Department of Radiology, Weill Cornell Medical College, New York, New York, USA.
Department of Biomedical Engineering, Ithaca, New York, USA.
J Magn Reson Imaging. 2017 Oct;46(4):951-971. doi: 10.1002/jmri.25693. Epub 2017 Mar 10.
UNLABELLED: Quantitative susceptibility mapping (QSM) has enabled magnetic resonance imaging (MRI) of tissue magnetic susceptibility to advance from simple qualitative detection of hypointense blooming artifacts to precise quantitative measurement of spatial biodistributions. QSM technology may be regarded to be sufficiently developed and validated to warrant wide dissemination for clinical applications of imaging isotropic susceptibility, which is dominated by metals in tissue, including iron and calcium. These biometals are highly regulated as vital participants in normal cellular biochemistry, and their dysregulations are manifested in a variety of pathologic processes. Therefore, QSM can be used to assess important tissue functions and disease. To facilitate QSM clinical translation, this review aims to organize pertinent information for implementing a robust automated QSM technique in routine MRI practice and to summarize available knowledge on diseases for which QSM can be used to improve patient care. In brief, QSM can be generated with postprocessing whenever gradient echo MRI is performed. QSM can be useful for diseases that involve neurodegeneration, inflammation, hemorrhage, abnormal oxygen consumption, substantial alterations in highly paramagnetic cellular iron, bone mineralization, or pathologic calcification; and for all disorders in which MRI diagnosis or surveillance requires contrast agent injection. Clinicians may consider integrating QSM into their routine imaging practices by including gradient echo sequences in all relevant MRI protocols. LEVEL OF EVIDENCE: 1 Technical Efficacy: Stage 5 J. Magn. Reson. Imaging 2017;46:951-971.
未加标签:定量磁化率映射(QSM)使磁共振成像(MRI)对组织磁化率的检测从简单的低信号晕环伪影的定性检测发展到对空间生物分布的精确定量测量。QSM 技术已经足够成熟和验证,可以广泛应用于各向同性磁化率的临床成像,各向同性磁化率主要由组织中的金属(包括铁和钙)决定。这些生物金属作为正常细胞生物化学的重要参与者受到高度调控,它们的失调表现在各种病理过程中。因此,QSM 可用于评估重要的组织功能和疾病。为了促进 QSM 的临床转化,本综述旨在为在常规 MRI 实践中实施强大的自动化 QSM 技术组织相关信息,并总结可用于改善患者护理的 QSM 可用于的疾病的现有知识。简而言之,只要进行梯度回波 MRI,就可以生成 QSM。QSM 可用于涉及神经退行性变、炎症、出血、异常耗氧量、高度顺磁性细胞铁、骨矿化或病理性钙化的疾病,以及所有需要造影剂注射进行 MRI 诊断或监测的疾病。临床医生可以考虑通过在所有相关的 MRI 协议中包含梯度回波序列将 QSM 纳入其常规成像实践。 循证水平:1 技术功效:第 5 阶段 J. Magn. Reson. Imaging 2017;46:951-971.
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