From the Division of Diagnostic and Interventional Neuroradiology (M.D.-P., J.B., A.F., K.-O.L., M.I.V.), Geneva University Hospitals and Faculty of Medicine of Geneva, Geneva, Switzerland.
Department of Radiology (M.D.-P.), University Hospital Marqués de Valdecilla-Instituto de Investigación Sanitaria Valdecilla, Santander, Spain.
AJNR Am J Neuroradiol. 2018 Apr;39(4):788-795. doi: 10.3174/ajnr.A5566. Epub 2018 Mar 1.
SyMRI is a technique developed to perform quantitative MR imaging. Our aim was to analyze its potential use for measuring relaxation times of normal components of the spine and to compare them with values found in the literature using relaxometry and other techniques.
Thirty-two spine MR imaging studies (10 cervical, 5 dorsal, 17 lumbosacral) were included. A modified multiple-dynamic multiple-echo sequence was added and processed to obtain quantitative T1 (millisecond), T2 (millisecond), and proton density (percentage units [pu]) maps for each patient. An ROI was placed on representative areas for CSF, spinal cord, intervertebral discs, and vertebral bodies, to measure their relaxation.
Relaxation time means are reported for CSF (T1 = 4273.4 ms; T2 = 1577.6 ms; proton density = 107.5 pu), spinal cord (T1 = 780.2 ms; T2 = 101.6 ms; proton density = 58.7 pu), normal disc (T1 = 1164.9 ms; T2 = 101.9 ms; proton density = 78.9 pu), intermediately hydrated disc (T1 = 723 ms; T2 = 66.8 ms; proton density = 60.8 pu), desiccated disc (T1 = 554.4 ms; T2 = 55.6 ms; proton density = 47.6 ms), and vertebral body (T1 = 515.3 ms; T2 = 100.8 ms; proton density = 91.1 pu). Comparisons among the mean T1, T2, and proton density values showed significant differences between different spinal levels (cervical, dorsal, lumbar, and sacral) for CSF (proton density), spinal cord (T2 and proton density), normal disc (T1, T2, and proton density), and vertebral bodies (T1 and proton density). Significant differences were found among mean T1, T2, and proton density values of normal, intermediately hydrated, and desiccated discs.
Measurements can be easily obtained on SyMRI and correlated with previously published values obtained using conventional relaxometry techniques.
SyMRI 是一种用于进行定量磁共振成像的技术。我们的目的是分析其在测量脊柱正常成分弛豫时间方面的潜在用途,并与使用弛豫率和其他技术在文献中发现的值进行比较。
共纳入 32 例脊柱磁共振成像研究(10 例颈椎、5 例胸椎、17 例腰椎和骶椎)。添加并处理了一种改良的多动态多回波序列,以获得每位患者的定量 T1(毫秒)、T2(毫秒)和质子密度(百分比单位 [pu])图。在代表脑脊髓液、脊髓、椎间盘和椎体的代表性区域放置 ROI,以测量其弛豫。
报告了脑脊髓液(T1 = 4273.4 ms;T2 = 1577.6 ms;质子密度 = 107.5 pu)、脊髓(T1 = 780.2 ms;T2 = 101.6 ms;质子密度 = 58.7 pu)、正常椎间盘(T1 = 1164.9 ms;T2 = 101.9 ms;质子密度 = 78.9 pu)、中度水合椎间盘(T1 = 723 ms;T2 = 66.8 ms;质子密度 = 60.8 pu)、干燥椎间盘(T1 = 554.4 ms;T2 = 55.6 ms;质子密度 = 47.6 pu)和椎体(T1 = 515.3 ms;T2 = 100.8 ms;质子密度 = 91.1 pu)的弛豫时间平均值。不同脊柱水平(颈椎、胸椎、腰椎和骶椎)之间的 T1、T2 和质子密度平均值之间的比较显示,脑脊髓液(质子密度)、脊髓(T2 和质子密度)、正常椎间盘(T1、T2 和质子密度)和椎体(T1 和质子密度)之间存在显著差异。正常、中度水合和干燥椎间盘的 T1、T2 和质子密度平均值之间存在显著差异。
可以在 SyMRI 上轻松获得测量值,并与使用传统弛豫率技术在文献中获得的先前发表的值相关联。