Institute for Biomedical Engineering, ETH and University of Zurich, Zurich, Switzerland.
J Cereb Blood Flow Metab. 2011 Dec;31(12):2282-92. doi: 10.1038/jcbfm.2011.118. Epub 2011 Aug 17.
Cerebral microbleeds (CMBs) are findings in patients with neurological disorders such as cerebral amyloid angiopathy and Alzheimer's disease, and are indicative of an underlying vascular pathology. A diagnosis of CMBs requires an imaging method that is capable of detecting iron-containing lesions with high sensitivity and spatial accuracy in the presence of potentially confounding tissue abnormalities. In this study, we investigated the feasibility of quantitative magnetic susceptibility mapping (QSM), a novel technique based on gradient-recalled echo (GRE) phase data, for the detection of CMBs in the arcAβ mouse, a mouse model of cerebral amyloidosis. Quantitative susceptibility maps were generated from phase data acquired with a high-resolution T(2)(*)-weighted GRE sequence at 9.4 T. We examined the influence of different regularization parameters on susceptibility computation; a proper adjustment of the regularization parameter minimizes streaking artifacts and preserves fine structures. In the present study, it is shown that QSM provides increased detection sensitivity of CMBs and improved contrast when compared with GRE magnitude imaging. Furthermore, QSM corrects for the blooming effect observed in magnitude and phase images and depicts both the localization and spatial extent of CMBs with high accuracy. Therefore, QSM may become an important tool for diagnosing CMBs in neurological diseases.
脑微出血 (CMB) 是存在于神经紊乱患者中的现象,如脑淀粉样血管病和阿尔茨海默病,并提示潜在的血管病理。CMB 的诊断需要一种成像方法,该方法能够在存在潜在混杂组织异常的情况下,以高灵敏度和空间精度检测含铁病变。在这项研究中,我们研究了基于梯度回波 (GRE) 相位数据的新型技术——定量磁化率映射 (QSM) 在检测脑淀粉样蛋白病小鼠模型——arcAβ 小鼠中 CMB 的可行性。定量磁化率图是从在 9.4T 下使用高分辨率 T2(*)-加权 GRE 序列获取的相位数据生成的。我们研究了不同正则化参数对磁化率计算的影响;适当调整正则化参数可最小化条纹伪影并保留精细结构。在本研究中,与 GRE 幅度成像相比,QSM 提高了 CMB 的检测灵敏度和对比度。此外,QSM 纠正了幅度和相位图像中观察到的晕影效应,并以高精度描绘 CMB 的定位和空间范围。因此,QSM 可能成为诊断神经疾病中 CMB 的重要工具。