Two major complications following tendon surgery are adhesion formation and re-rupture. There is a need to develop an ultrasound imaging system for non-invasive, non-destructive, longitudinal monitoring of tendon structure throughout a rehabilitation protocol to optimize restoration of range of motion and mechanical properties. Type I collagen is the primary extracellular matrix protein in tendon, and its organization impacts tendon function. The objective of the present study is to develop a high-frequency quantitative ultrasound spectral analysis technique to characterize collagen fiber alignment in murine tendon. This work tests the hypothesis that the integrated backscatter coefficient (IBC) will exhibit anisotropy in murine tendon with aligned structure, and isotropy in murine liver with inhomogeneous structure. Backscattered echoes from murine tail tendon and liver were acquired at varying insonification angles using 38-MHz and 55-MHz single-element transducers. B-mode and IBC parametric images were computed, and the average IBC value in a region of interest was determined at each insonification angle. The IBC was angular-dependent in tendon and isotropic in liver. These data suggest that the IBC can be used to detect collagen fiber alignment in murine tendon, and contribute to establishing the foundation for a dedicated device to non-invasively monitor collagen remodeling during tendon healing.
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