整合肌内脂肪放射学与腿筋-四肢骨结构和功能比率,以预测未来的腿筋应变损伤
Akanksha Sharma1, Daniel R Smith2,3,4, Alexis B Slutsky-Ganesh2,3,4,5
1Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology & Emory University, Atlanta, Georgia, United States of America.
PLOS digital health
|December 23, 2025
概括
腿部肌内脂肪 (IMF) 的磁共振成像 (MRI) 放射学可以预测未来的腿筋应变损伤 (HSI). 将IMF放射学与肌肉失衡和受伤数据相结合,显著提高了运动员的HSI预测准确性.
科学领域:
- 运动医学和成像分析分析.
- 生物机械伤害预测预测
背景情况:
- 腿筋应变损伤 (HSI) 在运动员中很常见,影响表现和职业生涯的长寿.
- 预测性HSI生物标志物对于制定有效的伤害预防策略至关重要.
- 基于磁共振成像 (MRI) 的放射学提供了一种非侵入性方法来分析组织特征.
研究的目的:
- 调查大腿肌内脂肪 (IMF) 的放射性特征是否可以预测未来的HSI.
- 为了确定放射学与肌肉失衡和损伤概况数据的结合是否会提高HSI预测的准确性.
主要方法:
- 一项前性的纵向研究分析了93名美国职业足球运动员的IDEAL MRI扫描.
- 从腿筋和四头肌肌肉中的肌内脂肪 (IMF) 中提取放射性特征.
- 利用K-近邻分类器来评估包括放射学,肌肉失衡 (Mb) 和损伤概况 (Mi) 特性在内的预测模型.
主要成果:
- 综合模型将腿筋IMF放射学 (Mr) 与肌肉失衡 (Mb) 和损伤概况 (Mi) 数据相结合,实现了最高的预测准确度 (AUC=0.79).
- 这种综合模型显著优于仅使用放射学 (Mr或四头肌IMF放射学),肌肉失衡或损伤概况特征的模型.
- 仅仅腿筋IMF的放射学显示出适度的预测能力 (AUC=0.69).
结论:
- 腿筋IMF的放射性特征,当与肌肉失衡和损伤概况数据集成时,可以有效地预测未来的HSI.
- 这种多式联络方法为识别有HSI风险的运动员提供了一个有前途的策略.
- 在更大,多样化的运动群体中进一步验证是有必要的,以扩大跨性别和参与水平的适用性.
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