[用于肺部功能磁共振成像的超极化(3)氦气]

[Hyperpolarized (3)helium gas for functional magnetic resonance imaging of the lung].

作者信息

Heussel Claus Peter, Gast Klaus K, Dahmen Anja, Morbach Andreas E, Kauczor Hans-Ulrich, Schreiber Wolfgang G, Thelen Manfred, van Beek Edwin J R

机构信息

Klinik und Poliklinik für Radiologie, Johannes Gutenberg-Universität, Mainz.

出版信息

Med Klin (Munich). 2005 Jul 15;100(7):413-24. doi: 10.1007/s00063-005-1048-7.

Abstract

Lung imaging is traditionally done using X-ray-based methods, since MRI is limited by low proton density as well as inherent magnetic field inhomogeneities of the lung tissue. After introduction of MRI using hyperpolarized noble gases, a totally new field of MRI of the chest has rapidly evolved. These techniques reveal new functional information of the lungs, which could not be obtained before. The first part of this review describes the underlying MR technology explaining distribution of static ventilation, dynamic distribution of ventilation, lung microstructure (apparent diffusion coefficient [ADC]), measurement of oxygen partial pressure (pO(2)), and safety. The clinical potential is afterwards demonstrated in the second part. Therefore, the effort in normal lungs and the mainly focused diseases chronic obstructive pulmonary disease (COPD), smoker's lung, cystic fibrosis, asthma, lung transplantation, and pulmonary embolism are reported.

摘要

传统上,肺部成像采用基于X射线的方法,因为磁共振成像(MRI)受限于低质子密度以及肺组织固有的磁场不均匀性。在引入使用超极化惰性气体的MRI后,胸部MRI这一全新领域迅速发展起来。这些技术揭示了肺部以前无法获得的新功能信息。本综述的第一部分描述了基础的MR技术,解释了静态通气分布、通气的动态分布、肺微结构(表观扩散系数[ADC])、氧分压(pO₂)测量以及安全性。第二部分随后展示了其临床潜力。因此,报告了在正常肺部的研究工作以及主要关注的疾病,即慢性阻塞性肺疾病(COPD)、吸烟者肺、囊性纤维化、哮喘、肺移植和肺栓塞。

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