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对大量健康受试者的肝脏 T1 和 T2 映射:正常范围以及与年龄和性别的相关性。

Liver T1 and T2 mapping in a large cohort of healthy subjects: normal ranges and correlation with age and sex.

机构信息

Radiology Department, Fondazione G. Monasterio CNR-Regione Toscana, Via Moruzzi, 1-56124, Pisa, Italy.

Bioengineering Unit, Fondazione G. Monasterio CNR-Regione Toscana, Pisa, Italy.

出版信息

MAGMA. 2024 Feb;37(1):93-100. doi: 10.1007/s10334-023-01135-6. Epub 2023 Nov 29.

Abstract

OBJECTIVE

We established normal ranges for native T1 and T2 values in the human liver using a 1.5 T whole-body imager (General Electric) and we evaluated their variation across hepatic segments and their association with age and sex.

MATERIALS AND METHODS

One-hundred healthy volunteers aged 20-70 years (50% females) underwent MRI. Modified Look-Locker inversion recovery and multi-echo fast-spin-echo sequences were used to measure hepatic native global and segmental T1 and T2 values, respectively.

RESULTS

T1 and T2 values exhibited good intra- and inter-observer reproducibility (coefficient of variation < 5%). T1 value over segment 4 was significantly lower than the T1 values over segments 2 and 3 (p < 0.0001). No significant regional T2 variability was detected. Segmental and global T1 values were not associated with age or sex. Global T2 values were independent from age but were significantly lower in males than in females. The lower and upper limits of normal for global T1 values were, respectively, 442 ms and 705 ms. The normal range for global T2 values was 35 ms-54 ms in males and 39 ms-54 ms in females.

DISCUSSION

Liver T1 and T2 mapping is feasible and reproducible and the provided normal ranges may help to establish diagnosis and progression of various liver diseases.

摘要

目的

我们使用 1.5T 全身成像仪(通用电气)建立了人类肝脏的固有 T1 和 T2 值的正常范围,并评估了它们在肝段之间的变化及其与年龄和性别的关系。

材料和方法

100 名年龄在 20-70 岁(女性占 50%)的健康志愿者接受了 MRI 检查。使用改良的 Look-Locker 反转恢复和多回波快速自旋回波序列分别测量肝脏的固有整体和节段 T1 和 T2 值。

结果

T1 和 T2 值表现出良好的观察者内和观察者间可重复性(变异系数<5%)。第 4 段的 T1 值明显低于第 2 和第 3 段的 T1 值(p<0.0001)。未检测到明显的区域 T2 变异性。节段和整体 T1 值与年龄或性别无关。整体 T2 值与年龄无关,但男性明显低于女性。整体 T1 值的正常范围下限和上限分别为 442ms 和 705ms。男性整体 T2 值的正常范围为 35ms-54ms,女性为 39ms-54ms。

讨论

肝脏 T1 和 T2 制图是可行且可重复的,提供的正常范围可能有助于诊断和评估各种肝脏疾病的进展。

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