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单次屏气时人肺谱线展宽的体内成像。

In vivo imaging of the spectral line broadening of the human lung in a single breathhold.

作者信息

Carinci Flavio, Meyer Cord, Breuer Felix A, Jakob Peter M

机构信息

Research Center Magnetic Resonance Bavaria (MRB), Würzburg, Germany.

Department of Experimental Physics 5, University of Würzburg, Würzburg, Germany.

出版信息

J Magn Reson Imaging. 2016 Sep;44(3):745-57. doi: 10.1002/jmri.25192. Epub 2016 Feb 26.

Abstract

PURPOSE

To present a technique, which allows for the in vivo quantification of the spectral line broadening of the human lung in a single breathhold. The line broadening is an interesting parameter of the lung because it can provide information about important lung properties, namely: inflation and oxygen uptake. The proposed technique integrates the asymmetric spin-echo (ASE) approach, which is commonly used to quantify the line broadening, with a single shot turbo spin-echo pulse sequence with half-Fourier acquisition (HASTE), to reduce the acquisition times.

MATERIALS AND METHODS

Imaging experiments were performed at 1.5 Tesla on 14 healthy volunteers, using a ASE-prepared HASTE sequence. The line broadening was quantified using a two-points method. Data were acquired at different breathing states: functional residual capacity (FRC) and total lung capacity (TLC), and with different breathing gases: room-air and pure-oxygen. Image acquisition was accomplished within a single breathhold of approximately 15 s duration. The violation of the Carr-Purcell-Meiboom-Gill conditions, deriving from inhomogeneities of the static magnetic field, was overcome by means of radiofrequency-phase cycling and generalized autocalibrating partially parallel acquisitions (GRAPPA) reconstruction.

RESULTS

Significant increase of the line broadening was observed with both lung inflation and oxygen concentration (P < 0.0001). Values of the line broadening obtained within the lung parenchyma at different breathing states (1.48 ± 0.29 ppm at FRC and 1.95 ± 0.43 ppm at TLC) are in agreement with previous reports and show excellent reproducibility, with a coefficient of variation <0.03. The mean relative difference observed with oxygen-enhancement was approximately 14%.

CONCLUSION

The presented technique offers a robust way to quantify the spectral line broadening of the human lung in vivo. Image acquisition can be accomplished in a single breathhold, which could be suitable for clinical applications on patients with lung diseases. J. Magn. Reson. Imaging 2016;44:745-757.

摘要

目的

介绍一种能够在单次屏气过程中对人肺谱线展宽进行体内定量分析的技术。谱线展宽是肺部一个有趣的参数,因为它可以提供有关重要肺部特性的信息,即:充气和氧气摄取。所提出的技术将常用于定量谱线展宽的不对称自旋回波(ASE)方法与具有半傅里叶采集(HASTE)的单次激发快速自旋回波脉冲序列相结合,以减少采集时间。

材料与方法

在1.5特斯拉磁场下,对14名健康志愿者进行成像实验,使用ASE准备的HASTE序列。采用两点法对谱线展宽进行定量分析。在不同呼吸状态下采集数据:功能残气量(FRC)和肺总量(TLC),以及使用不同呼吸气体:室内空气和纯氧。图像采集在大约15秒的单次屏气内完成。通过射频相位循环和广义自校准部分并行采集(GRAPPA)重建克服了由静磁场不均匀性引起的违反Carr-Purcell-Meiboom-Gill条件的问题。

结果

随着肺充气和氧气浓度的增加,谱线展宽均显著增加(P < 0.0001)。在不同呼吸状态下肺实质内获得的谱线展宽值(FRC时为1.48±0.29 ppm,TLC时为1.95±0.43 ppm)与先前报道一致,并且具有出色的可重复性,变异系数<0.03。氧气增强时观察到的平均相对差异约为14%。

结论

所提出的技术为体内定量分析人肺谱线展宽提供了一种可靠的方法。图像采集可以在单次屏气内完成,这可能适用于肺部疾病患者的临床应用。《磁共振成像杂志》2016年;44:745 - 757。

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