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性别、年龄和体重指数对健康腮腺脂肪含量及表观扩散系数的影响:一项MRI评估

Effects of gender, age, and body mass index on fat contents and apparent diffusion coefficients in healthy parotid glands: an MRI evaluation.

作者信息

Chang Hing-Chiu, Juan Chun-Jung, Chiu Hui-Chu, Cheng Cheng-Chieh, Chiu Su-Chin, Liu Yi-Jui, Chung Hsiao-Wen, Hsu Hsian-He

机构信息

Graduate Institute of Biomedical Electronics and Bioinformatics, National Taiwan University, Taipei, Taiwan.

出版信息

Eur Radiol. 2014 Sep;24(9):2069-76. doi: 10.1007/s00330-014-3265-z. Epub 2014 Jun 28.

DOI:10.1007/s00330-014-3265-z
PMID:24972952
Abstract

OBJECTIVES

To establish standard apparent diffusion coefficient (ADC) and the fat content as a function of age, gender and body mass index (BMI) in healthy parotid glands, and to address the influences of fat suppression on ADC measurements.

METHODS

A total of 100 healthy adults (gender and age evenly distributed) were prospectively recruited, with parotid fat content measured from gradient-echo images with fat-water separated using iterative decomposition with echo asymmetry and least squares (IDEAL). The ADCs were estimated using both fat-saturated and non-fat-saturated diffusion-weighted imaging via a periodically rotated overlapping parallel lines with enhanced reconstruction (PROPELLER) technique.

RESULTS

Parotid fat content was larger in men than in women by about 10 percentage points (P < 0.005), and positively associated with BMI and age for both genders (mostly with P < 0.001). ADCs estimated with non-fat-saturated PROPELLER were significantly lower in men than in women (P < 0.005), but showed no gender difference if measured using fat-saturated PROPELLER (P = 0.840). The negative association between parotid ADC and age/BMI/fat (P < 0.001) showed greater regression slopes in non-fat-saturated PROPELLER than in fat-saturated data.

CONCLUSIONS

Parotid fat content in healthy adults correlates positively with both age and BMI; the correlation with age is gender-dependent. Parotid ADC measurements are strongly influenced by fat saturation.

KEY POINTS

Parotid fat content in healthy adults correlates positively with age and BMI. The rate of aging-related increase in fat contents is gender-dependent. Parotid ADC measurements are strongly influenced by fat saturation.

摘要

目的

建立健康腮腺的标准表观扩散系数(ADC)以及脂肪含量与年龄、性别和体重指数(BMI)的函数关系,并探讨脂肪抑制对ADC测量的影响。

方法

前瞻性招募了100名健康成年人(性别和年龄均匀分布),通过使用具有回波不对称和最小二乘法的迭代分解(IDEAL)进行脂肪-水分离的梯度回波图像测量腮腺脂肪含量。通过周期性旋转重叠平行线增强重建(PROPELLER)技术,使用脂肪饱和和非脂肪饱和扩散加权成像估计ADC。

结果

男性腮腺脂肪含量比女性大约高10个百分点(P < 0.005),并且与BMI和年龄均呈正相关(大多P < 0.001)。使用非脂肪饱和PROPELLER估计的ADC在男性中显著低于女性(P < 0.005),但使用脂肪饱和PROPELLER测量时无性别差异(P = 0.840)。腮腺ADC与年龄/BMI/脂肪之间的负相关(P < 0.001)在非脂肪饱和PROPELLER数据中的回归斜率比脂肪饱和数据中的更大。

结论

健康成年人的腮腺脂肪含量与年龄和BMI均呈正相关;与年龄的相关性存在性别差异。腮腺ADC测量受脂肪饱和的影响很大。

关键点

健康成年人的腮腺脂肪含量与年龄和BMI呈正相关。脂肪含量与年龄相关的增加速率存在性别差异。腮腺ADC测量受脂肪饱和的影响很大。

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