Deh Kofi, Nguyen Thanh D, Eskreis-Winkler Sarah, Prince Martin R, Spincemaille Pascal, Gauthier Susan, Kovanlikaya Ilhami, Zhang Yan, Wang Yi
Department of Radiology, Weill Cornell Medical College, New York, New York, USA.
J Magn Reson Imaging. 2015 Dec;42(6):1592-600. doi: 10.1002/jmri.24943. Epub 2015 May 9.
To assess the reproducibility of brain quantitative susceptibility mapping (QSM) in healthy subjects and in patients with multiple sclerosis (MS) on 1.5 and 3T scanners from two vendors.
Ten healthy volunteers and 10 patients were scanned twice on a 3T scanner from one vendor. The healthy volunteers were also scanned on a 1.5T scanner from the same vendor and on a 3T scanner from a second vendor. Similar imaging parameters were used for all scans. QSM images were reconstructed using a recently developed nonlinear morphology-enabled dipole inversion (MEDI) algorithm with L1 regularization. Region-of-interest (ROI) measurements were obtained for 20 major brain structures. Reproducibility was evaluated with voxel-wise and ROI-based Bland-Altman plots and linear correlation analysis.
ROI-based QSM measurements showed excellent correlation between all repeated scans (correlation coefficient R ≥ 0.97), with a mean difference of less than 1.24 ppb (healthy subjects) and 4.15 ppb (patients), and 95% limits of agreements of within -25.5 to 25.0 ppb (healthy subjects) and -35.8 to 27.6 ppb (patients). Voxel-based QSM measurements had a good correlation (0.64 ≤ R ≤ 0.88) and limits of agreements of -60 to 60 ppb or less.
Brain QSM measurements have good interscanner and same-scanner reproducibility for healthy and MS subjects, respectively, on the systems evaluated in this study.
评估在来自两家供应商的1.5T和3T扫描仪上,健康受试者和多发性硬化症(MS)患者脑定量磁化率成像(QSM)的可重复性。
10名健康志愿者和10名患者在一家供应商的3T扫描仪上进行了两次扫描。健康志愿者还在同一家供应商的1.5T扫描仪以及另一家供应商的3T扫描仪上进行了扫描。所有扫描均使用相似的成像参数。使用最近开发的具有L1正则化的非线性形态学启用偶极子反演(MEDI)算法重建QSM图像。对20个主要脑结构进行感兴趣区域(ROI)测量。通过体素级和基于ROI的布兰德-奥特曼图以及线性相关分析评估可重复性。
基于ROI的QSM测量显示,所有重复扫描之间具有极好的相关性(相关系数R≥0.97),健康受试者的平均差异小于1.24 ppb,患者的平均差异小于4.15 ppb,健康受试者的95%一致性界限在-25.5至25.0 ppb之间,患者的95%一致性界限在-35.8至27.6 ppb之间。基于体素的QSM测量具有良好的相关性(0.64≤R≤0.88),一致性界限在-60至60 ppb或更小范围内。
在本研究评估的系统上,脑QSM测量对于健康受试者和MS患者分别具有良好的不同扫描仪间和同一扫描仪内的可重复性。