功能MRI在肌肉损伤中的应用进展
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摘要
肌肉损伤的早期确诊有助于临床治疗与预后评估。常规MRI作为评估肌肉损伤的最佳影像方法已广泛应用于临床。而近年发展起来的T_2 mapping、扩散加权成像(DWI)及扩散张量成像(DTI)等功能MRI技术能够反映肌肉损伤后病理、生理微观变化,可以无创、定量、客观地评估肌肉损伤的严重程度与再生修复情况,甚至可以早期发现肌肉损伤。就功能MRI在肌肉损伤评估方面的应用进展予以综述。
Early diagnosis of muscle damage contributes to clinical treatment and prognosis assessment.Conventional MRI has been widely used as a best imaging method for assessing muscle damage. The functional MRI techniques such as T_2 mapping, diffusion weighted imaging(DWI) and diffusion tensor imaging(DTI) developed in recent years can reflect pathological and physiological microscopic changes after muscle injury, thus can be used to non-invasively,quantitatively and objectively evaluate the severity of the injured muscles, the regeneration and repairment, and even to indentify muscle damage at early state. The advances of functional MRI in muscle injury assessment were reviewed in this article.
Early diagnosis of muscle damage contributes to clinical treatment and prognosis assessment.Conventional MRI has been widely used as a best imaging method for assessing muscle damage. The functional MRI techniques such as T_2 mapping, diffusion weighted imaging(DWI) and diffusion tensor imaging(DTI) developed in recent years can reflect pathological and physiological microscopic changes after muscle injury, thus can be used to non-invasively,quantitatively and objectively evaluate the severity of the injured muscles, the regeneration and repairment, and even to indentify muscle damage at early state. The advances of functional MRI in muscle injury assessment were reviewed in this article.
引文
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[28]Zijta FM,Lakeman MM,Froeling M,et al.Evaluation of the female pelvic floor in pelvic organ prolapse using 3.0-Tesla diffusion tensor imaging and fibre tractography[J].Eur Radiol,2012,22:2806-2813.
[29]朱汇慈,刘剑羽,周延,等.扩散张量成像对盆腔器官脱垂患者盆底肌肉的评估[J].中国医学影像学杂志,2017,4:295-298.
[30]崔璨,李娜,程悦,等.MR扩散张量成像和纤维束示踪技术评价经阴道分娩初产妇肛提肌损伤[J].中华解剖与临床杂志,2016,4:306-310.
[2]Mosher TJ,Smith HE,Collins C,et al.Change in knee cartilage T2at MR imaging after running:a feasibility study[J].Radiology,2005,234:245-249.
[3]孙露露,张祥林,潘诗农.MR T2mapping在肌肉疾病中的应用价值[J].国际医学放射学杂志,2014,37:462-466.
[4]Basser PJ,Mattiello J,LeBihan D.MR diffusion tensor spectroscopy and imaging[J].Biophys J,1994,66:259-267.
[5]Oudeman J,Nederveen AJ,Strijkers GJ,et al.Techniques and applications of skeletal muscle diffusion tensor imaging:a review[J].JMagn Reson Imaging,2016,43:773-788.
[6]Damon BM,Froeling M,Buck AK,et al.Skeletal muscle diffusion tensor-MRI fiber tracking:rationale,data acquisition and analysis methods,applications and future directions[J].NMR Biomed,2017.DOI:10.1002/nbm.3563.
[7]McMillan AB,Shi D,Pratt SJ,et al.Diffusion tensor MRI to assess damage in healthy and dystrophic skeletal muscle after lengthening contractions[J].J Biomed Biotechnol,2011,2011:970726.
[8]Cermak NM,Noseworthy MD,Bourgeois JM,et al.Diffusion tensor MRI to assess skeletal muscle disruption following eccentric exercise[J].Muscle Nerve,2012,46:42-50.
[9]Zhang H,Wang X,Guan M,et al.Skeletal muscle evaluation by MRI in a rabbit model of acute ischaemia[J].Br J Radiol,2013,86:20120042.
[10]Mathur S,Vohra RS,Germain SA,et al.Changes in muscle T2 and tissue damage after downhill running in mdx mice[J].Muscle Nerve,2011,43:878-886.
