国家自然科学基金(30570513)和广东省自然科学基金(7008220)资助项目.
This work was supported by grants from The National Natural Science Foundation of China (30570513) and The National Natural Science Foundation of Guangdong Province(7008220).
骨坏死是骨科临床常见的疾病,严重地影响人类健康及生存质量,临床研究表明骨坏死治疗效果取决该病的早期诊断.X线成像、计算机断层摄影(CT)及同位素骨扫描等一些传统的检查方法难以对骨坏死进行早期诊断,即使应用核磁共振成像(MRI)检测也存在很大的局限性,所以寻求一种简单易行、无创、价廉的早期诊断骨坏死的方法具有重要临床意义.光声层析成像是近年来发展起来的新技术,对哺乳动物组织可产生高对比、高分辨率影像.为探讨光声层析成像对骨坏死早期诊断的可行性,应用脉冲激光产生的光声成像技术对早期动物股骨头坏死模型及人股骨头坏死标本进行图像重建分析,实验结果显示,重建图像和股骨头坏死标本的部位、形状及尺寸完全吻合,成像系统空间分辨率为0.3 mm,表明光声层析成像技术有望成为一种有效的诊断早期骨坏死的新方法.
Osteonecrosis is a kind of common condition which affects severely health and life quality of human being . Without specific treatment 80% of clinically diagnosed cases will progress, and most will eventually require arthroplasty. The goal is therefore to diagnose and treat the condition in its earliest stage. Because the treatment of osteonecrosis is determined in large part by the stage of the disease, it is important to use a reliable and effective method of classification and staging. It is well known the treatment on early diagnosis. The traditional diagnosis methods for osteonecrosis are X-ray, CT, MRI and biopsy, which are defect in early diagnosis and side effect. Photoacoustic tomography is an emerging imaging technique with great potential for a wide range of animal tissues and organ imaging application. This new approach to medical imaging relies upon irradiating the tissue with low energy, nanosecond pulses of laser light at a wavelength in the visible or near-infrared (NIR). Broadband (~30MHz) ultrasonic thermoelastic waves are excited throughout the irradiated volume at optically absorbing subsurface features and propagate to the surface of the tissue. It is proposed and investigated to establish the feasibility of using photoacoustic tomography to detect the early osteonecrosis of human femoral head, and compared with X-ray photography. The osteonecrosis model of rabbit had been performed. On the other hand, the specimen of human femoral head complicated with necrosis had also been researched. The results show the subchondral osteolysis and local cortical bone destructed in animal model in the tenth week. The early osteonecrosis pathology of rabbit model was the same as human femoral head. The reconstructed photoacoustic images were identical with the scale and shape of the specimen. The images had satisfied contrast and resolution. The spatial resolution of the images reaches 0.3 mm. It is feasible that the technique of the photoacoustic tomography is used in the detection of early osteonecrosis. A new diagnosis method for the early stage osteonecrosis will be demonstrated.
胡军,邢达,杨迪武,向良忠,杨思华.光声层析成像技术在骨坏死早期诊断中的应用[J].生物化学与生物物理进展,2008,35(11):1326-1331
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