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基于磁共振指纹技术的前列腺外周带背景区 T1 和 T2 值的全面定量:与临床和人口统计学特征的相关性。

Magnetic resonance fingerprinting based comprehensive quantification of T1 and T2 values of the background prostatic peripheral zone: Correlation with clinical and demographic features.

机构信息

University Hospitals Cleveland Medical Center, 11100 Euclid Ave, Cleveland, OH 44106, USA.

Case Western Reserve University, 10900 Euclid Ave, Cleveland, OH 44106, USA.

出版信息

Eur J Radiol. 2023 Jul;164:110883. doi: 10.1016/j.ejrad.2023.110883. Epub 2023 May 13.

Abstract

PURPOSE

To quantify and assess the distribution of MR fingerprinting (MRF)-derived T1 and T2 values of the whole prostatic peripheral zone (PZ), and perform subgroup analyses according to clinical and demographic features.

METHOD

One hundred and twenty-four patients with prostate MR exams and MRF-based T1 and T2 maps of the prostatic apex, mid gland, and base were identified from our database and included. Regions of interest encompassing the right and left lobes of the PZ were drawn for each axial slice on the T2 map and copied to the T1 map. Clinical data were obtained from medical records. Kruskal-Wallis test was used for assessing differences between subgroups and the Spearman coefficient was used for assessing any correlations.

RESULTS

Mean T1 and T2 values were 1941 and 88 ms, respectively, for the whole-gland, 1884 and 83 ms for the apex, 1974 and 92 ms for the mid-gland, 1966 and 88 ms for the base. T1 values were weakly negatively correlated with PSA values, while T1 and T2 values were weakly positively correlated with prostate weight and moderately positively correlated with PZ width. Finally, patients with PI-RADS 1 scores had higher T1 and T2 values of the whole PZ, compared with those with scores 2-5.

CONCLUSION

Mean T1 and T2 values of the background PZ of the whole gland were 1941 ± 313 and 88 ± 39 ms, respectively. Among clinical and demographic factors, there was a significant positive correlation between T1 and T2 values and PZ width.

摘要

目的

定量评估并分析整个前列腺外周带(PZ)的磁共振指纹成像(MRF)衍生 T1 和 T2 值的分布情况,并根据临床和人口统计学特征进行亚组分析。

方法

从我们的数据库中确定了 124 名接受前列腺磁共振检查和基于 MRF 的前列腺顶点、中叶和基底部 T1 和 T2 图谱的患者,并将其纳入研究。在 T2 图谱的每个轴位切片上勾勒出包含 PZ 左右叶的感兴趣区域,并将其复制到 T1 图谱上。从病历中获取临床数据。采用 Kruskal-Wallis 检验评估亚组间的差异,采用 Spearman 系数评估任何相关性。

结果

全腺 T1 和 T2 值的平均值分别为 1941 和 88ms,顶点分别为 1884 和 83ms,中叶分别为 1974 和 92ms,基底部分别为 1966 和 88ms。T1 值与 PSA 值呈弱负相关,而 T1 和 T2 值与前列腺重量呈弱正相关,与 PZ 宽度呈中度正相关。最后,与评分 2-5 的患者相比,PI-RADS 1 评分的患者整个 PZ 的 T1 和 T2 值更高。

结论

全腺 PZ 的平均 T1 和 T2 值分别为 1941±313 和 88±39ms。在临床和人口统计学因素中,T1 和 T2 值与 PZ 宽度之间存在显著的正相关。

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