Togao Osamu, Hiwatashi Akio, Keupp Jochen, Yamashita Koji, Kikuchi Kazufumi, Yoshiura Takashi, Yoneyama Masami, Kruiskamp Marijn J, Sagiyama Koji, Takahashi Masaya, Honda Hiroshi
Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi Higashi-ku, Fukuoka, 812-8582, Japan.
Philips Research Europe, Röntgenstrasse 24-26, Hamburg, 22335, Germany.
PLoS One. 2016 May 26;11(5):e0155925. doi: 10.1371/journal.pone.0155925. eCollection 2016.
In this study, we evaluated the dependence of saturation pulse length on APT imaging of diffuse gliomas using a parallel transmission-based technique. Twenty-two patients with diffuse gliomas (9 low-grade gliomas, LGGs, and 13 high-grade gliomas, HGGs) were included in the study. APT imaging was conducted at 3T with a 2-channel parallel transmission scheme using three different saturation pulse lengths (0.5 s, 1.0 s, 2.0 s). The 2D fast spin-echo sequence was used for imaging. Z-spectrum was obtained at 25 frequency offsets from -6 to +6 ppm (step 0.5 ppm). A point-by-point B0 correction was performed with a B0 map. Magnetization transfer ratio (MTRasym) and ΔMTRasym (contrast between tumor and normal white matter) at 3.5 ppm were compared among different saturation lengths. A significant increase in MTRasym (3.5 ppm) of HGG was found when the length of saturation pulse became longer (3.09 ± 0.54% at 0.5 s, 3.83 ± 0.67% at 1 s, 4.12 ± 0.97% at 2 s), but MTRasym (3.5 ppm) was not different among the saturation lengths in LGG. ΔMTRasym (3.5 ppm) increased with the length of saturation pulse in both LGG (0.48 ± 0.56% at 0.5 s, 1.28 ± 0.56% at 1 s, 1.88 ± 0.56% at 2 s and HGG (1.72 ± 0.54% at 0.5 s, 2.90 ± 0.49% at 1 s, 3.83 ± 0.88% at 2 s). In both LGG and HGG, APT-weighted contrast was enhanced with the use of longer saturation pulses.
在本研究中,我们使用基于并行传输的技术评估了饱和脉冲长度对弥漫性胶质瘤APT成像的依赖性。22例弥漫性胶质瘤患者(9例低级别胶质瘤,LGGs,和13例高级别胶质瘤,HGGs)纳入本研究。在3T下采用双通道并行传输方案,使用三种不同的饱和脉冲长度(0.5秒、1.0秒、2.0秒)进行APT成像。采用二维快速自旋回波序列进行成像。在-6至+6 ppm(步长0.5 ppm)的25个频率偏移处获得Z谱。使用B0图进行逐点B0校正。比较不同饱和长度下3.5 ppm处的磁化传递率(MTRasym)和ΔMTRasym(肿瘤与正常白质之间的对比度)。发现当饱和脉冲长度变长时,HGG的MTRasym(3.5 ppm)显著增加(0.5秒时为3.09±0.54%,1秒时为3.83±0.67%,2秒时为4.12±0.97%),但LGG中不同饱和长度下的MTRasym(3.5 ppm)无差异。在LGG(0.5秒时为0.48±0.56%,1秒时为1.28±0.56%,2秒时为1.88±0.56%)和HGG(0.5秒时为1.72±0.54%,1秒时为2.90±0.49%,2秒时为3.83±0.88%)中,ΔMTRasym(3.5 ppm)均随饱和脉冲长度增加。在LGG和HGG中,使用更长的饱和脉冲均可增强APT加权对比度。