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A Useful Device to Measure Kinetics of Platelet Contraction

机译:一种测量血小板收缩动力学的有用装置

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摘要

Platelet contraction provides a minimally invasive source for physiological information. In this paper we describe a device that directly measures the kinetics of platelet contraction. Whole blood is injected between acrylic plates and an adherent clot forms. The bottom plate is fixed, and the top plate is attached to a wire cantilever. Platelet contraction drives deflection of the wire cantilever which is captured by a camera. Force generated by the clot with time is derived using beam equations. Force derivations were verified using a microelectromechanical (MEMS) force sensor. Kinetics of clot contraction were defined, including maximum contraction force (FMAX), lift-off time (TLIFTOFF), and contraction rate (CR). Metrics were compared to optical aggregometry and thromboelastography. FMAX correlates with optical aggregometry maximal amplitude with a Spearman’s rho of 0.7904 and p = 0.0195 and thromboelastography maximal amplitude with a Spearman’s rho of 0.8857 and p = 0.0188. TLIFTOFF correlates with optical aggregometry lag time with a Spearman’s rho of 0.9048 and p = 0.002. This preliminary study demonstrates the repeatability of a useful platelet contraction device and its correlation with thromboelastography and optical aggregometry, the gold standard platelet function test.
机译:血小板收缩为生理信息提供了微创的来源。在本文中,我们描述了一种直接测量血小板收缩动力学的装置。将全血注入丙烯酸板之间,形成粘附的血块。底板是固定的,而顶板则固定在金属悬臂上。血小板收缩会驱动金属悬臂的偏转,该偏转由照相机捕获。凝块随时间产生的力可通过梁方程得出。使用微机电(MEMS)力传感器验证了力的派生。定义了血块收缩的动力学,包括最大收缩力(FMAX),提起时间(TLIFTOFF)和收缩率(CR)。将度量与光学凝集和血栓弹性成像进行比较。 FMAX与光学凝集测量最大振幅(Spearman的rho为0.7904,p = 0.0195)和血栓弹性成像最大振幅(Spearman的rho为0.8857,p = 0.0188)相关。 TLIFTOFF与光学凝集仪的滞后时间相关,Spearman的rho为0.9048,p = 0.002。这项初步研究证明了有用的血小板收缩装置的可重复性及其与血栓弹性成像和光学凝集测定法(金标准血小板功能试验)的相关性。

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