Deng Jie, Miller Frank H, Salem Riad, Omary Reed A, Larson Andrew C
Department of Radiology, Northwestern University, Chicago, Illinois 60611, USA.
Invest Radiol. 2006 Oct;41(10):769-75. doi: 10.1097/01.rli.0000236808.84746.95.
The objective of this study was to evaluate the feasibility of using multishot PROPELLER for diffusion-weighted imaging (DWI) of the abdomen.
Diffusion-weighted abdominal imaging was performed in 9 healthy volunteers and 3 patients using both single-shot DW-SE-EPI and multishot DW-PROPELLER (BLADE sequence). We compared ADC measurements in phantoms, liver and pancreatic tissues and performed qualitative comparisons of the diffusion-weighted images and ADC maps provided by these 2 techniques.
DW-PROPELLER significantly improved image quality (P < 0.05) with reduced geometric distortion and artifact. The ADC values of phantoms and abdominal organs measured by DW-PROPELLER were generally greater than those measured by single-shot DW-SE-EPI. The ADC values measured by both DWI techniques were significantly different for liver tissues but not for pancreatic tissues (P < 0.05). Preliminary patient studies demonstrated clearly distinguished lesion areas from surrounding normal liver tissues in the DW-PROPELLER images. DW-PROPELLER offers the potential for high-resolution DWI of the abdomen.
The multishot DW-PROPELLER sequence is a promising technique for DWI of abdominal organs. Future clinical studies will evaluate the use of DW-PROPELLER technique for abdominal oncologic imaging applications.
本研究的目的是评估使用多激发螺旋桨技术进行腹部扩散加权成像(DWI)的可行性。
对9名健康志愿者和3名患者进行腹部扩散加权成像,采用单次激发DW-SE-EPI和多激发DW-螺旋桨(刀锋序列)两种技术。我们比较了模型、肝脏和胰腺组织中的表观扩散系数(ADC)测量值,并对这两种技术提供的扩散加权图像和ADC图进行了定性比较。
DW-螺旋桨技术显著提高了图像质量(P < 0.05),减少了几何变形和伪影。DW-螺旋桨技术测量的模型和腹部器官的ADC值通常大于单次激发DW-SE-EPI测量的值。两种DWI技术测量的肝脏组织ADC值有显著差异,但胰腺组织无显著差异(P < 0.05)。初步的患者研究表明,在DW-螺旋桨图像中病变区域与周围正常肝脏组织有明显区分。DW-螺旋桨技术为腹部高分辨率DWI提供了可能。
多激发DW-螺旋桨序列是一种有前景的腹部器官DWI技术。未来的临床研究将评估DW-螺旋桨技术在腹部肿瘤成像中的应用。