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基于压缩感知的电影磁共振成像用于头颈部癌症患者吞咽困难定位及吞咽功能评估:一项对比研究

Compressed Sensing-Based Cine-MRI for Location of Dysphagia and Swallowing Function assessment in Patients with Head and Neck Cancer: A Comparative Study.

作者信息

Guo Xiaobin, Ke Tengfei, Liu Yifan, Liao Chengde, Li Manzhu

机构信息

Department of Radiology, Yunnan Cancer Hospital, The Third Affiliated Hospital of Kunming Medical University, Kunming, 650118, China.

Department of Radiology, Fuwai Central China Cardiovascular Hospital, Zhengzhou, 451460, China.

出版信息

Dysphagia. 2025 Jan 23. doi: 10.1007/s00455-024-10794-z.

Abstract

Cine magnetic resonance imaging (Cine-MRI) may evaluate the swallowing function and locations of patients with dysphagia, which requires very fast imaging speed. Compressed sensing is a technique that allows for faster MRI imaging by sampling fewer data points and reconstructing the image via optimization techniques, crucial for capturing the rapid movements involved in swallowing. This study aimed to analyze swallowing function and locations in patients with head and neck cancer and healthy individuals using Cine-MRI based on compressed sensing. This comparative study enrolled 36 patients with dysphagia and 10 healthy controls at the Department of Radiology, Yunnan Cancer Hospital between June 2020 and January 2021. Significant correlations were found between primary tumor location and Cine-MRI parameters, and between swallowing function and Cine-MRI parameters. The areas under the receiver operating characteristic curve for the combined Cine-MRI-related parameters in predicting mild and severe dysphagia were 0.806 (95% CI: 0.662-0.949). Cine-MRI with compressed sensing may identify swallowing function and abnormal stages of the physiologic swallowing process in patients with dysphagia after treatment.

摘要

电影磁共振成像(Cine-MRI)可评估吞咽困难患者的吞咽功能和部位,这需要非常快的成像速度。压缩感知是一种通过对更少的数据点进行采样并通过优化技术重建图像来实现更快MRI成像的技术,这对于捕捉吞咽过程中的快速动作至关重要。本研究旨在基于压缩感知的Cine-MRI分析头颈癌患者和健康个体的吞咽功能及部位。这项比较研究于2020年6月至2021年1月在云南省肿瘤医院放射科招募了36例吞咽困难患者和10名健康对照者。发现原发肿瘤部位与Cine-MRI参数之间以及吞咽功能与Cine-MRI参数之间存在显著相关性。用于预测轻度和重度吞咽困难的联合Cine-MRI相关参数的受试者操作特征曲线下面积为0.806(95%CI:0.662-0.949)。基于压缩感知的Cine-MRI可以识别吞咽困难患者治疗后的吞咽功能和生理性吞咽过程的异常阶段。

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