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合成磁共振成像的技术层面与临床应用:一项范围综述

Technical aspects and clinical applications of synthetic MRI: a scoping review.

作者信息

Pires Tancia, Pendem Saikiran, M M Jaseemudheen

机构信息

Department of Medical Imaging Technology, 76799 Manipal College of Health Professions, Manipal Academy of Higher Education , Manipal, 576104, Karnataka, India.

Department of Medical Imaging Technology, K.S. Hegde Medical Academy (KSHEMA), NITTE (Deemed to be University), Mangalore, Karnataka, India.

出版信息

Diagnosis (Berl). 2025 Feb 7. doi: 10.1515/dx-2024-0168.

DOI:10.1515/dx-2024-0168
PMID:39913860
Abstract

INTRODUCTION

Synthetic magnetic resonance imaging (SyMRI) is a non-invasive, robust MRI technique that generates multiple contrast-weighted images by acquiring a single MRI sequence within a few minutes, along with quantitative maps, automatic brain segmentation, and volumetry. Since its inception, it has undergone technical advancements and has also been tested for feasibility in various organs and pathological conditions. This scoping review comprehensively pinpoints the critical technical aspects and maps the wide range of clinical applications/benefits of SyMRI.

CONTENT

A comprehensive search was conducted across five databases, PubMed, Scopus, Web of Science, Embase, and CINAHL Ultimate, using appropriate keywords related to SyMRI. A total of 99 studies were included after a 2-step screening process. Data related to the technical factors and clinical application was charted.

SUMMARY

SyMRI provides quantitative maps and segmentation techniques comparable to conventional MRI and has demonstrated feasibility and applications across neuroimaging, musculoskeletal, abdominal and breast pathologies spanning the entire human lifespan, from prenatal development to advanced age. Certain drawbacks related to image quality have been encountered that can be overcome with technical advances, especially AI-based algorithms.

OUTLOOK

SyMRI has immense potential for being incorporated into routine imaging for various pathologies due to its added advantage of providing quantitative measurements for more robust diagnostic and prognostic work-up with faster acquisitions and greater post-processing options.

摘要

引言

合成磁共振成像(SyMRI)是一种非侵入性的、强大的磁共振成像技术,它通过在几分钟内采集单个磁共振成像序列,生成多个对比加权图像,同时还能生成定量图谱、自动脑部分割和容积测量。自问世以来,它经历了技术进步,并且也在各种器官和病理状况下进行了可行性测试。本综述全面指出了关键技术方面,并梳理了SyMRI广泛的临床应用/益处。

内容

使用与SyMRI相关的适当关键词,在五个数据库(PubMed、Scopus、Web of Science、Embase和CINAHL Ultimate)中进行了全面检索。经过两步筛选过程,共纳入了99项研究。绘制了与技术因素和临床应用相关的数据。

总结

SyMRI提供的定量图谱和分割技术可与传统磁共振成像相媲美,并且已在从产前发育到老年的整个人类生命周期的神经成像、肌肉骨骼、腹部和乳腺病理学中证明了其可行性和应用。已经遇到了一些与图像质量相关的缺点,这些缺点可以通过技术进步,特别是基于人工智能的算法来克服。

展望

由于SyMRI具有额外的优势,即能够通过更快的采集和更多的后处理选项提供定量测量,以进行更可靠的诊断和预后评估,因此它在纳入各种病理的常规成像方面具有巨大潜力。

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Clin Neuroradiol. 2024 Jun;34(2):421-429. doi: 10.1007/s00062-023-01378-9. Epub 2024 Jan 30.
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Age-stratified Assessment of Brain Volumetric Segmentation on the Indian Population Using Quantitative Magnetic Resonance Imaging.基于定量磁共振成像的印度人群脑容积分割的年龄分层评估。
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Synthetic MRI in breast cancer: differentiating benign from malignant lesions and predicting immunohistochemical expression status.
乳腺癌的合成磁共振成像:鉴别良恶性病变及预测免疫组化表达状态。
Sci Rep. 2023 Oct 20;13(1):17978. doi: 10.1038/s41598-023-45079-2.
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Generating Synthetic Radiological Images with PySynthMRI: An Open-Source Cross-Platform Tool.使用 PySynthMRI 生成合成放射影像:一个开源跨平台工具。
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Paramagnetic rim lesions lead to pronounced diffuse periplaque white matter damage in multiple sclerosis.顺磁边缘病变导致多发性硬化症斑块周围白质弥漫性损伤明显。
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Radiol Imaging Cancer. 2023 Jul;5(4):e230009. doi: 10.1148/rycan.230009.
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Brain Parcellation Repeatability and Reproducibility Using Conventional and Quantitative 3D MR Imaging.利用常规和定量 3D MR 成像进行脑区划分的可重复性和可再现性。
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Brain Behav. 2023 Jul;13(7):e3068. doi: 10.1002/brb3.3068. Epub 2023 May 29.
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