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引用次数: 0
摘要
二尖瓣复合体的结构特性与腱索断裂之间的联系尚不清楚。基于同步辐射的x射线相位计算机断层扫描(SR-XPCT)成像是一种定量分析三维形态的创新方法。本研究采用XPCT对二尖瓣返流患者的腱索进行评价,并分析二尖瓣返流患者腱索断裂的结构变化。在二尖瓣反流手术修复中获得6例二尖瓣腱索断裂,并用福尔马林固定。此外,从尸检中获得了12条健康的腱索。采用XPCT(有效像素尺寸,3.5µm;密度分辨率为1 mg cm-3),测量每个样品中腱索的密度。随后对标本进行病理分析。破裂组平均年龄为70.2±3.0岁,对照组平均年龄为67.2±14.1岁(p = 0.4927)。所有的SR-XPCT腱索扫描均成功完成。破裂组的平均密度为1.029±0.004,对照组的平均密度为1.085±0.015 g cm-3 (p < 0.0001)。基于SR-XPCT的二尖瓣腱索破裂的密度明显低于健康的腱索。组织学检查显示断裂腱索结缔组织成分发生变化,与SR-XPCT低密度测量一致。SR-XPCT使测量二尖瓣腱索组织密度成为可能。二尖瓣腱索的低密度与破裂的二尖瓣腱索的脆性有关。
Structural properties in ruptured mitral chordae tendineae measured by synchrotron-based X-ray phase computed tomography.
Tissue density measured by synchrotron-based X-ray phase computed tomography is shown to be associated with the fragility of the ruptured mitral chordae tendineae.
期刊介绍:
Synchrotron radiation research is rapidly expanding with many new sources of radiation being created globally. Synchrotron radiation plays a leading role in pure science and in emerging technologies. The Journal of Synchrotron Radiation provides comprehensive coverage of the entire field of synchrotron radiation and free-electron laser research including instrumentation, theory, computing and scientific applications in areas such as biology, nanoscience and materials science. Rapid publication ensures an up-to-date information resource for scientists and engineers in the field.