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钆塞酸二钠增强 MRI 动脉期的伪影:使用来自两个不同供应商的视图共享进行多次动脉期成像与单次动脉期成像的比较。

Artifacts during the arterial phase of gadoxetate disodium-enhanced MRI: Multiple arterial phases using view-sharing from two different vendors versus single arterial phase imaging.

机构信息

Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Ilwon-Ro, Gangnam-gu, Seoul, Korea.

Department of Radiology, Chungnam National University Hospital, Chungnam National University College of Medicine, Daejeon, Korea.

出版信息

Eur Radiol. 2018 Aug;28(8):3335-3346. doi: 10.1007/s00330-018-5307-4. Epub 2018 Feb 15.

DOI:10.1007/s00330-018-5307-4
PMID:29450712
Abstract

OBJECTIVES

To assess the usefulness of multiple arterial phase (AP) of gadoxetic acid-enhanced MRI using view-sharing of two different vendors to reduce transient severe motion (TSM) artifact in the AP.

METHODS

This retrospective study included 298 patients (mean age 63 years) who underwent gadoxetic acid MRI with multiple AP from two different vendors; either triple (subcohort A, n=174) or quadruple (subcohort B, n=124) AP. 202 patients (143 vs. 59) underwent follow-up MRI with single AP. To compare multiple AP with single AP and between subcohorts, mean artifact score rated by two observers and frequency of significant artifacts were evaluated. Frequency of acquisition of late AP was also assessed.

RESULTS

There was no difference in mean artifact score (p=0.086) or frequency of significant artifacts (p=0.219) between multiple AP and single AP. For the mean best score with multiple AP, subcohort B was better than subcohort A (p<0.001). Late AP was achieved more often with multiple AP (74.8 %, 98.3 %) than with single AP (64.3 %, 64.4 %).

CONCLUSION

Multiple AP using different view-sharing failed to show differences in TSM artifacts in AP compared to single AP. Frequency of acquisition of late AP was higher with multiple AP. Mean best artifact score of multiple AP is different depending on view-sharing technique.

KEY POINTS

• TSM artifacts were not significantly different between multiple AP and single AP. • The frequency of acquiring late AP was higher with multiple AP. • For multiple APs, TSM artifacts are different according to view-sharing technique.

摘要

目的

评估使用两种不同供应商的视图共享进行多次动脉期(AP)钆塞酸增强 MRI 以减少 AP 中瞬态剧烈运动(TSM)伪影的有用性。

方法

这项回顾性研究纳入了 298 例接受两种不同供应商的钆塞酸 MRI 多次 AP 的患者(平均年龄 63 岁);要么是三重(亚组 A,n=174)要么是四重(亚组 B,n=124)AP。202 例患者(143 例与 59 例)接受了单次 AP 的随访 MRI。为了比较多次 AP 与单次 AP 以及亚组之间的差异,评估了两位观察者评分的平均伪影评分和显著伪影的频率。还评估了获取晚期 AP 的频率。

结果

多次 AP 与单次 AP 之间的平均伪影评分(p=0.086)或显著伪影的频率(p=0.219)没有差异。对于多次 AP 的最佳平均评分,亚组 B 优于亚组 A(p<0.001)。与单次 AP(64.3%,64.4%)相比,多次 AP 更常获得晚期 AP(74.8%,98.3%)。

结论

与单次 AP 相比,不同视图共享的多次 AP 未能显示 AP 中 TSM 伪影的差异。多次 AP 更常获得晚期 AP。多次 AP 的平均最佳伪影评分因视图共享技术而异。

关键点

  • TSM 伪影在多次 AP 与单次 AP 之间没有显著差异。

  • 多次 AP 获得晚期 AP 的频率更高。

  • 对于多次 AP,TSM 伪影根据视图共享技术而不同。

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本文引用的文献

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Transient severe motion in the arterial phase during gadoxetate disodium-enhanced MR imaging: evaluation of patients with multiple MR examinations.钆塞酸二钠增强磁共振成像动脉期一过性显著运动:多次磁共振检查患者的评估。
Abdom Radiol (NY). 2017 Oct;42(10):2393-2401. doi: 10.1007/s00261-017-1145-0.
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Reducing Artifacts during Arterial Phase of Gadoxetate Disodium-enhanced MR Imaging: Dilution Method versus Reduced Injection Rate.钆塞酸二钠增强磁共振成像动脉期减少伪影:稀释法与降低注射速率的比较。
Radiology. 2017 May;283(2):429-437. doi: 10.1148/radiol.2016160241. Epub 2016 Dec 15.
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Triple Arterial Phase MR Imaging with Gadoxetic Acid Using a Combination of Contrast Enhanced Time Robust Angiography, Keyhole, and Viewsharing Techniques and Two-Dimensional Parallel Imaging in Comparison with Conventional Single Arterial Phase.
钆塞酸二钠注射后使用 CDT-VIBE 序列评估晚期动脉期获取和图像质量。
Sci Rep. 2022 Jul 6;12(1):11445. doi: 10.1038/s41598-022-15108-7.
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Transient severe motion artifacts on gadoxetic acid-enhanced MRI: risk factor analysis in 2230 patients.钆塞酸增强 MRI 上短暂的严重运动伪影:2230 例患者的风险因素分析。
Eur Radiol. 2022 Dec;32(12):8629-8638. doi: 10.1007/s00330-022-08885-2. Epub 2022 Jun 3.
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Korean J Radiol. 2016 Jul-Aug;17(4):522-32. doi: 10.3348/kjr.2016.17.4.522. Epub 2016 Jun 27.
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