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利用系统模型进行多部位、多平台 MRI T1 测量的比较

Multi-site, multi-platform comparison of MRI T1 measurement using the system phantom.

机构信息

National Institute of Standards and Technology, Boulder, Colorado, United State of America.

American College of Radiology, Center for Research and Innovation, Philadelphia, Pennsylvania, United State of America.

出版信息

PLoS One. 2021 Jun 30;16(6):e0252966. doi: 10.1371/journal.pone.0252966. eCollection 2021.

Abstract

Recent innovations in quantitative magnetic resonance imaging (MRI) measurement methods have led to improvements in accuracy, repeatability, and acquisition speed, and have prompted renewed interest to reevaluate the medical value of quantitative T1. The purpose of this study was to determine the bias and reproducibility of T1 measurements in a variety of MRI systems with an eye toward assessing the feasibility of applying diagnostic threshold T1 measurement across multiple clinical sites. We used the International Society of Magnetic Resonance in Medicine/National Institute of Standards and Technology (ISMRM/NIST) system phantom to assess variations of T1 measurements, using a slow, reference standard inversion recovery sequence and a rapid, commonly-available variable flip angle sequence, across MRI systems at 1.5 tesla (T) (two vendors, with number of MRI systems n = 9) and 3 T (three vendors, n = 18). We compared the T1 measurements from inversion recovery and variable flip angle scans to ISMRM/NIST phantom reference values using Analysis of Variance (ANOVA) to test for statistical differences between T1 measurements grouped according to MRI scanner manufacturers and/or static field strengths. The inversion recovery method had minor over- and under-estimations compared to the NMR-measured T1 values at both 1.5 T and 3 T. Variable flip angle measurements had substantially greater deviations from the NMR-measured T1 values than the inversion recovery measurements. At 3 T, the measured variable flip angle T1 for one vendor is significantly different than the other two vendors for most of the samples throughout the clinically relevant range of T1. There was no consistent pattern of discrepancy between vendors. We suggest establishing rigorous quality control procedures for validating quantitative MRI methods to promote confidence and stability in associated measurement techniques and to enable translation of diagnostic threshold from the research center to the entire clinical community.

摘要

最近,定量磁共振成像(MRI)测量方法的创新提高了准确性、可重复性和采集速度,并促使人们重新评估定量 T1 的医学价值。本研究的目的是确定各种 MRI 系统中 T1 测量的偏差和可重复性,以期评估在多个临床站点应用诊断阈值 T1 测量的可行性。我们使用国际磁共振学会/国家标准与技术研究院(ISMRM/NIST)系统体模来评估 T1 测量的变化,使用缓慢的参考标准反转恢复序列和快速的常用可变翻转角序列,在 1.5T(n = 9,两个供应商)和 3T(n = 18,三个供应商)的 MRI 系统上进行。我们使用方差分析(ANOVA)比较反转恢复和可变翻转角扫描的 T1 测量值与 ISMRM/NIST 体模参考值,以根据 MRI 扫描仪制造商和/或静磁场强度对 T1 测量值进行分组,测试统计差异。与 NMR 测量的 T1 值相比,反转恢复方法在 1.5T 和 3T 时都存在轻微的高估和低估。与反转恢复测量相比,可变翻转角测量值与 NMR 测量的 T1 值偏差更大。在 3T 时,对于大多数样品,一个供应商的测量可变翻转角 T1 在整个临床相关 T1 范围内与其他两个供应商显著不同。供应商之间没有一致的差异模式。我们建议建立严格的质量控制程序来验证定量 MRI 方法,以提高相关测量技术的信心和稳定性,并使诊断阈值能够从研究中心转化到整个临床社区。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cfe/8244851/9ff417836cb9/pone.0252966.g001.jpg

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