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3.0特斯拉磁共振波谱法测量肝脏脂肪含量的可重复性

Reproducibility of 3.0 Tesla magnetic resonance spectroscopy for measuring hepatic fat content.

作者信息

van Werven Jochem R, Hoogduin Johannes M, Nederveen Aart J, van Vliet Andre A, Wajs Ewa, Vandenberk Petra, Stroes Erik S G, Stoker Jaap

机构信息

Department of Radiology, Academic Medical Center at the University of Amsterdam, Amsterdam, the Netherlands.

出版信息

J Magn Reson Imaging. 2009 Aug;30(2):444-8. doi: 10.1002/jmri.21837.

Abstract

PURPOSE

To investigate reproducibility of proton magnetic resonance spectroscopy ((1)H-MRS) to measure hepatic triglyceride content (HTGC).

MATERIALS AND METHODS

In 24 subjects, HTGC was evaluated using (1)H-MRS at 3.0 Tesla. We studied "between-weeks" reproducibility and reproducibility of (1)H-MRS in subjects with fatty liver. We also studied within liver variability and within day reproducibility. Reproducibility was assessed by coefficient of variation (CV), repeatability coefficient (RC), and intraclass correlation coefficient (ICC).

RESULTS

The CV of between weeks reproducibility was 9.5%, with a RC of 1.3% HTGC (ICC 0.998). The CV in fatty livers was 4.1%, with a RC of 1.3% HTGC (ICC 0.997). Within day CV was 4.5%, with a RC of 0.4% HTGC (ICC 0.999). CV for within liver variability was 14.5%.

CONCLUSION

Reproducibility of (1)H-MRS to measure HTGC for "between-weeks" measurements and in fatty livers is high, which is important for follow-up studies. Within liver variability displays a larger variation, meaning that liver fat is not equally distributed and during consecutive measurements the same voxel position should be used.

摘要

目的

研究质子磁共振波谱法((1)H-MRS)测量肝脏甘油三酯含量(HTGC)的可重复性。

材料与方法

对24名受试者在3.0特斯拉场强下使用(1)H-MRS评估HTGC。我们研究了“周间”可重复性以及(1)H-MRS在脂肪肝患者中的可重复性。我们还研究了肝脏内的变异性和日内可重复性。通过变异系数(CV)、重复性系数(RC)和组内相关系数(ICC)评估可重复性。

结果

周间可重复性的CV为9.5%,RC为1.3% HTGC(ICC 0.998)。脂肪肝中的CV为4.1%,RC为1.3% HTGC(ICC 0.997)。日内CV为4.5%,RC为0.4% HTGC(ICC 0.999)。肝脏内变异性的CV为14.5%。

结论

(1)H-MRS测量HTGC在“周间”测量和脂肪肝中的可重复性很高,这对随访研究很重要。肝脏内变异性显示出较大差异,意味着肝脏脂肪分布不均,连续测量时应使用相同的体素位置。

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