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3T高场磁共振成像检测猪肺外植体中的小肺结节:不同脉冲序列的评估

Detection of small pulmonary nodules in high-field MR at 3 T: evaluation of different pulse sequences using porcine lung explants.

作者信息

Regier M, Kandel S, Kaul M G, Hoffmann B, Ittrich H, Bansmann P M, Kemper J, Nolte-Ernsting C, Heller M, Adam G, Biederer J

机构信息

Center for Diagnostic Imaging and Image Guided Therapy, Department of Diagnostic and Interventional Radiology, University Hospital of Hamburg, Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany.

出版信息

Eur Radiol. 2007 May;17(5):1341-51. doi: 10.1007/s00330-006-0422-z. Epub 2006 Sep 30.

Abstract

To evaluate two MR imaging sequences for the detection of artificial pulmonary nodules inside porcine lung explants. 67 agarose nodules ranging 3-20 mm were injected into ten porcine lungs within a dedicated chest phantom. The signal on T1-weighted images and radiopacity were adjusted by adding 0.125 mmol/l Gd-DTPA and 1.5 g/l of iodine. A T1-weighted three-dimensional gradient-echo (T1-3D-GRE; TR/TE:3.3/1.1 ms, slice:8 mm, flip-angle:10 degrees ) and a T2-weighted half-Fourier fast-spin echo sequence (T2-HF-FSE; TR/TE:2000/66 ms, slice:7 mm, flip-angle:90 degrees ) were applied in axial orientation using a 3-T system (Intera, Philips Medical Systems, Best, The Netherlands), followed by CT (16x0.5 mm) as reference. Nodule sizes and locations were assessed by three blinded observers. In nodules of >10 mm, sensitivity was 100% using 3D-GRE-MRI and 94% using the HF-FSE sequence. For nodules 6-10 mm, the sensitivity of MRI was lower than with CT (3D-GRE:92%; T2-HF-FSE:83%). In lesions smaller than 5 mm, the sensitivity declined to 80% (3D-GRE) and 53% (HF-FSE). Small lesion diameters were overestimated with both sequences, particularly with HF-FSE. This study confirms the feasibility of 3 T-MRI for lung nodule detection. In lesions greater than 5 mm, the sensitivity of the 3D-GRE sequence approximated CT (>90%), while sensitivity and PPV with the HF-FSE sequence were slightly inferior.

摘要

评估两种磁共振成像序列对猪肺外植体内人工肺结节的检测能力。将67个直径为3 - 20毫米的琼脂糖结节注入置于专用胸部模型内的10个猪肺中。通过添加0.125 mmol/l的钆喷酸葡胺和1.5 g/l的碘来调整T1加权图像上的信号和不透X射线程度。使用3-T系统(Intera,飞利浦医疗系统公司,荷兰贝斯特)在轴向方向施加T1加权三维梯度回波序列(T1-3D-GRE;重复时间/回波时间:3.3/1.1毫秒,层厚:8毫米,翻转角:10度)和T2加权半傅里叶快速自旋回波序列(T2-HF-FSE;重复时间/回波时间:2000/66毫秒,层厚:7毫米,翻转角:90度),随后进行CT(16×0.5毫米)作为对照。由三名不知情的观察者评估结节的大小和位置。在直径大于10毫米的结节中,使用3D-GRE-MRI的敏感度为100%,使用HF-FSE序列的敏感度为94%。对于直径6 - 10毫米的结节,MRI的敏感度低于CT(3D-GRE:92%;T2-HF-FSE:83%)。在小于5毫米的病变中,敏感度降至80%(3D-GRE)和53%(HF-FSE)。两种序列都高估了小病变的直径,尤其是HF-FSE。本研究证实了3T-MRI用于肺结节检测的可行性。在大于5毫米的病变中,3D-GRE序列的敏感度接近CT(>90%),而HF-FSE序列的敏感度和阳性预测值略低。

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