1.西安理工大学机械与精密仪器工程学院;2.南京医科大学附属江宁医院康复医学科;3.暨南大学物理与光电工程学院
南京医科大学附属江宁医院医工融合实验室开放课题,JNYYZXKY202320;陕西省重点研发计划项目,2025GH-YBXM-007
1.School of Mechanical and Precision Instrument Engineering, Xi&2.amp;3.#39;4.&5.an University of Technology;6.School of Mechanical and Precision Instrument Engineering, Xi'7.'8.Rehabilitation Medicine Department of Jiangning Hospital Affiliated to Nanjing Medical University;9.School of Physics and Optoelectronic Engineering, Jinan University
Laboratory at Nanjing Medical University Affiliated Jiangning Hospital (JNYYZXKY202320), The Key Research and Development Program of Shaanxi (2025GH-YBXM-007)
目的 脂肪浸润已被证明与肌肉质量下降以及多种肌肉疾病密切相关。本研究提出一种基于相位角电阻抗成像(phase-angle electrical impedance tomography,ΦEIT)的方法,用于可视化肌肉脂肪浸润引起的肌肉电学特性响应,旨在为肌肉质量退化的早期无创检测提供新的技术手段。方法 本研究分为两部分。第一,构建实验室猪肉模型,通过向不同肌肉隔室分别注入1 ml和2 ml乳化脂肪溶液模拟不同程度的脂肪浸润,利用ΦEIT重建相位角图像;第二,开展人体实验,招募两个年龄段(20~25岁、26~30岁)的健康受试者(n=8),通过生物电阻抗分析法(bioelectrical impedance analysis,BIA)测量左、右腿脂肪含量百分比ηfat,并使用ΦEIT对左、右小腿进行相位角图像重建,进一步分析全局平均相位角ΦM及各肌肉隔室空间平均相位角ΦMi与脂肪浸润之间的关系。结果 实验室猪肉模型中,图像灰度值随的猪肉内脂率Pi增加而升高,ΦM呈下降趋势。人体实验结果表明,全局平均相位角随脂肪含量百分比ηfat的增加而降低。此外,M2(比目鱼肌)隔室对脂肪浸润最为敏感,M2(比目鱼肌)、M3(胫骨后肌和趾长屈肌)和M4(胫骨前肌、趾长伸肌和腓骨长肌)隔室的空间平均相位角ΦMi均显示出明显的组间差异。结论 ΦEIT成像能够有效区分不同程度的脂肪浸润,特别是在深层、体积小或位置特殊的肌肉中表现出较高的敏感性,证明该方法在局部肌肉质量监测及早期无创诊断中的应用潜力。
Objective Fat infiltration has been shown to be closely related to muscle mass loss and a variety of muscle diseases. This study proposes a method based on phase-angle electrical impedance tomography (ΦEIT) to visualize the electrical characteristic response caused by muscle fat infiltration, aiming to provide a new technical means for early non-invasive detection of muscle mass deterioration. Methods This study was divided into two parts. First, a laboratory pork model was constructed to simulate different degrees of fat infiltration by injecting 1 ml or 2 ml of emulsified fat solution into different muscle compartments, and the phase angle images were reconstructed using ΦEIT. Second, a human experiment was conducted to recruit healthy subjects (n=8) from two age groups (20–25 years old and 26–30 years old). The fat content percentage ηfat of the left and right legs was measured by bioelectrical impedance analysis (BIA), and the phase angle images of the left and right calves were reconstructed using ΦEIT. The relationship between the global average phase angle ΦM and the spatial average phase angle ΦMi of each muscle compartment and fat infiltration was further analyzed. Results In the laboratory pork model, the grayscale value of the image increased with the increase of ηfat and ΦM showed a downward trend. The results of human experiments showed that at the same fat content percentage, the ΦM?of the 26–30-year-old group was about 20%–35% lower than that of the 20–25-year-old group. The fat content percentage was significantly negatively correlated with ΦM. In addition, the M2 (soleus) compartment was most sensitive to fat infiltration, and the spatial average phase angles of the M2 (soleus), M3 (tibialis posterior and flexor digitorum longus), and M4 (tibialis anterior, extensor digitorum longus, and peroneus longus) compartments all showed significant inter-group differences. Conclusion ΦEIT imaging can effectively distinguish different degrees of fat infiltration, especially in deep, small or specially located muscles, showing high sensitivity, demonstrating the potential application of this method in local muscle mass monitoring and early non-invasive diagnosis.
肖悟光,朱小鹏,冯慧,孙博,赵桐,姚佳烽.基于相位角电阻抗成像的肌肉组织脂肪浸润检测方法研究[J].生物化学与生物物理进展,,():
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