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非增强自由呼吸心电图门控稳态自由进动 3D MR 血管成像技术在肾动脉成像中的应用:1.5T 和 3T 的比较。

Nonenhanced free-breathing ECG-gated steady-state free precession 3D MR angiography of the renal arteries: comparison between 1.5 T and 3 T.

机构信息

Department of Radiology, University Hospital Düsseldorf, Moorenstrasse 5, 40225 Düsseldorf, Germany.

出版信息

AJR Am J Roentgenol. 2010 Mar;194(3):794-8. doi: 10.2214/AJR.09.2814.

DOI:10.2214/AJR.09.2814
PMID:20173162
Abstract

OBJECTIVE

The purpose of our study was to compare the image quality of free-breathing ECG-gated nonenhanced steady-state free precession (SSFP) MR angiography of renal arteries at 1.5 T and 3 T.

SUBJECTS AND METHODS

Twenty volunteers (11 men, nine women; mean age, 23.2 +/- 2.3 years) without a history of renovascular disease participated in the study. Nonenhanced SSFP MR angiography was performed on all subjects at both 1.5 T and 3 T with a maximum interval of 2 weeks between the imaging sessions. The subjective image quality of axial and coronal maximum-intensity-projection reconstructions of four segments (1, abdominal aorta and ostium of renal artery; 2, main renal artery; 3, segmental branches outside renal parenchyma; 4, segmental branches inside renal parenchyma) was evaluated independently by two radiologists using a 4-point scale (4, excellent; 1, nondiagnostic). Relative signal-to-noise ratio, contrast-to-noise ratio, and maximum visible vessel length of the right and left renal arteries also were determined.

RESULTS

No significant difference in image quality at 1.5 T and 3 T was found for segments 1 and 2. The mean image quality for segments 3 and 4 was significantly greater at 3 T (3.88 +/- 0.32, 3.17 +/- 0.70) than at 1.5 T (3.32 +/- 0.73, 2.09 +/- 0.81) (p < 0.001). At 3 T, the maximal vessel length of the right (9.85 +/- 0.82 cm) and left (8.3 +/- 0.79 cm) renal arteries was significantly greater than at 1.5 T (8.94 +/- 1.38 cm and 7.58 +/- 1.18 cm, respectively).

CONCLUSION

Performing nonenhanced SSFP MR angiography at 3 T significantly improves visualization of peripheral renal arterial segments in healthy subjects as compared to 1.5 T.

摘要

目的

本研究旨在比较 1.5T 和 3T 场强下自由呼吸心电图门控非增强稳态自由进动(SSFP)磁共振血管成像(MRA)在肾动脉成像质量方面的差异。

对象和方法

20 名志愿者(11 男,9 女;平均年龄 23.2±2.3 岁),既往无肾血管疾病病史,参与了本研究。所有志愿者均在 1.5T 和 3T 场强下进行非增强 SSFP MRA 检查,两次检查之间间隔最长不超过 2 周。由两位放射科医生分别对 4 个节段(1.腹主动脉及肾动脉开口;2.主肾动脉;3.肾实质外段动脉;4.肾实质内段动脉)的轴位和冠状位最大密度投影重建图像的主观质量进行 4 分制评分(4.优秀;1.不可诊断)评估。同时还测量了右、左肾动脉的相对信噪比、对比噪声比和最大可视血管长度。

结果

1.5T 和 3T 场强下,节段 1 和 2 的图像质量无显著差异。3T 场强下节段 3 和 4 的平均图像质量(3.88±0.32,3.17±0.70)明显优于 1.5T 场强(3.32±0.73,2.09±0.81)(p<0.001)。3T 场强下,右肾(9.85±0.82cm)和左肾(8.3±0.79cm)动脉的最大血管长度明显大于 1.5T 场强(8.94±1.38cm 和 7.58±1.18cm)。

结论

与 1.5T 场强相比,3T 场强下进行非增强 SSFP MRA 检查可显著提高健康受试者肾外周动脉节段的显示效果。

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