Cihangiroglu Mutlu, Uluğ Aziz Müfit, Firat Zeynep, Bayram Ali, Kovanlikaya Arzu, Kovanlikaya Ilhami
Yeditepe University Hospital, Department of Radiology, Istanbul, Turkey.
Eur J Radiol. 2009 Mar;69(3):454-8. doi: 10.1016/j.ejrad.2007.11.023. Epub 2007 Dec 26.
The purpose of this study was to determine the normative apparent diffusion coefficient (ADC) values at 3T using high b-value (3000 s/mm(2)) diffusion-weighted images (DWI) and compare the signal characteristics of the high b value with standard b-value (1000 s/mm(2)) DWI.
Institutional review board approval was obtained for this prospective study which included 20 volunteers (10 M, 10 F, mean age: 38.7+/-14.9) without any known clinical disease or radiological findings. All brain examinations were performed with 3T MR by using similar parameters of b1000 and b3000 DWI sequences. DWI and ADC maps were obtained. Signal intensity, noise, signal to noise ratio (SNR), contrast to noise (CNR), contrast ratio (CR), and ADC values of bilateral posterior limb of internal capsule, frontal white matter, parietal gray matter, pons, thalamus, splenium of corpus callosum were measured on b1000 and b3000 DW images.
In all anatomic locations, MR signal intensity, SNR and ADC values of b3000 images were significantly lower than MR signal intensity, SNR and ADC values of b1000 images (p<0.001). The CNR and CR values at the posterior limb of internal capsule and pons were significantly increased on b3000 images (p<0.001) and decreased in the other regions measured.
The ADC values calculated from standard b-value DWI were significantly higher than those calculated from high b-value DWI. These results agree with the previous studies. In the regions where CNR values increase with high b value, b3000 DWI images may provide additional clinical information.
本研究的目的是使用高b值(3000 s/mm(2))扩散加权成像(DWI)确定3T时的正常表观扩散系数(ADC)值,并将高b值与标准b值(1000 s/mm(2))DWI的信号特征进行比较。
本前瞻性研究获得了机构审查委员会的批准,纳入了20名志愿者(10名男性,10名女性,平均年龄:38.7±14.9岁),他们没有任何已知的临床疾病或影像学表现。所有脑部检查均使用3T磁共振成像,采用b1000和b3000 DWI序列的相似参数。获得了DWI和ADC图。在b1000和b3000 DW图像上测量双侧内囊后肢、额叶白质、顶叶灰质、脑桥、丘脑、胼胝体压部的信号强度、噪声、信噪比(SNR)、对比噪声比(CNR)、对比率(CR)和ADC值。
在所有解剖部位,b3000图像的磁共振信号强度、SNR和ADC值均显著低于b1000图像的磁共振信号强度、SNR和ADC值(p<0.001)。内囊后肢和脑桥的CNR和CR值在b3000图像上显著增加(p<0.001),而在其他测量区域则降低。
从标准b值DWI计算得到的ADC值显著高于从高b值DWI计算得到的值。这些结果与先前的研究一致。在CNR值随高b值增加的区域,b3000 DWI图像可能提供额外的临床信息。