short and long lengths using shear wave elastography. Data was compared with previous data from TD children and a scoping review for children with developmental disorders. Data were collated according to Net-Longitudinal Tension Angle (Net-LTA), which is the muscle length expressed as the net proximal and distal joint angles. Effects of Net-LTA (e.g., short, neutral, long) were examined according to sex, age and body mass index (BMI). In children with hypotonia, shear modulus was: higher at longer versus shorter lengths for four muscles (p < 0.01); correlated with age for BF-short (r = 0.60, p < 0.03) and GL-short (r = -0.54, p < 0.03), with BMI for BF-short (r = 0.71, p < 0.05); and not different between sexes (p > 0.05). The shear modulus values for lower limb muscles for children with mild hypotonia were lower than those for children with Duchenne Muscular Dystrophy (TA-neutral), or Cerebral Palsy (GL-neutral), but not TD children (all four muscles). In conclusion, shear modulus increases with longer muscle length (i.e. higher Net-LTA) in mildly hypotonic children. Children with mild hypotonia have lower shear modulus than children with cerebral palsy and Duchenne muscular dystrophy.

本研究旨在比较肌张力低下儿童与典型发育(TD)或伴有张力改变的发育障碍儿童的下肢肌肉剪切模量。19名患有轻度肌张力低下的儿童(平均年龄为9.4 ± 2.3岁,13名男性)利用剪切波弹性成像技术完成了对股直肌、股二头肌(BF)、胫骨前肌(TA)和腓肠肌(GL)短距离和长距离静止剪切模量的评估。数据与之前的 TD 儿童数据和发育障碍儿童的范围综述进行了比较。数据根据净纵向张力角(Net-LTA)进行整理,净纵向张力角是以近端和远端关节净角度表示的肌肉长度。根据性别、年龄和体重指数(BMI)对净纵向张力角度(如短、中性、长)的影响进行了研究。在肌张力过低的儿童中,四块肌肉的剪切模量在较长和较短时都较高(p <0.01);BF-短时与年龄相关(r = 0.60,p <0.03),GL-短时与年龄相关(r = -0.54,p <0.03),BF-短时与体重指数相关(r = 0.71,p <0.05);性别间无差异(p >0.05)。轻度肌张力低下儿童下肢肌肉的剪切模量值低于杜兴氏肌肉营养不良症儿童(TA-中性)或脑性麻痹儿童(GL-中性),但不低于TD儿童(所有四块肌肉)。总之,剪切模量随着轻度肌张力低下儿童肌肉长度的增加而增加(即更高的净-LTA)。轻度肌张力低下儿童的剪切模量低于脑瘫和杜氏肌营养不良儿童。
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引用次数: 0
Effect of dynamic loading on calcium signaling in In-Situ chondrocytes 动态加载对原位软骨细胞钙信号传导的影响
IF 2.4 3区 医学 Q3 BIOPHYSICS Pub Date : 2024-08-08 DOI: 10.1016/j.jbiomech.2024.112265

Chondrocytes respond to mechanical stimuli by increasing their intracellular calcium concentration. The response depends on the cellular environment. Previous studies have investigated chondrocytes under slow strain rates or cells embedded in hydrogels, but the response of chondrocytes in their native environment under physiologically relevant cyclic loads and dynamic hydrostatic pressure has not been studied. This study investigated the calcium signaling response of in-situ chondrocytes under physiological cyclic compressive loads and hydrostatic pressure with varying frequency and load rates. Bovine cartilage explants were stained with a fluorescent calcium indicator dye and subjected to physiologically relevant cyclic loads using a custom-built loading device secured on a confocal/multiphoton microscope. Calcium fluorescence intensities of the cells were tracked and analyzed. Loading groups were compared using one-way ANOVA followed by a post-hoc test with Tukey correction (α = 0.05). The percentage of cells signaling increased in all compressive loading conditions compared to the no-load baseline. The percentage of cells responding under 1 Hz load was significantly greater than the slow ramp and 0.1 Hz group (p < 0.05). The number of compression cycles had no effect on the calcium signaling response (p > 0.05). The width and time between consecutive peaks were not different between different loading conditions (p > 0.05). Calcium signaling of in-situ chondrocytes did not increase under dynamic hydrostatic pressure of magnitudes up to 0.2 MPa at frequencies of 0.5 Hz and 0.05 Hz (p > 0.05). In conclusion, in-situ chondrocytes respond to physiological compressive loads in a strain rate-dependent manner with an increased number of responsive cells and unaltered temporal characteristics.

