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脑动脉非增强 ECG 门控时间分辨 4D 稳态自由进动(SSFP)MR 血管成像(MRA):1.5T 与 3T 的比较。

Nonenhanced ECG-gated time-resolved 4D steady-state free precession (SSFP) MR angiography (MRA) of cerebral arteries: comparison at 1.5T and 3T.

机构信息

Department of Diagnostic and Interventional Radiology, University Düsseldorf, Medical Faculty, Moorenstr. 5, 40225 Düsseldorf, Germany.

出版信息

Eur J Radiol. 2012 Apr;81(4):e531-5. doi: 10.1016/j.ejrad.2011.06.044. Epub 2011 Jul 2.

Abstract

PURPOSE

To compare image quality of nonenhanced time-resolved 4D steady-state free precession MR angiography (4D SSFP MRA) of cerebral arteries at 1.5T and 3T.

MATERIALS AND METHODS

12 healthy subjects (mean age 29.4±6.9 years) were studied at both 1.5T and 3T. Two different positions of the acquisition slab were evaluated; in one acquisition the imaging slab included the carotid siphon ("S(low)"), in the other acquisition the imaging slab was placed superior to the carotid siphon ("S(high)"). Subjective image quality of cerebral arteries was assessed independently by two readers on a 4-point scale. Relative Signal-to-Noise-Ratio (SNR) was determined for the M1 segment of the middle cerebral artery.

RESULTS

Subjective image quality of the anterior cerebral artery (segments A1, A2) was significantly higher at 1.5T as compared to 3T, while 3T provided significantly higher image quality for segment P3 of the posterior cerebral artery. For the middle cerebral artery (segments M1-M3), image quality was significantly higher at 1.5T than at 3T when the carotid siphon was included in the acquisition slab ("S(low)"), while no significant difference was found between 1.5T and 3T with "S(high)". Relative SNR was significantly higher at 1.5T (23.1±5.1) as compared to 3T (12.1±7.8) for "S(low)" and significantly higher at 3T (29.8±5.9) than at 1.5T (24.2±3.6) for "S(high)".

CONCLUSION

Our results indicate that 4D SSFP MRA should preferably be performed at 1.5T with inclusion of the carotid siphon in the acquisition slab, which might be required for the assessment of intracranial collateral flow.

摘要

目的

比较 1.5T 和 3T 场强下非增强时间分辨 4D 稳态自由进动磁共振血管成像(4D SSFP MRA)在脑动脉成像中的图像质量。

材料与方法

12 名健康志愿者(平均年龄 29.4±6.9 岁)分别在 1.5T 和 3T 场强下进行检查。评估了两种不同的采集层面位置;在一种采集方式中,成像层面包括颈动脉虹吸段(“S(low) ”),在另一种采集方式中,成像层面位于颈动脉虹吸段上方(“S(high) ”)。两位读者分别对脑动脉的主观图像质量进行 4 分制评估。确定大脑中动脉 M1 段的相对信噪比(SNR)。

结果

与 3T 相比,1.5T 时大脑前动脉(A1、A2 段)的主观图像质量明显更高,而 3T 时大脑后动脉 P3 段的图像质量明显更高。对于大脑中动脉(M1-M3 段),当包括颈动脉虹吸段时(“S(low) ”),1.5T 的图像质量明显高于 3T,而当采用“S(high) ”时,1.5T 和 3T 之间无显著差异。当包括颈动脉虹吸段时(“S(low) ”),1.5T 的相对 SNR 明显高于 3T(23.1±5.1),而当采用“S(high) ”时,3T 的相对 SNR 明显高于 1.5T(29.8±5.9)。

结论

我们的结果表明,对于颅内侧支循环的评估,4D SSFP MRA 应优选在 1.5T 场强下进行,且应包括颈动脉虹吸段的采集,这可能是必需的。

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