The contrast agent concentration, the time of repetition (TR) and magnetic field strength are significant parameters that influence for the accurate signal intensity (SI) in quantitative Magnetic Resonance Imaging (MR...The contrast agent concentration, the time of repetition (TR) and magnetic field strength are significant parameters that influence for the accurate signal intensity (SI) in quantitative Magnetic Resonance Imaging (MRI). Therefore, this study was conducted to investigate and refine the dependence and the optimal effect of Time of Repetition (TR) on the relationship between signal intensity and Gd-DTPA (Gadolinium-diethylene-triaminepenta-acetic acid) concentration, after applying two-dimensional (2D) Spin Echo (SE) pulse sequence under low-field MRI. In addition to that, the optimal concentration of Gd-DTPA at given sequence parameters at low-field MRI was also evaluated. A water-filled phantom was constructed for a range of Gd-DTPA concentrations (0 - 6 mmol/L) and the mean signal intensities (SIs) were assessed in the defined region of interest on T1-weighted images with different TR values (40 - 2000 ms). The generated signal-concentration curves for Gd-DTPA revealed that increasing TR was associated with the increase of the overall SIs and the maximum relationship between SI to concentration. Moreover, the required Gd-DTPA concentration to produce the maximum SI was associated to decrease with the increase of TR. In addition to this, the application of beyond 100 ms TR values in this study with relatively higher concentrations (beyond 1 - 2 mmol/L) has resulted predominantly non-linear patterns in the signal-concentration curves and it appears the saturation or decay of the SIs due to T2 effect. From these results, it can be suggested that the selection of relatively lower Gd-DTPA concentration ( mmol/L) with less than 800 ms (<800 ms) TR values can produce a better linear relationship between the concertation and SIs in T1-weighted SE low field contrast-enhanced MRI. Furthermore, this study also outlined the significance and necessity of the optimization of TR in SE sequence in low field MRI prior to a particular examination.展开更多
Objective To investigate the clinical value of different magnetic resonance (MR) pulse sequences in diagnosis of spinal metastatic tumor. Methods Fifteen patients with clinically suspected spinal metastatic tumor were...Objective To investigate the clinical value of different magnetic resonance (MR) pulse sequences in diagnosis of spinal metastatic tumor. Methods Fifteen patients with clinically suspected spinal metastatic tumor were included in this study. These patients were with documented primary tumors. Four MR pulse sequences, T1-weighted spin echo (T1WI SE), T2-weighted fast spin echo (T2WI FSE), short time inversion recovery (STIR), and gradient echo 2-D multi echo data imaging combination (GE Me-2D) were used to detect spinal metastasis. Results Fifteen vertebral bodies were entire involvement, 38 vertebral bodies were section involvement, and totally 53 vertebral bodies were involved. There were 19 focal infections in pedicle of vertebral arch, 15 metastases in spinous process and transverse process. Fifty-three vertebral bodies were abnormal in T1WI SE and GE Me-2D, 35 vertebral bodies were found abnormal in T2WI FSE, and 50 vertebral bodies were found abnormal in STIR. The verges of focal signal of involved vertebral bodies were comparatively clear in T1WI SE, comparatively clear or vague in T2WI FSE, vague in STIR, and clear in GE Me-2D.Conclusions GE Me-2D may be the most sensitive technique to detect metastases. So three sequences (T1WI SE, T2WI FSE, GE Me-2D) can demonstrate the early changes of spinal metastasis roundly.展开更多
文摘The contrast agent concentration, the time of repetition (TR) and magnetic field strength are significant parameters that influence for the accurate signal intensity (SI) in quantitative Magnetic Resonance Imaging (MRI). Therefore, this study was conducted to investigate and refine the dependence and the optimal effect of Time of Repetition (TR) on the relationship between signal intensity and Gd-DTPA (Gadolinium-diethylene-triaminepenta-acetic acid) concentration, after applying two-dimensional (2D) Spin Echo (SE) pulse sequence under low-field MRI. In addition to that, the optimal concentration of Gd-DTPA at given sequence parameters at low-field MRI was also evaluated. A water-filled phantom was constructed for a range of Gd-DTPA concentrations (0 - 6 mmol/L) and the mean signal intensities (SIs) were assessed in the defined region of interest on T1-weighted images with different TR values (40 - 2000 ms). The generated signal-concentration curves for Gd-DTPA revealed that increasing TR was associated with the increase of the overall SIs and the maximum relationship between SI to concentration. Moreover, the required Gd-DTPA concentration to produce the maximum SI was associated to decrease with the increase of TR. In addition to this, the application of beyond 100 ms TR values in this study with relatively higher concentrations (beyond 1 - 2 mmol/L) has resulted predominantly non-linear patterns in the signal-concentration curves and it appears the saturation or decay of the SIs due to T2 effect. From these results, it can be suggested that the selection of relatively lower Gd-DTPA concentration ( mmol/L) with less than 800 ms (<800 ms) TR values can produce a better linear relationship between the concertation and SIs in T1-weighted SE low field contrast-enhanced MRI. Furthermore, this study also outlined the significance and necessity of the optimization of TR in SE sequence in low field MRI prior to a particular examination.