软骨细胞通过增加细胞内的钙浓度对机械刺激做出反应。这种反应取决于细胞环境。以前的研究调查了在缓慢应变速率下的软骨细胞或嵌入水凝胶中的细胞,但尚未研究软骨细胞在其原生环境中在生理相关循环负荷和动态静水压下的反应。本研究调查了原位软骨细胞在不同频率和负载率的生理循环压缩负载和静水压力下的钙信号响应。用荧光钙指示剂染料对牛软骨外植体进行染色,并使用固定在共聚焦/多光子显微镜上的定制加载装置对其施加生理相关的循环载荷。对细胞的钙荧光强度进行跟踪和分析。加载组之间的比较采用单因素方差分析,然后进行Tukey校正后检验(α = 0.05)。与空载基线相比,所有压缩加载条件下发出信号的细胞百分比都有所增加。在 1 Hz 负载条件下响应的细胞百分比明显高于缓慢斜坡和 0.1 Hz 组(p 0.05)。不同加载条件下连续峰值的宽度和间隔时间没有差异(p > 0.05)。在频率为 0.5 Hz 和 0.05 Hz 时,原位软骨细胞的钙信号在高达 0.2 MPa 的动态静水压力下没有增加(p > 0.05)。总之,原位软骨细胞以应变率依赖性方式对生理压缩负荷做出反应,反应细胞数量增加,时间特征不变。
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引用次数: 0
Understanding the design differences between multisegmented foot models and their impact on joint kinetic outcomes 了解多节足模型之间的设计差异及其对关节运动结果的影响
IF 2.4 3区 医学 Q3 BIOPHYSICS Pub Date : 2024-08-08 DOI: 10.1016/j.jbiomech.2024.112260

Multisegmented foot models (MSFMs) are used to capture data of specific regions of the foot instead of representing the foot as a single, rigid segment. It has been documented that different MSFMs do not yield the same joint kinematic data, but there is little information available regarding their use for kinetic analysis. We compared the moment and power at the tibiotalar, midtarsal, and metatarsophalangeal joints of four MSFMs using motion capture data of young adult runners during stance phase of barefoot walking and jogging. Of these models, three were previously validated: the Oxford, Milwaukee, and Ghent Foot Models. One model was developed based upon literature review of existing models: the “Vogel” model. We performed statistical parametric mapping comparing joint measurements from each model to the corresponding results from the Oxford model, the most heavily studied MSFM. We found that the Oxford, Milwaukee, Vogel, and Ghent Foot Models do not provide the same kinetic results. The differences in segment definitions impact the degrees of freedom in a manner that alters the measured kinematic function of the foot, which in turn impacts the kinetic results. The results of this study capture the variability in performance of MSFMs as it relates to kinetic outcomes and emphasize a need to remain aware of model differences when interpreting results.

多节足模型(MSFM)用于捕捉足部特定区域的数据,而不是将足部表示为单一的刚性节段。有资料表明,不同的多分节足模型所产生的关节运动学数据并不相同,但有关这些模型用于运动学分析的资料却很少。我们利用年轻成年跑步者在赤足行走和慢跑的站立阶段的运动捕捉数据,比较了四种 MSFM 在胫骨、跗骨中段和跖趾关节处的力矩和力量。在这些模型中,牛津足模型、密尔沃基足模型和根特足模型中的三个已经过验证。还有一个模型是根据对现有模型的文献综述开发的:"Vogel "模型。我们进行了统计参数绘图,将每个模型的关节测量结果与牛津模型的相应结果进行比较,牛津模型是研究最多的 MSFM 模型。我们发现,牛津足模型、密尔沃基足模型、沃格尔足模型和根特足模型提供的动力学结果并不相同。脚段定义的不同会影响自由度,从而改变测量到的脚的运动学功能,进而影响运动学结果。本研究的结果反映了 MSFM 与运动结果相关的性能差异,并强调在解释结果时需要注意模型差异。
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引用次数: 0
Modeling of the biomechanical behavior and growth of the human uterus during pregnancy 模拟怀孕期间人类子宫的生物力学行为和生长。
IF 2.4 3区 医学 Q3 BIOPHYSICS Pub Date : 2024-08-08 DOI: 10.1016/j.jbiomech.2024.112268

Premature birth poses a challenge to public health, with one in ten babies being born prematurely worldwide. The pathological distension of the uterus can create tension in the uterine wall, triggering contractions that may lead to birth, including premature birth. While there has been an increase in the use of computational models to study pregnancy in recent years, ethical challenges have limited research on the mechanical properties of the uterus during gestation. This study proposes a biomechanical model based on a stretch-driven growth mechanism to describe uterine evolution during the second half of the gestational period. The constitutive model employed is anisotropic, reflecting the presence of fibers in uterine tissue, and it is also considered incompressible. The geometric model representing the uterine body was derived from truncated ellipsoids, subject to intrauterine pressure as loading. Simulation results indicate that the proposed model is effective in reproducing growth patterns documented in the literature, such as simultaneous increases in intrauterine volume and uterine tissue volume, accompanied by a reduction in uterine wall thickness within limits reported in experimental data.

