剪切波弹性成像评价大鼠急性肝淤血状态下肝脏黏弹性变化
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首都医科大学附属北京友谊医院超声医学科

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国家自然科学基金项目(青年项目)


Evaluation of viscoelasticity by shear wave elastography in rats with acute congested liver
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The National Natural Science Foundation of China

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    摘要:

    目的 建立大鼠急性肝淤血模型,应用剪切波弹性成像评价急性淤血状态下肝脏黏弹性的变化情况。方法 选取雄性SD大鼠14只,平均体质量(300±20)g,通过结扎大鼠肝后下腔静脉建立急性肝淤血模型。于活体状态下应用剪切波弹性成像分别测量结扎前、结扎后及结扎释放后大鼠肝脏黏性值和弹性值,比较不同状态下上述参数的差异;分析肝脏黏性值与弹性值的相关性;比较急性肝淤血状态下肝脏黏性值和弹性值的变化情况。结果 结扎后大鼠肝脏黏性值和弹性值均较结扎前升高,释放结扎后大鼠肝脏黏性值和弹性值均较结扎后降低,差异均有统计学意义(P<0.001);结扎前与释放结扎后大鼠肝脏黏性值和弹性值比较差异均无统计学意义。相关性分析显示,肝脏黏性值与弹性值呈正相关(r=0.902,P<0.001)。急性肝淤血状态下大鼠肝脏弹性值上升及下降变化率均显著高于黏性值,差异均有统计学意义(t=5.63、5.49,均P<0.001)。结扎后大鼠肝脏黏性值的达峰时间平均为110 s(95%可信区间:92 s~128 s),弹性值的达峰时间平均为122 s(95%可信区间:106 s~138 s)。结论 应用剪切波弹性成像可以评价大鼠急性淤血肝黏弹性的变化。大鼠急性肝淤血状态下,其肝脏黏弹性参数均升高;解除肝淤血状态后,大鼠肝脏黏弹性参数可恢复至正常水平。

    Abstract:

    Objective To establish an acute liver congestion model in rats and evaluate changes in liver viscoelasticity during acute congestion using shear wave elastography.Methods Fourteen male SD rats with average body weight of(300±20) g were selected to establish an acute congestion liver model by ligation of retrohepatic inferior vena cava.Shear wave elastography was applied to measure liver viscosity and elasticity of rats in vivo at three time points: before ligation, after ligation, and after ligation release. The differences in the above parameters across different states were compared. The correlation between liver viscosity and elasticity values was analyzed. Additionally, changes in liver viscosity and elasticity values under acute liver congestion were assessed. Results After ligation,the viscosity and elasticity of rat livers significantly increased compared to pre-ligation(P<0.001).After release of the ligation,the hepatic viscosity and elasticity significantly decreased compared to post-ligation levels(P<0.001).There was no significant difference in the viscosity and elasticity of rat livers between pre-ligation and post-release.Correlation analysis showed a positive correlation between viscosity and elasticity of rat liver(r=0.902,P<0.001).In the state of acute hepatic congestion,the ratios of increase and decrease in liver elasticity in rats were significantly higher than the ratios of change in viscosity(t=5.63, 5.49, both P<0.001).After ligation,the peak time of rat livers viscosity was 110s(95% CI:92s~128s)and the peak time of rat livers elasticity was 122s(95% CI:106s~138s).Conclusion Shear wave elastography can be used to assess changes in liver viscoelasticity in rats with acute congestion. In the acute liver congestion state, both liver viscosity and elasticity parameters are elevated. After the release of liver congestion, these viscoelastic parameters can return to normal levels.

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王雨萌,王昆,蔺雨萱,刘冬.剪切波弹性成像评价大鼠急性肝淤血状态下肝脏黏弹性变化[J].临床超声医学杂志,2025,27(1):1-5

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  • 收稿日期:2024-08-29
  • 最后修改日期:2024-11-30
  • 录用日期:2024-10-15
  • 在线发布日期: 2025-02-07
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