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超快速动态对比增强 MRI 与动态对比增强 CT 在前列腺癌患者中的动脉输入函数测量比较。

Comparison of arterial input functions measured from ultra-fast dynamic contrast enhanced MRI and dynamic contrast enhanced computed tomography in prostate cancer patients.

机构信息

Department of Radiology, University of Chicago, Chicago, IL 60637, United States of America.

出版信息

Phys Med Biol. 2018 Jan 30;63(3):03NT01. doi: 10.1088/1361-6560/aaa51b.

Abstract

The purpose of this study was to evaluate the accuracy of arterial input functions (AIFs) measured from dynamic contrast enhanced (DCE) MRI following a low dose of contrast media injection. The AIFs measured from DCE computed tomography (CT) were used as 'gold standard'. A total of twenty patients received CT and MRI scans on the same day. Patients received 120 ml Iohexol in DCE-CT and a low dose of (0.015 mM kg) of gadobenate dimeglumine in DCE-MRI. The AIFs were measured in the iliac artery and normalized to the CT and MRI contrast agent doses. To correct for different temporal resolution and sampling periods of CT and MRI, an empirical mathematical model (EMM) was used to fit the AIFs first. Then numerical AIFs (AIF and AIF) were calculated based on fitting parameters. The AIF was convolved with a 'contrast agent injection' function ([Formula: see text]) to correct for the difference between MRI and CT contrast agent injection times (~1.5 s versus 30 s). The results show that the EMMs accurately fitted AIFs measured from CT and MRI. There was no significant difference (p  >  0.05) between the maximum peak amplitude of AIFs from CT (22.1  ±  4.1 mM/dose) and MRI after convolution (22.3  ±  5.2 mM/dose). The shapes of the AIF and [Formula: see text] were very similar. Our results demonstrated that AIFs can be accurately measured by MRI following low dose contrast agent injection.

摘要

本研究旨在评估低剂量对比剂注射后动态对比增强(DCE)MRI 测量的动脉输入函数(AIF)的准确性。DCE 计算机断层扫描(CT)测量的 AIF 用作“金标准”。总共 20 名患者在同一天接受 CT 和 MRI 扫描。患者在 DCE-CT 中接受 120ml 碘海醇,在 DCE-MRI 中接受低剂量(0.015mMkg)钆贝葡胺。在髂动脉中测量 AIF,并将其归一化为 CT 和 MRI 对比剂剂量。为了校正 CT 和 MRI 的时间分辨率和采样期不同,使用经验数学模型(EMM)首先拟合 AIF。然后根据拟合参数计算数值 AIF(AIF 和 AIF)。将 AIF 与“对比剂注射”函数([公式:见文本])卷积,以校正 MRI 和 CT 对比剂注射时间的差异(~1.5s 与 30s)。结果表明,EMM 准确拟合了 CT 和 MRI 测量的 AIF。经卷积后,CT(22.1±4.1mM/dose)和 MRI(22.3±5.2mM/dose)的 AIF 最大峰值幅度之间无显著差异(p>0.05)。AIF 和[公式:见文本]的形状非常相似。我们的结果表明,低剂量对比剂注射后,MRI 可以准确测量 AIF。

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