早产对公共卫生构成挑战,全世界每十个婴儿中就有一个是早产儿。子宫的病理性膨胀会造成子宫壁紧张,引发宫缩,从而可能导致分娩,包括早产。虽然近年来使用计算模型研究妊娠的情况越来越多,但伦理方面的挑战限制了对妊娠期子宫机械特性的研究。本研究提出了一种基于拉伸驱动生长机制的生物力学模型,用于描述妊娠期后半段子宫的演变。所采用的构成模型是各向异性的,反映了子宫组织中纤维的存在,同时也被认为是不可压缩的。代表子宫体的几何模型由截椭圆体推导而来,以宫腔内压力为载荷。模拟结果表明,所提出的模型能有效再现文献中记载的生长模式,如子宫内体积和子宫组织体积同时增加,同时子宫壁厚度在实验数据报告的限度内减少。
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引用次数: 0
Can mechanical heart valves perform similarly to tissue valves? An in vitro study 机械心脏瓣膜的性能与组织瓣膜相似吗?体外研究
IF 2.4 3区 医学 Q3 BIOPHYSICS Pub Date : 2024-08-08 DOI: 10.1016/j.jbiomech.2024.112270

Current surgical aortic valve (AV) replacement options include bioprosthetic and mechanical heart valves (MHVs), each with inherent limitations. Bioprosthetic valves offer superior hemodynamics but suffer from durability issues, typically initiating deterioration within 7–8 years. MHVs, while durable, necessitate lifelong anticoagulation therapy, presenting risks such as severe bleeding and thromboembolic events. The need for anticoagulants is caused by non-physiological flow through the hinge area during the closed phase and large spikes of regional backflow velocity (RBV) during the closing phase that produces high shear events. This study introduces the iValve, a novel MHV designed to combine the hemodynamic benefits of bioprosthetic valves with the durability of MHVs without requiring anticoagulation. The iValve features eye-like leaflets, a saddle-shaped housing, and an optimized hinge design to enhance blood flow and minimize thrombotic risk. Fabricated using 6061-T6 aluminum and polyether ether ketone (PEEK), twelve iValve iterations were evaluated for their opening and closing dynamics. The reported top-performing prototypes demonstrated competitive performance against industry standards. The proposed iValve prototype exhibited a mean RBV of −4.34 m/s with no spikes in RBV, performing similarly to bioprosthetic valves and significantly outperforming existing MHVs. The iValve’s optimized design showed a 7–10% reduction in closing time and a substantial decrease in RBV spikes, potentially reducing the need for anticoagulation therapy. This study highlights the iValve’s potential to revolutionize prosthetic heart valve technology by offering a durable, hemodynamically superior solution that mitigates the drawbacks of current MHVs.

目前的主动脉瓣(AV)置换手术选择包括生物人工瓣膜和机械心脏瓣膜(MHV),每种瓣膜都有其固有的局限性。生物人工瓣膜的血液动力学性能优越,但存在耐用性问题,通常在 7-8 年内开始退化。人工心脏瓣膜虽然耐用,但需要终生接受抗凝治疗,存在严重出血和血栓栓塞事件等风险。之所以需要使用抗凝剂,是因为在关闭阶段通过铰链区的血流不符合生理要求,而且在关闭阶段区域回流速度(RBV)会出现大峰值,从而产生高剪切力事件。本研究介绍的 iValve 是一种新型 MHV,其设计兼具生物人工瓣膜的血液动力学优势和 MHV 的耐用性,且无需抗凝。iValve 具有眼状瓣叶、马鞍形外壳和优化的铰链设计,可增强血流并最大限度地降低血栓风险。iValve 采用 6061-T6 铝和聚醚醚酮(PEEK)制造,对 12 个 iValve 迭代产品的打开和关闭动态进行了评估。据报告,性能最好的原型在性能上与行业标准相比具有竞争力。拟议的 iValve 原型的平均 RBV 为 -4.34 m/s,RBV 没有峰值,性能与生物人工瓣膜相似,明显优于现有的 MHV。iValve 的优化设计显示关闭时间缩短了 7-10%,RBV 峰值大幅降低,从而可能减少抗凝治疗的需要。这项研究强调了 iValve 通过提供一种耐用、血液动力学性能优越的解决方案,减轻了现有 MHV 的缺点,从而具有革新人工心脏瓣膜技术的潜力。
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引用次数: 0
Unique enlargement of human soleus muscle for bipedalism at the expense of the ease of leg swing 人类比目鱼肌为实现双足行走而进行的独特增大,但却牺牲了腿部摆动的灵活性。
IF 2.4 3区 医学 Q3 BIOPHYSICS Pub Date : 2024-08-08 DOI: 10.1016/j.jbiomech.2024.112263

