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CAIPIRINHA-VIBE 联合 MOCO 在肝脏磁共振检查中的应用价值。

Application value of CAIPIRINHA-VIBE with MOCO in liver magnetic resonance examination.

机构信息

Department of Radiology, The Second Xiangya Hospital, Central South University, No.139 Middle Renmin Road, Changsha, Hunan, 410011, China.

Department of Radiology, Shenzhen Nanshan District Shekou People's Hospital, China.

出版信息

Eur J Radiol. 2021 Jul;140:109739. doi: 10.1016/j.ejrad.2021.109739. Epub 2021 Apr 28.

Abstract

OBJECTIVE

To compare the image quality of VIBE sequence using controlled aliasing in parallel imaging results in higher acceleration (CAIPIRINHA-VIBE) and using generalized autocalibrating partially parallel acquisitions (GRAPPA-VIBE) in liver magnetic resonance examination, and to evaluate the effect of non-rigid 3D-registration motion correction (MOCO) combined with CAIPIRINHA-VIBE on liver spatial location registration.

METHODS

A total of 85 patients underwent pre-contrast GRAPPA-VIBE and CAIPIRINHA-VIBE breath-hold scan in the mask phase, and then underwent CAIPIRINHA-VIBE breath-hold scan in arterial phase, portal vein phase and delay phase after administration. After the scanning of four phases of CAIPIRINHA-VIBE completed, 3D images without and with MOCO of each phase were automatically generated. The images quality of GRAPPA-VIBE and CAIPIRINHA-VIBE without MOCO in the mask phase was scored subjectively by two physicians. The number of slices at the top of the diaphragm in the arterial phase was taken as the base slice, and that in the other stages subtracted with the base slice for CAIPIRINHA without and with MOCO. The range of diaphragm movement in each phase was counted by + N/- N statistics.

RESULTS

The image quality and the scores of CAIPIRINHA-VIBE were significantly higher than those of GRAPPA-VIBE in respiratory motion artifact suppression, liver edge sharpness and intrahepatic vascular sharpness (p < 0.05). The spatial position consistency of the liver with MOCO is significantly better than that without MOCO.

CONCLUSION

CAIPIRINHA-VIBE with MOCO can be used instead of conventional GRAPPA-VIBE sequence in upper abdominal MRI enhancement examination, especially for patients with poor breath-hold.

摘要

目的

比较使用并行成像加速技术(CAIPIRINHA-VIBE)和使用广义自校准部分并行采集技术(GRAPPA-VIBE)的容积内插体部检查快速扰相梯度回波(VIBE)序列在肝脏磁共振检查中的图像质量,并评估非刚性三维配准运动校正(MOCO)与 CAIPIRINHA-VIBE 联合应用对肝脏空间位置配准的影响。

方法

共 85 例患者在屏气期进行对比增强 GRAPPA-VIBE 和 CAIPIRINHA-VIBE 扫描,然后在注射造影剂后行动脉期、门静脉期和延迟期 CAIPIRINHA-VIBE 屏气扫描。CAIPIRINHA-VIBE 四期扫描完成后,自动生成各期无 MOCO 和有 MOCO 的三维图像。两名医师对屏气期无 MOCO 的 GRAPPA-VIBE 和 CAIPIRINHA-VIBE 图像质量进行主观评分。将动脉期膈肌顶层面作为基准层面,其他各期层面与基准层面相减,得到无 MOCO 和有 MOCO 的 CAIPIRINHA-VIBE 膈肌运动范围。

结果

在呼吸运动伪影抑制、肝缘锐利度和肝内血管锐利度方面,CAIPIRINHA-VIBE 的图像质量和评分均明显优于 GRAPPA-VIBE(p<0.05)。有 MOCO 的肝脏空间位置一致性明显优于无 MOCO。

结论

在腹部 MRI 增强检查中,MOCO 联合 CAIPIRINHA-VIBE 序列可替代常规 GRAPPA-VIBE 序列,尤其适用于屏气不佳的患者。

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