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冠状动脉:使用SH L 643A进行对比增强磁共振成像——12名志愿者的经验

Coronary arteries: contrast-enhanced MR imaging with SH L 643A--experience in 12 volunteers.

作者信息

Herborn Christoph U, Barkhausen Jörg, Paetsch Ingo, Hunold Peter, Mahler Marianne, Shamsi Kohkan, Nagel Eike

机构信息

Department of Diagnostic and Interventional Radiology, University Hospital Essen, Hufelandstrasse 55, 45122 Essen, Germany.

出版信息

Radiology. 2003 Oct;229(1):217-23. doi: 10.1148/radiol.2291021033. Epub 2003 Aug 27.

Abstract

PURPOSE

To assess SH L 643A for three-dimensional breath-hold and respiratory-gated magnetic resonance (MR) imaging in the depiction of coronary arteries.

MATERIALS AND METHODS

Twelve healthy male volunteers underwent either three-dimensional breath-hold (n = 6) or respiratory-gated (n = 6) coronary MR angiography before and after intravenous injection of 0.1 mmol SH L 643A per kilogram of body weight. For nonenhanced and contrast material-enhanced examinations, signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) measurements were obtained. Image quality was assessed in consensus with a five-point scale. Statistical analysis of nonenhanced and contrast-enhanced images was based on a two-tailed paired Student t test. A P value at the.05 significance level was used.

RESULTS

Overall statistically significant improvement in CNR was observed after administration of SH L 643A compared with that on nonenhanced images (8.7 +/- 5.3 [SD] vs 23.6 +/- 7.2, P <.01). While SNR of contrast-enhanced images showed improvement over that of nonenhanced images, the difference was not statistically significant (25.4 +/- 0.8 vs 30.2 +/- 16.8, P >.2). Image quality improved from a mean of 3.1 +/- 0.8 for nonenhanced images to 4.0 +/- 0.8 (P <.01) for contrast-enhanced images.

CONCLUSION

SH L 643A causes significant improvement of the blood-myocardium contrast enhancement at coronary MR angiography compared with that with nonenhanced sequences.

摘要

目的

评估SH L 643A在三维屏气和呼吸门控磁共振(MR)成像中对冠状动脉的显示效果。

材料与方法

12名健康男性志愿者在静脉注射每千克体重0.1 mmol SH L 643A之前和之后,分别接受了三维屏气(n = 6)或呼吸门控(n = 6)冠状动脉MR血管造影检查。对于非增强和对比剂增强检查,获得了信噪比(SNR)和对比噪声比(CNR)测量值。图像质量采用五点量表进行一致性评估。非增强和增强图像的统计分析基于双尾配对学生t检验。使用0.05显著性水平的P值。

结果

与非增强图像相比,注射SH L 643A后观察到CNR总体有统计学意义的改善(8.7±5.3[标准差]对23.6±7.2,P<.01)。虽然对比剂增强图像的SNR比非增强图像有所改善,但差异无统计学意义(25.4±0.8对30.2±16.8,P>.2)。图像质量从非增强图像的平均3.1±0.8提高到对比剂增强图像 的4.0±0.8(P<.01)。

结论

与非增强序列相比,SH L 643A在冠状动脉MR血管造影中可显著改善血液-心肌对比增强。

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