Humans exhibit unique skeletal muscle morphologies that are known to matter in upright bipedalism. However, their relevance to the ease of leg swing, which limits locomotion performance, remains unclear. Here, we aimed to examine muscle mass distribution within the human leg and the effect of each muscle on the ease of leg swing. We calculated the mass, center of mass position, and moment of inertia around the hip extension-flexion axis for all leg muscles by using a publicly available dataset of the 3D reconstruction of the musculoskeletal components in human male and female legs. The leg muscles showed a top-heavy-bottom-light tapering trend; muscles far from the hip joint tended to have smaller masses. Interestingly, however, the soleus exhibited sizable mass for its location. Consequently, the moment of inertia of the soleus was exceptionally greatest, accounting for approximately one-quarter of that of all muscles. These results indicate that compared to the other muscles the soleus muscle has a much larger effect on the leg moment of inertia and uniquely makes humans difficult to swing the leg, although the leg muscles basically show the top-heavy bottom-light tapering trend favoring the leg swing. Our findings highlight a novel functional consequence of human body evolution, suggesting that muscular enlargement for postural stability and endurance capacity has compromised the locomotion speed during the adaptation to bipedalism.

人类表现出独特的骨骼肌形态,这在直立两足运动中很重要。然而,它们与限制运动表现的腿部摆动难易程度的关系仍不清楚。在此,我们旨在研究人类腿部肌肉的质量分布以及每块肌肉对腿部摆动轻松程度的影响。我们利用公开的人类男性和女性腿部肌肉骨骼组件三维重建数据集,计算了所有腿部肌肉的质量、质心位置以及围绕髋关节伸屈轴的惯性矩。腿部肌肉呈现出上重下轻的渐变趋势;远离髋关节的肌肉往往质量较小。但有趣的是,比目鱼肌的质量与其所处位置相当。因此,比目鱼肌的惯性矩特别大,约占所有肌肉的四分之一。这些结果表明,与其他肌肉相比,比目鱼肌对腿部惯性力矩的影响要大得多,并且独特地使人类难以摆动腿部,尽管腿部肌肉基本上呈现出有利于腿部摆动的上重下轻的渐变趋势。我们的发现凸显了人类身体进化的一个新的功能性后果,表明在适应两足运动的过程中,为保持姿势稳定性和耐力能力而进行的肌肉增大损害了运动速度。
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引用次数: 0
Viability of shear wave elastography to predict mechanical/ultimate failure in the anterolateral and medial collateral ligaments of the knee 剪切波弹性成像预测膝关节前外侧韧带和内侧副韧带机械故障/最终故障的可行性
IF 2.4 3区 医学 Q3 BIOPHYSICS Pub Date : 2024-08-08 DOI: 10.1016/j.jbiomech.2024.112264

The purpose of this study was (1) to determine the utility of shear wave elastography as a predictor for the mechanical failure of superficial knee ligaments and (2) to determine the viability of shear wave elastography to assess injury risk potential. Our hypothesis was that shear wave elastography measurements of the anterolateral ligament and medial collateral ligament would directly correlate with the material properties and the mechanical failure of the ligament, serving as a prognostic measurement for injury risk. 8 cadaveric specimens were acquired, and tissue stiffness for the anterolateral ligament and medial collateral ligament were evaluated with shear wave elastography. The anterolateral ligament and medial collateral ligament were dissected and isolated for unilateral mechanical failure testing. Ultimate failure testing was performed at 100 % strain per second after 50 cycles of 3 % strain viscoelastic conditioning. Each specimen was assessed for load, displacement, and surface strain throughout failure testing. Rate of force, rate of strain development, and Young’s modulus were calculated from these variables. Shear wave elastography stiffness for the anterolateral ligament correlated with mean longitudinal anterolateral ligament strain at failure (R2 = 0.853; P<0.05). Medial collateral ligament shear wave elastography calculated modulus was significantly greater than the anterolateral ligament shear wave elastography calculated modulus. Shear wave elastography currently offers limited reliability in the prediction of mechanical performance of superficial knee ligaments. The utility of shear wave elastography assessment for injury risk potential remains undetermined.