[11]Zhang LY,Ding JT,Wang Y,et al.MRI quantitative study and pathologic analysis of crush injury in rabbit hind limb muscles[J].JSurg Res,2011,167:e357-363.
[12]Esposito A,Campana L,Palmisano A,et al.Magnetic resonance imaging at 7T reveals common events in age-related sarcopenia and in the homeostatic response to muscle sterile injury[J].PLoS One,2013,8:e59308.
[13]Zaccagnini G,Palmisano A,Canu T,et al.Magnetic resonance imaging allows the evaluation of tissue damage and regeneration in a mouse model of critical limb ischemia[J].PLoS One,2015,10:e0142111.
[14]Yan D,Zhang J,Liang W,et al.Magnetic resonance imaging and histopathological analysis of experimental muscle injuries in a rabbit[J].Biomed Environ Sci,2013,26:841-848.
[15]Yanagisawa O,Kurihara T,Okumura K,et al.Effects of strenuous exercise with eccentric muscle contraction:physiological and functional aspects of human skeletal muscle[J].Magn Reson Med Sci,2010,9:179-186.
[16]Feng S,Chen D,Kushmerick M,et al.Multiparameter MRI analysis of the time course of induced muscle damage and regeneration[J].JMagn Reson Imaging,2014,40:779-788.
[17]Yanagisawa O,Kurihara T,Kobayashi N,et al.Strenuous resistance exercise effects on magnetic resonance diffusion parameters and muscle-tendon function in human skeletal muscle[J].J Magn Reson Imaging,2011,34:887-894.
[18]Hata J,Mizuno S,Haga Y,et al.Semiquantitative evaluation of muscle repair by diffusion tensor imaging in mice[J].JBMR Plus,2018,2:227-234.
[19]Peng XG,Bai Y,James JR,et al.Transplanted endothelial progenitor cells improve ischemia muscle regeneration in mice by diffusion tensor MR imaging[J].Stem Cells Int,2016,2016:3641401.
[20]Ha DH,Choi S,Kang EJ,et al.Diffusion tensor imaging and T2mapping in early denervated skeletal muscle in rats[J].J Magn Reson Imaging,2015,42:617-623.
[21]赵玉娇,崔璨,张菁,等.MR T2-mapping用于评估经阴道分娩肛提肌损伤的可行性研究[J].实用放射学杂志,2017,10:1553-1556.
[22]Fulford J,Eston RG,Rowlands AV,et al.Assessment of magnetic resonance techniques to measure muscle damage 24 h after eccentric exercise[J].Scand J Med Sci Sports,2015,25:e28-39.
[23]Froeling M,Oudeman J,Strijkers GJ,et al.Muscle changes detected with diffusion-tensor imaging after long-distance running[J].Radiology,2015,274:548-562.
[24]Giraudo C,Motyka S,Weber M,et al.Normalized STEAM-based diffusion tensor imaging provides a robust assessment of muscle tears in football players:preliminary results of a new approach to evaluate muscle injuries[J].Eur Radiol,2018,28:2882-2889.
[25]Zijta FM,Froeling M,van der Paardt MP,et al.Feasibility of diffusion tensor imaging(DTI)with fibre tractography of the normal female pelvic floor[J].Eur Radiol,2011,21:1243-1249.
[26]Rousset P,Delmas V,Buy JN,et al.In vivo visualization of the levator ani muscle subdivisions using MR fiber tractography with diffusion tensor imaging[J].J Anat,2012,221:221-228.
[27]尚华,刘剑羽,周广金,等.3.0 T磁共振扩散张量成像在正常女性盆底肌肉的应用[J].中国医学影像学杂志,2013,21:943-945.
[28]Zijta FM,Lakeman MM,Froeling M,et al.Evaluation of the female pelvic floor in pelvic organ prolapse using 3.0-Tesla diffusion tensor imaging and fibre tractography[J].Eur Radiol,2012,22:2806-2813.
[29]朱汇慈,刘剑羽,周延,等.扩散张量成像对盆腔器官脱垂患者盆底肌肉的评估[J].中国医学影像学杂志,2017,4:295-298.
[30]崔璨,李娜,程悦,等.MR扩散张量成像和纤维束示踪技术评价经阴道分娩初产妇肛提肌损伤[J].中华解剖与临床杂志,2016,4:306-310.
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