Serai Suraj D, Yin Meng, Wang Hui, Ehman Richard L, Podberesky Daniel J
Department of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA,
Abdom Imaging. 2015 Apr;40(4):789-94. doi: 10.1007/s00261-014-0282-y.
To evaluate and validate the reproducibility of MR Elastography (MRE)-derived liver stiffness values on two different MR vendor platforms performed on the same subject on the same day.
This investigation was approved by the hospital IRB. MRE exams were performed twice in identical fashion in eight volunteers and in five clinical patients on two different 1.5 T MR scanners-once on a Philips MR scanner and immediately afterward in back-to-back fashion on a General Electric MR scanner, or vice versa. All scan parameters were kept identical on the two platforms to the best extent possible. After the MRE magnitude and phase images were obtained, the data were converted into quantitative images displaying the stiffness of the liver parenchyma. Mean liver stiffness values between the two platforms were compared using interclass correlation with a p value <0.05 considered statistically significant.
Interclass correlation coefficient (ICC) value of 0.994 was obtained for 13 subjects with p value <0.001 indicating a significantly positive correlation.
As MRE gains in acceptance and as its availability becomes more widespread, it is important to ascertain and confirm that liver stiffness values obtained on different MRE vendor platforms are consistent and reproducible. In this small pilot investigation, we demonstrate that liver stiffness measurement with MRE is reproducible and has very good consistency across two vendor platforms.
评估并验证同一天在同一受试者身上使用两种不同磁共振成像(MRI)供应商平台进行磁共振弹性成像(MRE)得出的肝脏硬度值的可重复性。
本研究经医院机构审查委员会批准。8名志愿者和5名临床患者在两台不同的1.5T MR扫描仪上以相同方式进行了两次MRE检查——一次在飞利浦MR扫描仪上进行,随后立即以背靠背方式在通用电气MR扫描仪上进行,反之亦然。两个平台上的所有扫描参数尽可能保持相同。在获得MRE幅度和相位图像后,将数据转换为显示肝实质硬度的定量图像。使用组内相关性比较两个平台之间的平均肝脏硬度值,p值<0.05被认为具有统计学意义。
13名受试者的组内相关系数(ICC)值为0.994,p值<0.001,表明存在显著正相关。
随着MRE的认可度提高及其可用性更加广泛,确定并确认在不同MRE供应商平台上获得的肝脏硬度值具有一致性和可重复性非常重要。在这项小型初步研究中,我们证明了使用MRE进行肝脏硬度测量具有可重复性,并且在两个供应商平台之间具有非常好的一致性。