基于DCE-MRI技术对强直性脊柱炎动物模型早期骨髓炎炎症病理变化的定量研究
DOI:
作者:
作者单位:

山东第一医科大学第二附属医院影像科

作者简介:

通讯作者:

中图分类号:

基金项目:

山东省自然科学基金


Quantitative study of early pathological changes of osteomyelitis in sacroiliac region of ankylosing spondylitis animal model based on DCE-MRI
Author:
Affiliation:

Department of Radiology, The Second Affiliated Hospital, Shandong First Medical University, Tai’an

Fund Project:

Natural Science Foundation of Shandong Province

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    [目的] 建立牛蛋白聚糖诱导的强直性脊柱炎(AS)早期骶髂关节炎(SIS)大鼠模型;通过DCE-MRI技术测量病变区的磁共振相关参数,探讨AS早期影像学诊断的价值。[材料和方法] 用牛蛋白聚糖联合CFA/IFA多次诱导20只雄性Wistar大鼠,使之产生SIS作为实验组,选取20只同种健康大鼠作为对照组。在诱导后第7、12、17、22周测量骶髂关节(SIJ)滑膜区DCE-MRI定量参数Ktrans、Kep、Ve值;颈处死后提取SIJ病理。采用独立样本t检验、ROC曲线进行统计学分析。[结果] 于诱导后第17周实验组大鼠SIJ出现炎性细胞浸润,实验组中Ktrans及Kep值高于同周对照组,差异有统计学意义(P值为0.000、0.000,P<0.05);Ktrans及Kep的ROC曲线下面积为(0.891、0.843),临界值(敏感度、特异度)为Ktrans=0.295/min(100%、65%)、Kep=0.591/min(90%、60%)。第22周实验组大鼠SIJ发现软骨下渗血及破坏,实验组Ktrans、Kep及Ve值高于同周对照组,差异有统计学意义(P值分别约0.000、0.000、0.000,P值<0.05);其中Ktrans的ROC曲线下面积最高为(0.995),临界值(敏感度、特异度)为Ktrans=0.345/min(95%、100%)。[结论] 磁共振DCE-MRI序列定量数据可反映炎症早期局部微环境的改变,为AS的临床诊断提供影像学证据。

    Abstract:

    [Objective] To establish a rat model of early sacroiliac arthritis (SIS) induced by bovine proteoglycan in ankylosing spondylitis (AS).To evaluate the value of early imaging diagnosis of AS, DCE-MRI were used to measure the parameters of magnetic resonance imaging in the lesion area. [Materials and methods] Bovine proteoglycan combined with CFA/IFA was used to induce SIS in 20 male rats as experimental group, and 20 healthy rats of the same kind were selected as control group. DCE-MR quantitative parameters Ktrans, Kep and Ve were measured at 7, 12, 17 and 22 weeks after induction respectively. The pathological characteristics of sacroiliac region of as rat model were studied by extracting the pathological features of SIJ after cervical execution. Pathological examination of SIJ after execution. Independent sample t-test and ROC curve were used for statistical analysis. [Result] At the 17th week after induction, inflammatory cell infiltration appeared in SIJ of experimental group. The values of Ktrans and Kep in experimental group were higher than those in control group , the difference was statistically significant (P = 0.000, 0.000, P < 0.05); The area under ROC curve of Ktrans and Kep was (0.891, 0.843), the critical value (sensitivity, specificity) was Ktrans = 0.295/min (100%, 65%), Kep = 0.591/min (90%, 60%). At the 22nd week, infiltration and destruction of cartilage were found in sacroiliac joint area of experimental group, the values of Ktrans, Kep and Ve in the experimental group were higher than those in the control group in the same week, the difference was statistically significant (P values were about 0.000, 0.000, 0.000, P < 0.05); The area under the ROC curve of Ktrans is the highest (0.995). The critical value (sensitivity, specificity) is Ktrans = 0.345/min (95%, 100%). [Conclusion] The quantitative data of DCE-MRI sequence can reflect the changes of local microenvironment in the early stage of inflammation and provide imaging evidence for the clinical diagnosis of As.

    参考文献
    相似文献
    引证文献
引用本文
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2020-01-06
  • 最后修改日期:2020-01-06
  • 录用日期:2020-04-10
  • 在线发布日期:
  • 出版日期: