Kitoh Yoshihiro, Miyati Tosiaki, Tamaru Naomichi, Fujinaga Yasunari
Radiology Division, Shinshu University Hospital.
Division of Health Sciences, Graduate School of Medical Sciences, Kanazawa University.
Nihon Hoshasen Gijutsu Gakkai Zasshi. 2020;76(3):270-277. doi: 10.6009/jjrt.2020_JSRT_76.3.270.
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.
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。