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COVID 后患者肺部螺旋UTE-MRI 的性能。

Performance of spiral UTE-MRI of the lung in post-COVID patients.

机构信息

BioMedical Engineering and Imaging Institute (BMEII), Icahn School of Medicine at Mount Sinai, New York, USA.

Department of Radiology, Icahn School of Medicine at Mount Sinai, New York, USA.

出版信息

Magn Reson Imaging. 2023 Feb;96:135-143. doi: 10.1016/j.mri.2022.12.002. Epub 2022 Dec 9.

Abstract

Patients recovered from COVID-19 may develop long-COVID symptoms in the lung. For this patient population (post-COVID patients), they may benefit from longitudinal, radiation-free lung MRI exams for monitoring lung lesion development and progression. The purpose of this study was to investigate the performance of a spiral ultrashort echo time MRI sequence (Spiral-VIBE-UTE) in a cohort of post-COVID patients in comparison with CT and to compare image quality obtained using different spiral MRI acquisition protocols. Lung MRI was performed in 36 post-COVID patients with different acquisition protocols, including different spiral sampling reordering schemes (line in partition or partition in line) and different breath-hold positions (inspiration or expiration). Three experienced chest radiologists independently scored all the MR images for different pulmonary structures. Lung MR images from spiral acquisition protocol that received the highest image quality scores were also compared against corresponding CT images in 27 patients for evaluating diagnostic image quality and lesion identification. Spiral-VIBE-UTE MRI acquired with the line in partition reordering scheme in an inspiratory breath-holding position achieved the highest image quality scores (score range = 2.17-3.69) compared to others (score range = 1.7-3.29). Compared to corresponding chest CT images, three readers found that 81.5% (22 out of 27), 81.5% (22 out of 27) and 37% (10 out of 27) of the MR images were useful, respectively. Meanwhile, they all agreed that MRI could identify significant lesions in the lungs. The Spiral-VIBE-UTE sequence allows for fast imaging of the lung in a single breath hold. It could be a valuable tool for lung imaging without radiation and could provide great value for managing different lung diseases including assessment of post-COVID lesions.

摘要

从 COVID-19 中康复的患者可能会在肺部出现长期 COVID 症状。对于这一患者群体(新冠后患者),他们可能受益于纵向、无辐射的肺部 MRI 检查,以监测肺部病变的发展和进展。本研究旨在调查螺旋超短回波时间 MRI 序列(Spiral-VIBE-UTE)在一组新冠后患者中的表现,并与 CT 进行比较,并比较使用不同螺旋 MRI 采集方案获得的图像质量。对 36 名新冠后患者进行了肺部 MRI 检查,使用了不同的采集方案,包括不同的螺旋采样重排方案(线分区或分区线)和不同的屏气位置(吸气或呼气)。三位有经验的胸部放射科医生独立对所有肺部结构的 MR 图像进行评分。在 27 名患者中,对获得最高图像质量评分的螺旋采集方案的肺 MR 图像与相应的 CT 图像进行了比较,以评估诊断图像质量和病变识别。与其他方案(评分范围 1.7-3.29)相比,采用线分区重排方案在吸气屏气位置采集的螺旋 VIBE-UTE MRI 获得了最高的图像质量评分(评分范围 2.17-3.69)。与相应的胸部 CT 图像相比,三位读者发现 81.5%(22 例中的 22 例)、81.5%(22 例中的 22 例)和 37%(27 例中的 10 例)的 MR 图像有用。同时,他们都认为 MRI 可以识别肺部的显著病变。Spiral-VIBE-UTE 序列允许在单次屏气中快速对肺部进行成像。它可能是一种无辐射肺部成像的有价值工具,并可能为包括评估新冠后病变在内的各种肺部疾病的管理提供巨大价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2c8/9731813/0b569f372b21/gr1_lrg.jpg

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