Center for Clinical Spectroscopy, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
J Neuroimaging. 2022 Nov;32(6):1062-1069. doi: 10.1111/jon.13041. Epub 2022 Aug 21.
Sodium imaging shows great potential for the characterization of brain tumors. Intensity correction is required but the additional scan time is costly. Recent developments can halve the time but were optimized in normal brains and may not be applicable in brain tumor imaging. We aim to develop an individualized uniformity correction for sodium imaging optimized for brain tumor patients that reduces scan time but provides high-resolution images for clinical practice.
Two-, 4-, and 6-mm iso-cubic voxel resolution birdcage coil images were used to calculate the 2-mm iso-cubic voxel individual sensitivity maps in healthy subjects (n = 3). Cut profiles were compared to determine the optimal approach. In addition, a 3-dimensional phantom was developed to test a generalized uniformity correction approach in both healthy subjects (n = 3) and tumor patients (n = 3).
The cut profiles showed that the average correlation coefficient between 2- and 4-mm birdcage image correction results was r = .9937, and r = .9876 for 2- and 6-mm birdcage images. The correlation result between individual map correction and phantom map correction was r = .9817.
The 4 mm birdcage coil image provided the optimal approach for both as a compromise between the time-savings effect and image quality. This method allows for a 2-mm iso-cubic voxel resolution clinical sodium scan within 12 minutes. We also presented prescanned phantom sensitivity map results, which were designed to cover all patient head sizes. This approach provides an alternative solution in more time-sensitive cases.
钠成像在脑肿瘤的特征描述方面具有很大的潜力。需要进行强度校正,但额外的扫描时间成本较高。最近的进展可以将时间减半,但这些进展是在正常大脑中优化的,可能不适用于脑肿瘤成像。我们旨在为脑肿瘤患者开发一种针对钠成像的个体化均匀性校正方法,该方法可以缩短扫描时间,但提供适用于临床实践的高分辨率图像。
使用 2、4 和 6-mm 等立方体素分辨率鸟笼线圈图像,在健康受试者(n=3)中计算 2-mm 等立方体素的个体灵敏度图。比较切割轮廓以确定最佳方法。此外,还开发了一个 3 维体模,以在健康受试者(n=3)和肿瘤患者(n=3)中测试通用均匀性校正方法。
切割轮廓显示,2-和 4-mm 鸟笼图像校正结果之间的平均相关系数为 r=0.9937,2-和 6-mm 鸟笼图像之间的 r=0.9876。个体图谱校正和体模图谱校正之间的相关结果为 r=0.9817。
4-mm 鸟笼线圈图像提供了最佳的方法,它在节省时间的效果和图像质量之间取得了平衡。这种方法可以在 12 分钟内实现 2-mm 等立方体素分辨率的临床钠扫描。我们还展示了预先扫描的体模灵敏度图结果,这些结果旨在覆盖所有患者头部大小。这种方法为更需要时间的情况提供了一种替代解决方案。