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首例新型全脑 T1 映射的临床应用。

First clinical application of a novel T1 mapping of the whole brain.

机构信息

Department of Neuroradiology, 84922University Medical Center Göttingen, Germany.

28282Max Planck Institute for Biophysical Chemistry, Göttingen, Germany.

出版信息

Neuroradiol J. 2022 Dec;35(6):684-691. doi: 10.1177/19714009221084244. Epub 2022 Apr 21.

Abstract

BACKGROUND

The aim of this study was to evaluate the reproducibility and clinical value of the novel single-shot T1 mapping method for rapid and accurate multi-slice coverage of the whole brain, described by Wang et al. 2015.

METHODS

At a field strength of 3 Tesla, T1 mappings of 139 patients (51 of them without pathologic findings) and two repeats of five volunteers were performed at 0.5 mm in-plane resolution. Mean T1 values were determined in 18 manually segmented regions-of-interest without pathologic findings. Reproducibility of the repeated scans was calculated using mean coefficient of variations. Pathologies were grouped and separately evaluated.

RESULTS

The mean age of the cohort was 49 (range 1-95 years). T1 relaxation times for ordinary brain and pathologies were in accordance with the literature values. Intra- and inter-subject reproducibility was excellent, and mean coefficient of variations were 2.4% and 3.8%, respectively.

DISCUSSION

The novel rapid T1 mapping method is a reliable magnetic resonance imaging technique for identifying and quantifying normal brain structures and may thus serve as a basis for assessing pathologies. The fast and parallel online calculation enables a comfortable use in everyday clinical practice. We see a possible clinical value in a large spectrum of diseases, which should be investigated in further studies.

摘要

背景

本研究旨在评估 Wang 等人 2015 年描述的新型单次激发 T1 映射方法的可重复性和临床价值,该方法可快速、准确地对整个大脑进行多切片覆盖。

方法

在 3 特斯拉场强下,对 139 名患者(其中 51 名无病理发现)和 5 名志愿者的两次重复扫描进行了 0.5 毫米的平面分辨率 T1 映射。在无病理发现的 18 个手动分割的感兴趣区中确定平均 T1 值。使用平均变异系数计算重复扫描的可重复性。将病变分组并分别进行评估。

结果

队列的平均年龄为 49 岁(范围 1-95 岁)。普通脑和病变的 T1 弛豫时间与文献值一致。内和个体间的可重复性均很好,平均变异系数分别为 2.4%和 3.8%。

讨论

新型快速 T1 映射方法是一种可靠的磁共振成像技术,可用于识别和量化正常脑结构,因此可作为评估病变的基础。快速和并行在线计算使其在日常临床实践中舒适使用。我们认为该方法在广泛的疾病中有潜在的临床价值,这需要在进一步的研究中进行探讨。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0831/9626833/1cf23d96d39e/10.1177_19714009221084244-fig1.jpg

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