Lazik Andrea, Theysohn Jens M, Geis Christina, Johst Sören, Ladd Mark E, Quick Harald H, Kraff Oliver
Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Hufelandstr. 55, 45147, Essen, Germany.
Erwin L. Hahn Institute for Magnetic Resonance Imaging, University of Duisburg-Essen, Essen, Germany.
Eur Radiol. 2016 May;26(5):1245-53. doi: 10.1007/s00330-015-3964-0. Epub 2015 Aug 28.
To evaluate the technical feasibility and applicability of quantitative MR techniques (delayed gadolinium-enhanced MRI of cartilage (dGEMRIC), T2 mapping, T2* mapping) at 7 T MRI for assessing hip cartilage.
Hips of 11 healthy volunteers were examined at 7 T MRI with an 8-channel radiofrequency transmit/receive body coil using multi-echo sequences for T2 and T2* mapping and a dual flip angle gradient-echo sequence before (T10) and after intravenous contrast agent administration (T1Gd; 0.2 mmol/kg Gd-DTPA(2-) followed by 0.5 h of walking and 0.5 h of rest) for dGEMRIC. Relaxation times of cartilage were measured manually in 10 regions of interest. Pearson's correlations between R1delta = 1/T1Gd - 1/T10 and T1Gd and between T2 and T2* were calculated. Image quality and the delineation of acetabular and femoral cartilage in the relaxation time maps were evaluated using discrete rating scales.
High correlations were found between R1delta and T1Gd and between T2 and T2* relaxation times (all p < 0.01). All techniques delivered diagnostic image quality, with best delineation of femoral and acetabular cartilage in the T2* maps (mean 3.2 out of a maximum of 4 points).
T1, T2 and T2* mapping of hip cartilage with diagnostic image quality is feasible at 7 T. To perform dGEMRIC at 7 T, pre-contrast T1 mapping can be omitted.
• dGEMRIC of hip cartilage with diagnostic image quality is feasible at 7 T. • To perform dGEMRIC at 7 T, pre-contrast T1 mapping can be omitted. • T2() mapping of hip cartilage with diagnostic image quality is feasible at 7 T. • T2 and T2 relaxation times of cartilage were highly correlated at 7 T. • Best delineation of femoral and acetabular cartilage was found in T2* maps.
评估7T磁共振成像(MRI)定量磁共振技术(延迟钆增强软骨MRI(dGEMRIC)、T2 mapping、T2* mapping)用于评估髋关节软骨的技术可行性和适用性。
11名健康志愿者的髋关节在7T MRI下进行检查,使用8通道射频发射/接收体线圈,采用多回波序列进行T2和T2* mapping,并在静脉注射造影剂前(T10)和注射后(T1Gd;0.2 mmol/kg Gd-DTPA(2-),随后步行0.5小时和休息0.5小时)采用双翻转角梯度回波序列进行dGEMRIC检查。在10个感兴趣区域手动测量软骨的弛豫时间。计算R1delta = 1/T1Gd - 1/T10与T1Gd之间以及T2与T2*之间的Pearson相关性。使用离散评分量表评估弛豫时间图中髋臼和股骨软骨的图像质量及轮廓清晰度。
R1delta与T1Gd之间以及T2与T2弛豫时间之间存在高度相关性(所有p < 0.01)。所有技术均提供了诊断图像质量,其中T2图中股骨和髋臼软骨的轮廓清晰度最佳(最高4分,平均3.2分)。
在7T下对髋关节软骨进行具有诊断图像质量的T1、T2和T2* mapping是可行的。在7T下进行dGEMRIC时,可以省略造影前T1 mapping。
• 在7T下获得具有诊断图像质量的髋关节软骨dGEMRIC是可行的。• 在7T下进行dGEMRIC时,可以省略造影前T1 mapping。• 在7T下获得具有诊断图像质量的髋关节软骨T2()mapping是可行的。• 在7T下软骨的T2和T2弛豫时间高度相关。• 在T2*图中发现股骨和髋臼软骨的轮廓清晰度最佳。