Department of Biomedical Engineering, University of Wisconsin, Madison, Wisconsin, USA.
Magn Reson Med. 2010 Apr;63(4):849-57. doi: 10.1002/mrm.22300.
Noninvasive biomarkers of intracellular accumulation of fat within the liver (hepatic steatosis) are urgently needed for detection and quantitative grading of nonalcoholic fatty liver disease, the most common cause of chronic liver disease in the United States. Accurate quantification of fat with MRI is challenging due the presence of several confounding factors, including T*(2) decay. The specific purpose of this work is to quantify the impact of T*(2) decay and develop a multiexponential T*(2) correction method for improved accuracy of fat quantification, relaxing assumptions made by previous T*(2) correction methods. A modified Gauss-Newton algorithm is used to estimate the T*(2) for water and fat independently. Improved quantification of fat is demonstrated, with independent estimation of T*(2) for water and fat using phantom experiments. The tradeoffs in algorithm stability and accuracy between multiexponential and single exponential techniques are discussed.
目前,美国最常见的慢性肝病病因——非酒精性脂肪性肝病的检测和定量分级迫切需要一种能无创检测肝内脂肪(即脂肪肝)细胞内堆积的生物标志物。由于存在多种混杂因素,包括 T*(2)衰减,MRI 检测脂肪的精确定量存在挑战。这项工作的具体目的是量化 T*(2)衰减的影响,并开发一种多指数 T*(2)校正方法,以提高脂肪定量的准确性,同时放宽以前 T*(2)校正方法的假设。采用改进的高斯-牛顿算法分别独立估计水和脂肪的 T*(2)。通过体模实验,对水和脂肪的 T*(2)进行独立估计,证明了脂肪定量的改善。讨论了多指数和单指数技术在算法稳定性和准确性之间的权衡。