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使用脉冲动脉自旋标记进行定量灌注测量:大感兴趣区域分析的影响

Quantitative perfusion measurements using pulsed arterial spin labeling: effects of large region-of-interest analysis.

作者信息

Figueiredo Patrícia M, Clare Stuart, Jezzard Peter

机构信息

Centre for Functional Magnetic Resonance Imaging of the Brain (FMRIB), Department of Clinical Neurology, University of Oxford, John Radcliffe Hospital, Oxford, UK.

出版信息

J Magn Reson Imaging. 2005 Jun;21(6):676-82. doi: 10.1002/jmri.20329.

DOI:10.1002/jmri.20329
PMID:15906323
Abstract

PURPOSE

To study arterial spin labeling (ASL) MRI techniques and to investigate various problematic issues that still hinder the accurate and robust quantitative analysis of ASL data.

MATERIALS AND METHODS

A pulsed-ASL (PASL) sequence was implemented on a 3-T imaging system and a protocol was developed for the measurement of perfusion based on fitting to a standard kinetic model. Both numerical simulations and multi-inversion time MRI data were analyzed. The effect of fitting a kinetic curve to a large region of interest (ROI) with a distribution of arterial transit times was compared to a pixel-by-pixel (PBP) method.

RESULTS

It was found that a significant underestimation of perfusion of approximately 17+/-6% (P<0.001) occurs in gray matter, when comparing an ROI with a PBP analysis over a group of 12 healthy subjects.

CONCLUSION

Analysis of ASL data based on a large ROI may suffer from inaccuracies arising from a distribution of transit times, implying that averaging of ASL kinetic data over such regions should therefore be avoided. When possible, a PBP fit should be performed.

摘要

目的

研究动脉自旋标记(ASL)MRI技术,并探讨仍阻碍对ASL数据进行准确且可靠定量分析的各种问题。

材料与方法

在3-T成像系统上实施脉冲ASL(PASL)序列,并制定了基于拟合标准动力学模型进行灌注测量的方案。对数值模拟和多反转时间MRI数据进行了分析。将对具有动脉通过时间分布的大感兴趣区域(ROI)拟合动力学曲线的效果与逐像素(PBP)方法进行了比较。

结果

在一组12名健康受试者中,当将ROI与PBP分析进行比较时,发现灰质灌注明显低估约17±6%(P<0.001)。

结论

基于大ROI对ASL数据进行分析可能会因通过时间分布而产生不准确结果,这意味着应避免在此类区域对ASL动力学数据进行平均。可能的话,应进行PBP拟合。

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