Theilmann Rebecca J, Arai Tatsuya J, Samiee Ahsan, Dubowitz David J, Hopkins Susan R, Buxton Richard B, Prisk G Kim
Department of Radiology, University of California, San Diego, La Jolla, California, USA.
J Magn Reson Imaging. 2009 Sep;30(3):527-34. doi: 10.1002/jmri.21866.
To evaluate lung water density at three different levels of lung inflation in normal lungs using a fast gradient echo sequence developed for rapid imaging.
Ten healthy volunteers were imaged with a fast gradient echo sequence that collects 12 images alternating between two closely spaced echoes in a single 9-s breathhold. Data were fit to a single exponential to determine lung water density and T(2) (). Data were evaluated in a single imaging slice at total lung capacity (TLC), functional residual capacity (FRC), and residual volume (RV). Analysis of variance for repeated measures was used to statistically evaluate changes in T(2) () and lung water density across lung volumes, imaging plane, and spatial locations in the lung.
In normal subjects (n = 10), T(2) () (and [lung density/water density]) was 1.2 +/- 0.1 msec (0.10 +/- 0.02), 1.8 +/- 0.2 ms (0.25 +/- 0.04), and 2.0 +/- 0.2 msec (0.27 +/- 0.03) at TLC, FRC, and RV, respectively. Results also show that there is a considerable intersubject variability in the values of T(2) ().
Data show that T(2) () in the lung is very short, and varies considerably with lung volume. Thus, if quantitative assessment of lung density within a breathhold is to be measured accurately, then it is necessary to also determine T(2) ().
使用为快速成像开发的快速梯度回波序列,评估正常肺在三种不同肺膨胀水平下的肺水密度。
10名健康志愿者采用快速梯度回波序列成像,该序列在单次9秒屏气过程中,在两个紧密间隔的回波之间交替采集12幅图像。数据拟合为单指数曲线以确定肺水密度和T(2)*。在全肺容量(TLC)、功能残气量(FRC)和残气量(RV)下的单个成像层面评估数据。采用重复测量方差分析对T(2)*和肺水密度在肺容积、成像平面和肺内空间位置的变化进行统计学评估。
在正常受试者(n = 10)中,TLC、FRC和RV时的T(2)*(以及[肺密度/水密度])分别为1.2±0.1毫秒(0.10±0.02)、1.8±0.2毫秒(0.25±0.04)和2.0±0.2毫秒(0.27±0.03)。结果还显示,T(2)*值在受试者之间存在相当大的变异性。
数据表明,肺内的T(2)非常短,且随肺容积有很大变化。因此,如果要在屏气期间准确测量肺密度的定量评估,那么还需要确定T(2)。