School of Allied Health Sciences, Kitasato University, Kanagawa, Japan.
J Magn Reson Imaging. 2013 Jan;37(1):172-8. doi: 10.1002/jmri.23796. Epub 2012 Sep 14.
To assess the effect of motion artifact reduction on the diffusion-weighted magnetic resonance imaging (DWI-MRI) of the liver, we compared velocity-compensated DWI (VC-DWI) and VC-DWI combined with tetrahedral gradients (t-VC-DWI) to conventional DWI (c-DWI) in the assessment of apparent diffusion coefficients (ADCs) of the liver.
In 12 healthy volunteers, the liver was scanned with c-DWI, VC-DWI, and t-VC-DWI sequences. The signal-to-noise ratio (SNR) and ADC of the liver parenchyma were measured and compared among sequences.
The image quality was visually better for t-VC-DWI than for the others. The SNR for t-VC-DWI was significantly higher than that for VC-DWI (P < 0.05) and comparable to that for c-DWI. ADCs in both hepatic lobes were significantly lower for t-VC-DWI than for c-DWI (P < 0.01). ADC in the left lobe was significantly lower for VC-DWI than for c-DWI (P < 0.01). Although ADC in the left lobe was significantly higher for c-DWI (P < 0.01), no significant differences in ADCs were found between the right and left lobes for VC-DWI and t-VC-DWI.
The use of a t-VC-DWI sequence enables us to correct ADCs of the liver for artificial elevation due to cardiac motion, with preserved SNR.
为了评估运动伪影减少对肝脏弥散加权磁共振成像(DWI-MRI)的影响,我们比较了速度补偿 DWI(VC-DWI)和四面体梯度补偿 VC-DWI(t-VC-DWI)与常规 DWI(c-DWI)在评估肝脏表观扩散系数(ADC)中的作用。
在 12 名健康志愿者中,对肝脏进行 c-DWI、VC-DWI 和 t-VC-DWI 序列扫描。测量并比较了序列间肝脏实质的信噪比(SNR)和 ADC。
与其他序列相比,t-VC-DWI 的图像质量在视觉上更好。t-VC-DWI 的 SNR 明显高于 VC-DWI(P < 0.05),与 c-DWI 相当。t-VC-DWI 双侧肝叶的 ADC 明显低于 c-DWI(P < 0.01)。VC-DWI 左叶的 ADC 明显低于 c-DWI(P < 0.01)。虽然 c-DWI 左叶的 ADC 明显较高(P < 0.01),但 VC-DWI 和 t-VC-DWI 右叶和左叶之间的 ADC 无显著差异。
使用 t-VC-DWI 序列可以校正由于心脏运动导致的肝脏 ADC 的人为升高,同时保持 SNR。