本研究的目的是:(1)确定剪切波弹性成像作为膝关节浅层韧带机械损伤预测指标的实用性;(2)确定剪切波弹性成像评估损伤风险可能性的可行性。我们的假设是,前外侧韧带和内侧副韧带的剪切波弹性成像测量结果将与韧带的材料特性和机械损伤直接相关,可作为损伤风险的预后测量指标。我们采集了 8 具尸体标本,并使用剪切波弹性成像技术评估了前外侧韧带和内侧副韧带的组织硬度。解剖并分离前外侧韧带和内侧副韧带,进行单侧机械破坏测试。经过 50 个周期的 3% 应变粘弹性调节后,以每秒 100% 的应变进行最终破坏测试。在整个失效测试过程中,对每个试样的载荷、位移和表面应变进行评估。根据这些变量计算出受力率、应变发展率和杨氏模量。前外侧韧带的剪切波弹性成像刚度与失效时前外侧韧带的平均纵向应变相关(R2 = 0.853; P<0.05)。内侧副韧带剪切波弹性成像计算模量明显大于前外侧韧带剪切波弹性成像计算模量。目前,剪切波弹性成像在预测膝关节浅层韧带机械性能方面的可靠性有限。剪切波弹性成像对潜在损伤风险的评估作用仍未确定。
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引用次数: 0
Quantifying irregular pulsation of intracranial aneurysms using 4D-CTA 利用 4D-CTA 量化颅内动脉瘤的不规则搏动。
IF 2.4 3区 医学 Q3 BIOPHYSICS Pub Date : 2024-08-07 DOI: 10.1016/j.jbiomech.2024.112269

Recent studies have suggested that irregular pulsation of intracranial aneurysm during the cardiac cycle may be potentially associated with aneurysm rupture risk. However, there is a lack of quantification method for irregular pulsations. This study aims to quantify irregular pulsations by the displacement and strain distribution of the intracranial aneurysm surface during the cardiac cycle using four-dimensional CT angiographic image data. Four-dimensional CT angiography was performed in 8 patients. The image data of a cardiac cycle was divided into approximately 20 phases, and irregular pulsations were detected in four intracranial aneurysms by visual observation, and then the displacement and strain of the intracranial aneurysm was quantified using coherent point drift and finite element method. The displacement and strain were compared between aneurysms with irregular and normal pulsations in two different ways (total and stepwise). The stepwise first principal strain was significantly higher in aneurysms with irregular than normal pulsations (0.20±0.01 vs 0.16±0.02, p=0.033). It was found that the irregular pulsations in intracranial aneurysms usually occur during the consecutive ascending or descending phase of volume changes during the cardiac cycle. In addition, no statistically significant difference was found in the aneurysm volume changes over the cardiac cycle between the two groups. Our method can successfully quantify the displacement and strain changes in the intracranial aneurysm during the cardiac cycle, which may be proven to be a useful tool to quantify intracranial aneurysm deformability and aid in aneurysm rupture risk assessment.

最近的研究表明,颅内动脉瘤在心动周期中的不规则搏动可能与动脉瘤破裂的风险潜在相关。然而,目前还缺乏不规则搏动的量化方法。本研究旨在利用四维 CT 血管造影图像数据,通过心动周期中颅内动脉瘤表面的位移和应变分布来量化不规则搏动。研究对 8 名患者进行了四维 CT 血管造影。将一个心动周期的图像数据分为约 20 个阶段,通过肉眼观察检测四个颅内动脉瘤的不规则搏动,然后使用相干点漂移和有限元法量化颅内动脉瘤的位移和应变。用两种不同的方法(总应变和分步应变)比较了不规则搏动动脉瘤和正常搏动动脉瘤的位移和应变。不规则搏动动脉瘤的步进第一主应变明显高于正常动脉瘤(0.20±0.01 vs 0.16±0.02,P=0.033)。研究发现,颅内动脉瘤的不规则搏动通常发生在心动周期容积变化的连续上升期或下降期。此外,两组动脉瘤在心动周期内的体积变化在统计学上无显著差异。我们的方法可以成功地量化心动周期中颅内动脉瘤的位移和应变变化,这可能被证明是量化颅内动脉瘤变形性的有用工具,有助于动脉瘤破裂风险评估。
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引用次数: 0
期刊
Journal of biomechanics
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