论文标题

在最小同步神经肌肉电刺激中,年轻和高级志愿者中骨骼肌的动态MR成像

Dynamic MR imaging of the skeletal muscle in young and senior volunteers during minimal synchronized neuromuscular electrical stimulation

论文作者

Deligianni, Xeni, Klenk, Christopher, Place, Nicolas, Garcia, Meritxell, Pansini, Michele, Hirschmann, Anna, Schmidt-Trucksäss, Arno, Bieri, Oliver, Santini, Francesco

论文摘要

$ \ textBf {对象} $神经肌肉电刺激(NMES)诱导的等距收缩是可行的,可以与体积动态MR数据的获取相结合,并以同步和控制的方式结合使用。由于NME是康复的有效资源,因此与NME同步的MRI提供了一种有价值的验证工具。我们的目的是展示NMES诱导的肌肉收缩表征如何通过相比MRI进行评估,而高级和年轻志愿者之间的不同。 $ \ textbf {材料和方法} $同时使用股四头肌的肌肉和相对造影剂成像,以3吨至11名高级(75 $ \ pm $ 3岁)和6名年轻志愿者(29美元$ \ $ 7年)。当前,足以诱导没有膝盖伸展的肌肉抽搐的目前均应用于两组。 $ \ textbf {结果} $菌株向量是从速度字段中提取的,并将应变数据集与非参数测试和描述性统计数据进行了比较。两组之间的应变值在当前强度下都明显差异,并且在两个电极之间的感兴趣区域都观察到了显着差异。 $ \ textbf {deblect} $总而言之,NMES同步的MRI可以成功地应用于与年轻志愿者不同的压力结果的高级志愿者中。同样,在应变的大小和最大应变像素的位置都检测到高级组内的差异。

$\textbf{Object}$ Neuromuscular electrical stimulation (NMES)-induced isometric contraction is feasible during MRI and can be combined with acquisition of volumetric dynamic MR data, in a synchronous and controlled way. Since NMES is a potent resource for rehabilitation, MRI synchronized with NMES presents a valuable validation tool. Our aim was to show how minimal NMES-induced muscle contraction characterization, as evaluated through phase contrast MRI, differs between senior and young volunteers. $\textbf{Materials and Methods}$ Simultaneous NMES of the quadriceps muscle and phase contrast imaging were applied at 3T to 11 senior (75 $\pm$ 3 years) and 6 young volunteers (29 $\pm$ 7 years). A current sufficient to induce muscle twitch without knee extension was applied to both groups. $\textbf{Results}$ Strain vectors were extracted from the velocity fields and strain datasets were compared with non-parametric tests and descriptive statistics. Strain values were noticeably different between both groups at both current intensities and significant differences were observed in the regions of interest between the two electrodes. $\textbf{Discussion}$ In conclusion, NMES-synchronized MRI could be successfully applied in senior volunteers with strain results clearly different from the younger volunteers. Also, differences within the senior group were detected both in the magnitude of strain and in the position of maximum strain pixels.

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