文摘Objective To investigate the clinical value of different magnetic resonance (MR) pulse sequences in diagnosis of spinal metastatic tumor. Methods Fifteen patients with clinically suspected spinal metastatic tumor were included in this study. These patients were with documented primary tumors. Four MR pulse sequences, T1-weighted spin echo (T1WI SE), T2-weighted fast spin echo (T2WI FSE), short time inversion recovery (STIR), and gradient echo 2-D multi echo data imaging combination (GE Me-2D) were used to detect spinal metastasis. Results Fifteen vertebral bodies were entire involvement, 38 vertebral bodies were section involvement, and totally 53 vertebral bodies were involved. There were 19 focal infections in pedicle of vertebral arch, 15 metastases in spinous process and transverse process. Fifty-three vertebral bodies were abnormal in T1WI SE and GE Me-2D, 35 vertebral bodies were found abnormal in T2WI FSE, and 50 vertebral bodies were found abnormal in STIR. The verges of focal signal of involved vertebral bodies were comparatively clear in T1WI SE, comparatively clear or vague in T2WI FSE, vague in STIR, and clear in GE Me-2D.Conclusions GE Me-2D may be the most sensitive technique to detect metastases. So three sequences (T1WI SE, T2WI FSE, GE Me-2D) can demonstrate the early changes of spinal metastasis roundly.
文摘目的使用MRI时间依赖扩散诊断指标判断新诊断胶质母细胞瘤O6-甲基鸟嘌呤-脱氧核糖核酸甲基转移酶(O^(6)-methylguanine deoxyribonucleic acid methyltransferase,MGMT)启动子甲基化状态。材料与方法对22例甲基化MGMT启动子(methylated MGMT,mMGMT)和29例非甲基化MGMT启动子(unmethylated MGMT,uMGMT)新诊断胶质母细胞瘤患者进行诊断分析以及对14例mMGMT和14例uMGMT新诊断胶质母细胞瘤患者进行应用验证。使用3 T MRI震荡梯度回波和脉冲梯度回波进行时间依赖扩散扫描。基于两室模型获取MRI时间依赖扩散微结构诊断指标,包括细胞内容积分数(f_(in))、细胞外扩散率(D_(ex))、细胞直径(d)、细胞密度(cellularity)、不同频率的扩散率(D_(0Hz)、D_(15Hz)和D_(30Hz))。比较mMGMT和uMGMT两组胶质母细胞瘤之间以上指标的差异。首先使用单因素逻辑回归分析各指标区分两组胶质母细胞瘤的能力,然后使用多因素逻辑回归分析确定是否存在构建逻辑回归联合诊断模型的可能。两两比较各诊断指标区分两组胶质母细胞瘤的能力。结果相对于uMGMT胶质母细胞瘤,mMGMT胶质母细胞瘤表现出更高的f_(in),D_(ex)和cellularity(P<0.05)以及更低的D0 Hz(P=0.018)。f_(in)对于区分两组胶质母细胞瘤诊断能力最佳,曲线下面积(area under the curve,AUC)值为0.95,敏感度和特异度分别为95%和90%,且与其他诊断指标两两比较差异均具统计学意义(P<0.05)。多因素逻辑回归分析显示f_(in)为独立影响变量,因此无联合诊断模型的构建。以f_(in)>0.16作为诊断阈值进行应用验证,准确度为82.14%。结论MRI时间依赖扩散诊断指标f_(in)对于判断新诊断胶质母细胞瘤MGMT启动子甲基化状态表现出较好的应用价值。
文摘目的探讨基于联合压缩感知(Compressed Sensing,CS)平面回波成像(Echo Planer Imaging,EPI)的动脉自旋标记(Arterial Spin Labeling,ASL)技术,即EPICS-ASL序列在脑灌注成像中的应用价值,并与传统EPI-ASL序列进行比较。方法前瞻性收集30例志愿者行EPICS-ASL和传统EPI-ASL序列扫描。在ASL原始图上选取基底节、灰质、白质、脑干和小脑作为感兴趣区(Region of Interest,ROI),测量并计算各ROI的信噪比(Signal to Noise Ratio,SNR)和灰质/白质对比噪声比(Contrast to Noise Ratio,CNR灰质/白质);2名医师独立双盲采用4分法主观评估两组图像质量。采用配对t检验比较两组图像的SNR和CNR灰质/白质,采用秩和检验比较两组图像主观评分结果。结果客观评价,EPICS-ASL组各ROI的SNR和CNR灰质/白质均优于EPI-ASL组各ROI的SNR和CNR灰质/白质(均P<0.001);主观评价,EPICS-ASL组的图像质量评分也优于EPI-ASL组(均P<0.001)。结论EPICS-ASL序列显著优于传统EPI-ASL序列的图像SNR和CNR,图像质量更高,具有进一步临床应用的潜力。
