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磁共振三維容積成像用于流體遷移對上氣道形態(tài)影響研究_________

A 3D volume MRI method for studying the effect of fluid shift on the upper airway patency

作者:               李永  安云強(qiáng)  劉兆會  李婷  尹紅霞  黃亞奇          
單位:           首都醫(yī)科大學(xué)生物醫(yī)學(xué)工程學(xué)院(北京100069)    
關(guān)鍵詞:           流體遷移;磁共振成像;上氣道截面積;頸圍;睡眠呼吸暫停      
分類號:
出版年·卷·期(頁碼):2013·32·2(139-142)
摘要:

目的 提出用磁共振三維容積成像方式研究流體遷移對人體上氣道截面及頸圍影響的方法并驗證其可行性,為探討體位改變對睡眠呼吸功能的影響提供新的思路。方法 使用三維擾相梯度回波序列(3D-SPGR)容積掃描方式,對2位受試者頭頸部自鼻腔頂部至喉結(jié)處進(jìn)行兩種狀態(tài)下的橫斷面磁共振成像:平臥參考狀態(tài);將雙腿抬起大于50°角并持續(xù)8 min后的流體重新分布狀態(tài)。從選定橫斷面的圖像上提取兩種狀態(tài)下上氣道截面和頸圍邊界的坐標(biāo),進(jìn)而計算氣道橫截面積以及頸圍周長。結(jié)果 圖像可清楚地顯示流體遷移引起的上氣道截面積、形狀,及頸圍尺度的變化。計算結(jié)果表明,抬腿引起的流體遷移導(dǎo)致上氣道截面積減小、頸圍增大,與現(xiàn)有文獻(xiàn)中給出的實驗結(jié)果一致。結(jié)論 將磁共振三維容積成像的方法用于流體遷移對人體上氣道形態(tài)影響的研究,可方便、精確地測量由于流體重新分布引起的上氣道截面積、形狀,及頸圍尺度的變化。這一方法將為研究體位改變對睡眠呼吸功能的影響,特別是伴有水腫現(xiàn)象的疾病與阻塞性睡眠呼吸暫停相關(guān)聯(lián)的機(jī)理提供一個有效的途徑。

Objective To propose a magnetic resonance imaging(MRI)procedure for 3D volume scanning to study the effect of fluid shift on the cross section of the upper airway as well as the neck circumference,and to test the feasibility of this strategy. A new thought was provided for exploring the effects of body posture changes on the respiratory functions during sleep. Methods A procedure using 3D-SPGR scanning from the top of nasal cavity to laryngeal prominence of two subjects was conducted under two conditions:the control test with subjects lying supine,and after fluid redistribution resulting from elevating both legs for 8 min. The coordinates of the neck and the upper airway boundaries were extracted directly from the selected axial images to calculate the neck circumference and the cross-sectional area of the upper airway. Results The images showed clearly the changes in the neck circumference and the cross-sectional area and shape of the upper airway. The results indicated that the fluid shift caused by raising legs could narrow the upper airway and increase the neck size,which were consistent with currently published experimental results by other investigators. Conclusions Using the 3D volume MRI technique to study the effects of fluid shift on the upper airway patency,we can easily and accurately measure the changes in the neck size and the cross-sectional area and shape of the upper airway. This method could provide an effective way to investigate the effects of body posture changes on the respiratory functions during sleep,as well as the mechanism behind the correlation between fluid-retaining related diseases and obstructive sleep apnea.

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