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健康儿童在 1.5T 和 3T 场强下肝脏、胰腺和脾脏的磁共振 T1 弛豫时间。

Magnetic resonance imaging T1 relaxation times for the liver, pancreas and spleen in healthy children at 1.5 and 3 tesla.

机构信息

Department of Radiology and Medical Imaging, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC 5031, Cincinnati, OH, 45229, USA.

Department of Radiology, University of Cincinnati College of Medicine, Cincinnati, OH, USA.

出版信息

Pediatr Radiol. 2019 Jul;49(8):1018-1024. doi: 10.1007/s00247-019-04411-7. Epub 2019 May 2.

Abstract

BACKGROUND

T1 relaxation time is a potential magnetic resonance imaging (MRI) biomarker for fibrosis and inflammation of the solid abdominal organs. However, normal T1 relaxation times of the solid abdominal organs have not been defined for children.

OBJECTIVE

The purpose of this study was to measure T1 relaxation times of the liver, pancreas and spleen in healthy children.

MATERIALS AND METHODS

This was an institutional review board-approved study of a convenience sample of prospectively recruited, healthy children ages 7 to 17 years undergoing research abdominal MRI (1.5 or 3 T) as part of a larger research study between February 2018 and October 2018. For the current study, T1 mapping was performed with a Modified Look-Locker sequence covering the upper abdomen. A single reviewer placed freehand regions of interest on the T1 parametric maps in the liver, pancreas and spleen, inclusive of as much parenchyma as possible. Student's t-tests and linear regression were used to compare T1 values by age and gender.

RESULTS

Thirty-two participants were included (16 female:16 male; mean age: 12.2±3.1 years; n=16 at 1.5 T). Median T1 relaxation times (ms) per organ were liver: 581±64 (1.5 T), 783±88 (3 T); pancreas: 576±55 (1.5 T), 730±30 (3 T), and spleen: 1,172±71 (1.5 T), 1,356±87 (3 T). T1 values were not statistically significantly different between males and females. At both 1.5 and 3 T field strengths, linear regression showed no significant association between age and T1 values for the liver, pancreas and spleen.

CONCLUSION

We report normal T1 relaxation times for the liver, pancreas and spleen at 1.5 and 3 T in a cohort of healthy children.

摘要

背景

T1 弛豫时间是一种潜在的磁共振成像(MRI)生物标志物,可用于评估实体腹部器官的纤维化和炎症。然而,目前尚未为儿童确定实体腹部器官的正常 T1 弛豫时间。

目的

本研究旨在测量健康儿童肝脏、胰腺和脾脏的 T1 弛豫时间。

材料和方法

这是一项机构审查委员会批准的研究,对 2018 年 2 月至 2018 年 10 月期间作为更大规模研究的一部分接受腹部 MRI(1.5 或 3 T)研究的、年龄在 7 至 17 岁的、健康儿童进行的便利样本的回顾性研究。在当前研究中,使用 Modified Look-Locker 序列对包括上腹部在内的区域进行 T1 映射。一位审阅者在 T1 参数图上手动放置感兴趣区(ROI),以包含尽可能多的实质。采用 Student's t 检验和线性回归分析比较 T1 值与年龄和性别之间的关系。

结果

共纳入 32 名参与者(16 名女性,16 名男性;平均年龄 12.2±3.1 岁;1.5 T 组 n=16)。每个器官的 T1 弛豫时间(ms)中位数分别为肝脏:581±64(1.5 T)、783±88(3 T);胰腺:576±55(1.5 T)、730±30(3 T),脾脏:1172±71(1.5 T)、1356±87(3 T)。男性和女性之间的 T1 值无统计学差异。在 1.5 和 3 T 场强下,线性回归均显示年龄与肝脏、胰腺和脾脏的 T1 值之间无显著相关性。

结论

我们报告了在健康儿童中,1.5 和 3 T 时肝脏、胰腺和脾脏的正常 T1 弛豫时间。

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