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APT 加权 CEST-MRI 在健康大脑和肿瘤中的可重复性,在 3T 下,跨越了多个会话和扫描仪。

Reproducibility of APT-weighted CEST-MRI at 3T in healthy brain and tumor across sessions and scanners.

机构信息

Department of Radiology & Nuclear Medicine, Erasmus MC, Rotterdam, The Netherlands.

Brain Tumour Centre, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.

出版信息

Sci Rep. 2023 Oct 23;13(1):18115. doi: 10.1038/s41598-023-44891-0.

Abstract

Amide proton transfer (APT)-weighted chemical exchange saturation transfer (CEST) imaging is a recent MRI technique making its way into clinical application. In this work, we investigated whether APT-weighted CEST imaging can provide reproducible measurements across scan sessions and scanners. Within-session, between-session and between scanner reproducibility was calculated for 19 healthy volunteers and 7 patients with a brain tumor on two 3T MRI scanners. The APT-weighted CEST effect was evaluated by calculating the Lorentzian Difference (LD), magnetization transfer ratio asymmetry (MTR), and relaxation-compensated inverse magnetization transfer ratio (MTR) averaged in whole brain white matter (WM), enhancing tumor and necrosis. Within subject coefficient of variation (COV) calculations, Bland-Altman plots and mixed effect modeling were performed to assess the repeatability and reproducibility of averaged values. The group median COVs of LD APT were 0.56% (N = 19), 0.84% (N = 6), 0.80% (N = 9) in WM within-session, between-session and between-scanner respectively. The between-session COV of LD APT in enhancing tumor (N = 6) and necrotic core (N = 3) were 4.57% and 5.67%, respectively. There were no significant differences in within session, between session and between scanner comparisons of the APT effect. The COVs of LD and MTR were consistently lower than MTR in all experiments, both in healthy tissues and tumor. The repeatability and reproducibility of APT-weighted CEST was clinically acceptable across scan sessions and scanners. Although MTR is simple to acquire and compute and sufficient to provide robust measurement, it is beneficial to include LD and MTR to obtain higher reproducibility for detecting minor signal difference in different tissue types.

摘要

酰胺质子转移 (APT)-加权化学交换饱和转移 (CEST) 成像是一种新兴的 MRI 技术,正在逐渐应用于临床。本研究旨在探究 APT 加权 CEST 成像在不同扫描时间点和扫描仪间是否具有可重复性。本研究对 19 名健康志愿者和 7 名脑肿瘤患者进行了扫描,在 2 台 3T 磁共振扫描仪上分别进行了 2 次扫描。通过计算洛伦兹差值(LD)、磁化转移率不对称(MTR)和弛豫补偿反磁化转移率(MTR),评估 APT 加权 CEST 效应,这些参数在全脑白质(WM)、增强肿瘤和坏死区域进行了平均计算。采用组内变异系数(COV)计算、Bland-Altman 图和混合效应模型,评估平均测量值的重复性和再现性。在 WM 中,组内、组间和扫描仪间的 LD APT 的平均 COV 分别为 0.56%(N=19)、0.84%(N=6)和 0.80%(N=9)。在增强肿瘤(N=6)和坏死核心(N=3)中,LD APT 的组间 COV 分别为 4.57%和 5.67%。在不同扫描时间点和扫描仪间的 APT 效应比较中,无显著差异。在所有实验中,无论是在健康组织还是肿瘤中,LD 和 MTR 的 COV 均明显低于 MTR。APT 加权 CEST 的重复性和再现性在不同扫描时间点和扫描仪间均具有临床可接受性。虽然 MTR 易于采集和计算,足以提供可靠的测量,但同时获取 LD 和 MTR 有助于提高在不同组织类型中检测微小信号差异的再现性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe22/10593824/1bc106f77453/41598_2023_44891_Fig1_HTML.jpg

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