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[采用径向VIBE序列及k空间加权图像对比法的钆塞酸二钠肝脏动态对比增强磁共振成像检查]

[Examination of Gd-EOB-DTPA Liver Dynamic Contrast-enhanced MRI Using Radial VIBE with k-space Weighted Image Contrast Method].

作者信息

Kitoh Yoshihiro, Miyati Tosiaki, Tamaru Naomichi, Fujinaga Yasunari

机构信息

Radiology Division, Shinshu University Hospital.

Division of Health Sciences, Graduate School of Medical Sciences, Kanazawa University.

出版信息

Nihon Hoshasen Gijutsu Gakkai Zasshi. 2020;76(3):270-277. doi: 10.6009/jjrt.2020_JSRT_76.3.270.

Abstract

Dynamic contrast-enhanced magnetic imaging (DCE-MRI) is a useful method for detection and diagnosis of liver lesions. However, DCE-MRI using Gd-EOB-DTPA has some problems with arterial phase images. Radial volumetric imaging breath-holding examination (r-VIBE) with k-space weighted image contrast reconstruction (KWIC), which is a modification of Cartesian VIBE (c-VIBE), is a new 3D-gradient echo sequence with a number of advantages compared with c-VIBE, including lower motion sensitivity. This study was performed to evaluate image contrast, blurring, and temporal phase division effects of r-VIBE in comparison with c-VIBE. Image contrast using diluted Gd-EOB-DTPA aqueous solution showed no significant difference between r-VIBE and c-VIBE. Imaging was performed with r-VIBE and c-VIBE during injection of a Gd-EOB-DTPA solution into a serpentine tube. r-VIBE showed a smaller half-width of the signal intensity profile of the tube and less image artifacts by blurring when compared to c-VIBE. The arrival times and durations of the maximum signal strengths of r-VIBE and c-VIBE images during injection of Gd-EOB-DTPA solution into the tube were almost identical. r-VIBE improved the temporal resolution without degradation of liver DCE-MRI using Gd-EOB-DTPA.

摘要

动态对比增强磁共振成像(DCE-MRI)是检测和诊断肝脏病变的一种有用方法。然而,使用钆塞酸二钠(Gd-EOB-DTPA)的DCE-MRI在动脉期图像方面存在一些问题。径向容积成像屏气检查(r-VIBE)结合k空间加权图像对比重建(KWIC),它是笛卡尔VIBE(c-VIBE)的一种改进,是一种新的三维梯度回波序列,与c-VIBE相比有许多优点,包括较低的运动敏感性。本研究旨在评估r-VIBE与c-VIBE相比的图像对比度、模糊度和时间相分割效果。使用稀释的钆塞酸二钠水溶液的图像对比度在r-VIBE和c-VIBE之间没有显著差异。在将钆塞酸二钠溶液注入蛇形管的过程中,分别用r-VIBE和c-VIBE进行成像。与c-VIBE相比,r-VIBE显示管的信号强度轮廓半高宽更小,模糊产生的图像伪影更少。在将钆塞酸二钠溶液注入管内的过程中,r-VIBE和c-VIBE图像的最大信号强度的到达时间和持续时间几乎相同。r-VIBE提高了时间分辨率,同时不降低使用钆塞酸二钠的肝脏DCE-MRI的质量。

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