旋回回声平面成像和梯度回忆回声序的比较在1.5T的肝脏磁共振弹性图像相同的MRI扫描仪
Ryouna Abe1, Kei Fukuzawa2, Chiharu Yoshihara2
1Department of Radiological Technology, Toranomon Hospital, 2-2-2 Toranomon, Minato-ku, Tokyo, Japan. ryohna.abe@gmail.com.
Abdominal radiology (New York)
|November 27, 2023
概括
磁共振弹性成像 (MRE) 将梯度回忆回声 (GRE) 和旋回声平面成像 (SE-EPI) 进行肝硬度 (LS) 的比较. SE-EPI更可靠,特别是在高R2*值的情况下,GRE可能会失败.
科学领域:
- 医疗成像医学成像
- 肝病学 肝病学是一种肝病学.
- 生物物理学的生物物理.
背景情况:
- 磁共振弹性图 (MRE) 是一种评估肝硬度 (LS) 的非侵入性技术.
- 两个主要的MRE序列,渐变回忆回声 (GRE) 和旋回声平面成像 (SE-EPI),用于LS测量.
- 了解这些序列的比较性能对于准确的肝病评估至关重要.
研究的目的:
- 为了比较使用基于梯度回忆回声 (GRE) 和基于旋回声平面成像 (SE-EPI) 的序列在1.5-T磁共振成像 (MRI) 中获得的肝硬度 (LS) 值.
- 评估两个MRE序列的LS测量之间的一致性和相关性.
- 为了确定肝脏MRE每个序列的潜在限制.
主要方法:
- 从1.5TMRI扫描仪获得的MRE成像数据的回顾性分析.
- 从水平肝部切口获取MRE数据.
- 测量和比较GRE和SE-EPI序列之间的平均肝硬度 (LS) 和像素值.
- 与质子密度脂肪分数,R2*值和生物化学数据的相关性分析,然后进行多变量分析.
主要成果:
- 平均LS值显示GRE (3.01 ± 1.78 kPa) 和SE-EPI (3.13 ± 1.57 kPa) 序列之间有很好的一致性 (r = 0.96).
- 在平均像素值中观察到显著差异 (GRE: 369.5 ± 142.7;SE-EPI: 490.1 ± 197.9;p < 0.01).
- 在SE-EPI没有不可测量的病例,而GRE有2.5%的不可测量的病例,特别是与高R2*值 (p <0.001) 相关.
结论:
- 在1.5T肝脏MRE中,GRE和SE-EPI方法对于LS测量是可比的.
- SE-EPI MRE被认为更有利,因为它能够在高R2*值的情况下测量LS,并倾向于更大的兴趣区域.
- 这些发现表明,SE-EPI可能在各种临床场景中提供更好的可靠性和适用性.
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