Yoon Min A, Hong Suk-Joo, Lee Kyu-Chong, Lee Chang Hee
Department of Radiology, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.
J Comput Assist Tomogr. 2019 Jan/Feb;43(1):46-50. doi: 10.1097/RCT.0000000000000766.
This study aimed to compare 3-dimensional T1-weighted gradient-echo sequence (CAIPIRINHA-volumetric interpolated breath-hold examination [VIBE]) with 2-dimensional T1-weighted turbo spin-echo sequence for contrast-enhanced magnetic resonance imaging (MRI) of pelvic bone metastases at 3.0 T.
Thirty-one contrast-enhanced MRIs of pelvic bone metastases were included. Two contrast-enhanced sequences were evaluated for the following parameters: overall image quality, sharpness of pelvic bone, iliac vessel clarity, artifact severity, and conspicuity and edge sharpness of the smallest metastases. Quantitative analysis was performed by calculating signal-to-noise ratio and contrast-to-noise ratio of the smallest metastases. Significant differences between the 2 sequences were assessed.
CAIPIRINHA-VIBE had higher scores for overall image quality, pelvic bone sharpness, iliac vessel clarity, and edge sharpness of the metastatic lesions, and had less artifacts (all P < 0.05). There was no significant difference in conspicuity, signal-to-noise ratio, or contrast-to-noise ratio of the smallest metastases (P > 0.05).
Our results suggest that CAIPIRINHA-VIBE may be superior to turbo spin-echo for contrast-enhanced MRI of pelvic bone metastases at 3.0 T.
本研究旨在比较三维T1加权梯度回波序列(CAIPIRINHA容积内插屏气检查序列[VIBE])与二维T1加权快速自旋回波序列在3.0 T场强下对骨盆骨转移瘤进行对比增强磁共振成像(MRI)的效果。
纳入31例骨盆骨转移瘤的对比增强MRI检查。对两种对比增强序列评估以下参数:整体图像质量、骨盆骨清晰度、髂血管清晰度、伪影严重程度以及最小转移瘤的显示度和边缘清晰度。通过计算最小转移瘤的信噪比和对比噪声比进行定量分析。评估两种序列之间的显著差异。
CAIPIRINHA-VIBE序列在整体图像质量、骨盆骨清晰度、髂血管清晰度以及转移瘤边缘清晰度方面得分更高,且伪影更少(均P < 0.05)。最小转移瘤的显示度、信噪比或对比噪声比方面无显著差异(P > 0.05)。
我们的结果表明,在3.0 T场强下对骨盆骨转移瘤进行对比增强MRI检查时,CAIPIRINHA-VIBE序列可能优于快速自旋回波序列。