纳米磁共振分子成像技术在半月板损伤与膝关节运动关系研究中的应用

Qitong Liu, Li Wang, Huajun Jiang, Tong Chen, Weiguo Zhang, Tao Jiang
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引用次数: 1

摘要

膝关节骨性关节炎(KOA)可导致关节畸形和功能障碍。半月板作为胫骨内侧和外侧关节面的纤维软骨,具有负荷传递、减震和膝关节稳定的功能。半月板损伤降低了其对膝关节的保护作用,并增加了KOA的风险。早期发现半月板损伤并准确评估其严重程度有助于临床制定相应的治疗计划,延缓疾病进展,降低KOA的风险。磁共振成像(MRI)可以清楚地表征半月板的各个方向的组织结构,便于观察半月板的损伤。然而,传统MRI对软骨组织的敏感性仍然有限。超顺磁性氧化铁纳米粒子(SPION)作为一种具有超顺磁性的纳米生物材料,可以提高MR信号强度和成像灵敏度。SPION作为造影剂用于半月板损伤的MRI诊断可能有助于提高诊断准确性。本研究以关节镜检查结果为金标准,比较传统MRI和MRI+SPION对半月板损伤的诊断价值。我们发现SPION可以显著提高MRI诊断半月板损伤的敏感性、特异性和准确性。根据MRI+SPION对半月板损伤严重程度的分类,比较各组膝关节的6个自由度,发现不同严重程度患者的膝关节各自由度存在重大差异。伤势越严重,膝盖的自由度范围就越小。上述结果表明,可以根据磁纳米磁共振分子成像技术对半月板损伤患者的膝关节活动性进行评估,并根据诊断和评估结果制定相应的临床治疗方案。
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Application of Magnetic Nano-MR Molecular Imaging Technology in the Relationship Between Meniscus Injury and Knee Joint Movement
Knee osteoarthritis (KOA) can lead to joint malformations and dysfunction. The meniscus, as the fibrous cartilage of the medial and lateral articular surfaces of the tibia, functions in load transfer, shock absorption, and knee joint stabilization. Injury of the meniscus reduces its protective effect on the knee joint and increases the risk of KOA. Early detection of meniscus injury and accurate assessment of its severity could help to clinically formulate corresponding treatment plans, delay disease progression, and reduce the risk of KOA. Magnetic resonance imaging (MRI) can clearly characterize the tissue structure of the meniscus in all directions, which is convenient for observing the damage to it. However, the sensitivity of traditional MRI to cartilage tissue is still limited. Superparamagnetic iron oxide nanoparticles (SPION), as a nano-biomaterial with superparamagnetic properties, can enhance MR signal intensity and imaging sensitivity. The use of SPION as a contrast agent for MRI diagnosis of meniscus injury may help to improve the diagnostic accuracy. In this study, the results of arthroscopy were used as a gold standard to compare the diagnostic value of traditional MRI and MRI+SPION in meniscus injury. We found that SPION could significantly improve the sensitivity, specificity, and accuracy of MRI in diagnosing meniscus injury. According to the classification of the severity of meniscus injury by MRI+SPION, six degrees of freedom of knee joints were compared in each group, and major differences were found in each degree of freedom of knee joints in the patients with different severity grades. The more severe the injury, the smaller the range of degrees of freedom of the knee. The above results show that the knee joint activity of patients with meniscus injury can be evaluated according to magnetic nano-magnetic resonance molecular imaging technology, and the corresponding clinical treatment plan can be made according to the diagnosis and evaluation results.
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来源期刊
Nanoscience and Nanotechnology Letters
Nanoscience and Nanotechnology Letters Physical, Chemical & Earth Sciences-MATERIALS SCIENCE, MULTIDISCIPLINARY
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2.6 months
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