Developing an in-vivo physiological porcine model of inducing acute atraumatic compartment syndrome towards a non-invasive diagnosis using shear wave elastography

Abstract Compartment syndrome (CS) is a pathological event caused by elevated intracompartmental pressure (ICP); however, changes from the onset of inducing atraumatic CS remained unclear. The study aimed to investigate the physiological changes in a newly developed in vivo porcine acute atraumatic...

Full description

Bibliographic Details
Main Authors: Jong Woo Kang, Jong Woong Park, Tae Hyun Lim, Keun Tae Kim, Song Joo Lee
Format: Article
Language:English
Published: Nature Portfolio 2021-11-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-021-01405-0
_version_ 1819003033962414080
author Jong Woo Kang
Jong Woong Park
Tae Hyun Lim
Keun Tae Kim
Song Joo Lee
author_facet Jong Woo Kang
Jong Woong Park
Tae Hyun Lim
Keun Tae Kim
Song Joo Lee
author_sort Jong Woo Kang
collection DOAJ
description Abstract Compartment syndrome (CS) is a pathological event caused by elevated intracompartmental pressure (ICP); however, changes from the onset of inducing atraumatic CS remained unclear. The study aimed to investigate the physiological changes in a newly developed in vivo porcine acute atraumatic CS model. CS was induced by ischemia–reperfusion injury in the left hind leg of fourteen pigs divided into an echogenicity group (EG) and a shear wave elastography group (SEG). Echogenicity was measured in EG, and shear elastic modulus (SEM) was measured in SEG seven times before, at the onset of inducing CS, and every 30 min after the onset over eight hours. Simultaneously, ICP, blood pressure, and muscle perfusion pressure (MPP) were also measured in both groups. Our results indicate that SEM of the experimental leg in SEG significantly increased as CS developed compared to the control leg (p = 0.027), but no statistical difference in the echogenicity in EG was found between the experimental leg and control leg. There were also significant correlations between SEM and ICP (p < 0.001) and ICP and MPP (p < 0.001). Our method and findings can be a basis to develop a non-invasive diagnostic tool using a shear wave elastography for atraumatic CS.
first_indexed 2024-12-20T23:14:34Z
format Article
id doaj.art-4bb647cdd420413db9a9deea6bb37411
institution Directory Open Access Journal
issn 2045-2322
language English
last_indexed 2024-12-20T23:14:34Z
publishDate 2021-11-01
publisher Nature Portfolio
record_format Article
series Scientific Reports
spelling doaj.art-4bb647cdd420413db9a9deea6bb374112022-12-21T19:23:40ZengNature PortfolioScientific Reports2045-23222021-11-0111111210.1038/s41598-021-01405-0Developing an in-vivo physiological porcine model of inducing acute atraumatic compartment syndrome towards a non-invasive diagnosis using shear wave elastographyJong Woo Kang0Jong Woong Park1Tae Hyun Lim2Keun Tae Kim3Song Joo Lee4Department of Orthopaedic Surgery, Korea University Ansan HospitalDepartment of Orthopaedic Surgery, Korea University Anam HospitalCenter for Bionics, Biomedical Research Institute, Korea Institute of Science and TechnologyCenter for Bionics, Biomedical Research Institute, Korea Institute of Science and TechnologyCenter for Bionics, Biomedical Research Institute, Korea Institute of Science and TechnologyAbstract Compartment syndrome (CS) is a pathological event caused by elevated intracompartmental pressure (ICP); however, changes from the onset of inducing atraumatic CS remained unclear. The study aimed to investigate the physiological changes in a newly developed in vivo porcine acute atraumatic CS model. CS was induced by ischemia–reperfusion injury in the left hind leg of fourteen pigs divided into an echogenicity group (EG) and a shear wave elastography group (SEG). Echogenicity was measured in EG, and shear elastic modulus (SEM) was measured in SEG seven times before, at the onset of inducing CS, and every 30 min after the onset over eight hours. Simultaneously, ICP, blood pressure, and muscle perfusion pressure (MPP) were also measured in both groups. Our results indicate that SEM of the experimental leg in SEG significantly increased as CS developed compared to the control leg (p = 0.027), but no statistical difference in the echogenicity in EG was found between the experimental leg and control leg. There were also significant correlations between SEM and ICP (p < 0.001) and ICP and MPP (p < 0.001). Our method and findings can be a basis to develop a non-invasive diagnostic tool using a shear wave elastography for atraumatic CS.https://doi.org/10.1038/s41598-021-01405-0
spellingShingle Jong Woo Kang
Jong Woong Park
Tae Hyun Lim
Keun Tae Kim
Song Joo Lee
Developing an in-vivo physiological porcine model of inducing acute atraumatic compartment syndrome towards a non-invasive diagnosis using shear wave elastography
Scientific Reports
title Developing an in-vivo physiological porcine model of inducing acute atraumatic compartment syndrome towards a non-invasive diagnosis using shear wave elastography
title_full Developing an in-vivo physiological porcine model of inducing acute atraumatic compartment syndrome towards a non-invasive diagnosis using shear wave elastography
title_fullStr Developing an in-vivo physiological porcine model of inducing acute atraumatic compartment syndrome towards a non-invasive diagnosis using shear wave elastography
title_full_unstemmed Developing an in-vivo physiological porcine model of inducing acute atraumatic compartment syndrome towards a non-invasive diagnosis using shear wave elastography
title_short Developing an in-vivo physiological porcine model of inducing acute atraumatic compartment syndrome towards a non-invasive diagnosis using shear wave elastography
title_sort developing an in vivo physiological porcine model of inducing acute atraumatic compartment syndrome towards a non invasive diagnosis using shear wave elastography
url https://doi.org/10.1038/s41598-021-01405-0
work_keys_str_mv AT jongwookang developinganinvivophysiologicalporcinemodelofinducingacuteatraumaticcompartmentsyndrometowardsanoninvasivediagnosisusingshearwaveelastography
AT jongwoongpark developinganinvivophysiologicalporcinemodelofinducingacuteatraumaticcompartmentsyndrometowardsanoninvasivediagnosisusingshearwaveelastography
AT taehyunlim developinganinvivophysiologicalporcinemodelofinducingacuteatraumaticcompartmentsyndrometowardsanoninvasivediagnosisusingshearwaveelastography
AT keuntaekim developinganinvivophysiologicalporcinemodelofinducingacuteatraumaticcompartmentsyndrometowardsanoninvasivediagnosisusingshearwaveelastography
AT songjoolee developinganinvivophysiologicalporcinemodelofinducingacuteatraumaticcompartmentsyndrometowardsanoninvasivediagnosisusingshearwaveelastography