Kawakubo Masateru, Akamine Hiroshi, Yamasaki Yuzo, Takemura Atsushi, Abe Kohtaro, Hosokawa Kazuya, Morishita Junji, Nagao Michinobu
Department of Radiological Technology, Faculty of Fukuoka Medical Technology, Teikyo University, 6-22 Misaki-machi, Omuta, Fukuoka, Japan.
Division of Radiology, Department of Medical Technology, Kyushu University Hospital, Fukuoka, Japan.
Radiol Phys Technol. 2017 Jun;10(2):249-255. doi: 10.1007/s12194-016-0383-0. Epub 2016 Oct 25.
In this study, three-dimensional phase contrast magnetic resonance imaging (3D-PC MRI), a novel technique, was validated to assess pulmonary artery (PA) flow in patients with chronic thromboembolic pulmonary hypertension (CTEPH). The MR data of PAs from 3D-PC and two-dimensional PC (2D-PC) from before and after treatment for 3 patients with CTEPH were retrospectively analyzed. Additionally, 3D- and 2D-PC MR scans of PA were performed in 5 healthy volunteers. Correlation of stroke volumes (SVs) obtained by 3D-PC and 2D-PC was analyzed using Pearson's correlation coefficients. There was an excellent correlation in the SV of main PA, left PA and right PA between 3D-PC and 2D-PC (main PA: r = 0.91, p < 0.01, left PA: r = 0.72, p < 0.01 and right PA: r = 0.77, p < 0.01). In conclusion, 3D-PC MRI was able to accurately quantify the PA flow in patients with CTEPH.
在本研究中,一种新技术——三维相位对比磁共振成像(3D-PC MRI)被验证可用于评估慢性血栓栓塞性肺动脉高压(CTEPH)患者的肺动脉(PA)血流。对3例CTEPH患者治疗前后的3D-PC和二维相位对比(2D-PC)肺动脉磁共振数据进行了回顾性分析。此外,对5名健康志愿者进行了肺动脉的3D和2D-PC磁共振扫描。使用Pearson相关系数分析了通过3D-PC和2D-PC获得的每搏输出量(SV)的相关性。3D-PC和2D-PC在主肺动脉、左肺动脉和右肺动脉的SV之间存在极好的相关性(主肺动脉:r = 0.91,p < 0.01;左肺动脉:r = 0.72,p < 0.01;右肺动脉:r = 0.77,p < 0.01)。总之,3D-PC MRI能够准确量化CTEPH患者的肺动脉血流。