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基于超极化3He扩散磁共振成像的体内肺形态测定法:理论背景

In vivo lung morphometry with hyperpolarized 3He diffusion MRI: theoretical background.

作者信息

Sukstanskii A L, Yablonskiy D A

机构信息

Department of Radiology, Washington University, St. Louis, MO 63110, USA.

出版信息

J Magn Reson. 2008 Feb;190(2):200-10. doi: 10.1016/j.jmr.2007.10.015. Epub 2007 Nov 1.

Abstract

MRI-based study of (3)He gas diffusion in lungs may provide important information on lung microstructure. Lung acinar airways can be described in terms of cylinders covered with alveolar sleeve [Haefeli-Bleuer, Weibel, Anat. Rec. 220 (1988) 401]. For relatively short diffusion times (on the order of a few ms) this geometry allows description of the (3)He diffusion attenuated MR signal in lungs in terms of two diffusion coefficients-longitudinal (D(L)) and transverse (D(T)) with respect to the individual acinar airway axis [Yablonskiy et al., PNAS 99 (2002) 3111]. In this paper, empirical relationships between D(L) and D(T) and the geometrical parameters of airways and alveoli are found by means of computer Monte Carlo simulations. The effects of non-Gaussian signal behavior (dependence of D(L) and D(T) on b-value) are also taken into account. The results obtained are quantitatively valid in the physiologically important range of airway parameters characteristic of healthy lungs and lungs with mild emphysema. In lungs with advanced emphysema, the results provide only "apparent" characteristics but still could potentially be used to evaluate emphysema progression. This creates a basis for in vivo lung morphometry-evaluation of the geometrical parameters of acinar airways from hyperpolarized (3)He diffusion MRI, despite the airways being too small to be resolved by direct imaging. These results also predict a rather substantial dependence of (3)He ADC on the experimentally-controllable diffusion time, Delta. If Delta is decreased from 3 ms to 1 ms, the ADC in normal human lungs may increase by almost 50%. This effect should be taken into account when comparing experimental data obtained with different pulse sequences.

摘要

基于磁共振成像(MRI)对肺部³He气体扩散的研究可能会提供有关肺微观结构的重要信息。肺腺泡气道可以用覆盖有肺泡套的圆柱体来描述[Haefeli-Bleuer, Weibel, Anat. Rec. 220 (1988) 401]。对于相对较短的扩散时间(几毫秒量级),这种几何结构使得可以根据两个扩散系数——相对于单个腺泡气道轴的纵向扩散系数(D(L))和横向扩散系数(D(T))来描述肺部³He扩散衰减的磁共振信号[Yablonskiy等人,PNAS 99 (2002) 3111]。在本文中,通过计算机蒙特卡罗模拟找到了D(L)和D(T)与气道及肺泡几何参数之间的经验关系。同时也考虑了非高斯信号行为(D(L)和D(T)对b值的依赖性)的影响。所获得的结果在健康肺和轻度肺气肿肺的气道参数生理重要范围内是定量有效的。在重度肺气肿肺中,结果仅提供“表观”特征,但仍有可能用于评估肺气肿的进展。这为体内肺形态测量学——从超极化³He扩散MRI评估腺泡气道的几何参数奠定了基础,尽管气道太小无法通过直接成像分辨。这些结果还预测³He表观扩散系数(ADC)对实验可控的扩散时间Δ有相当大的依赖性。如果将Δ从3毫秒减少到1毫秒,正常人体肺部的ADC可能会增加近50%。在比较用不同脉冲序列获得的实验数据时应考虑这种效应。

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