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肝脏局灶性病变的磁共振成像:屏气与非屏气混合快速自旋回波和传统自旋回波T2加权脉冲序列的比较

MR of focal liver lesions: comparison of breath-hold and non-breath-hold hybrid RARE and conventional spin-echo T2-weighted pulse sequences.

作者信息

Carpenter K D, Macaulay S E, Schulte S J, Obregon R G, Nelson R C, Simon H E, Schmiedl U P

机构信息

Department of Radiology, Veterans Administration Medical Center, Seattle, WA 98108, USA.

出版信息

J Magn Reson Imaging. 1996 Jul-Aug;6(4):596-602. doi: 10.1002/jmri.1880060407.

DOI:10.1002/jmri.1880060407
PMID:8835952
Abstract

To compare liver lesion detection rates, tissue signal and noise data, and qualitative parameters for breath-hold (BH) and non-breath-hold (NBH) hybrid rapid acquisition with relaxation enhancement (RARE) and conventional spin-echo (CSE) T2-weighted (CSE-T2) MR sequences, 20 patients were imaged using all three sequences. Lesion detection rates were 73.5% for the CSE-T2 sequence and 81.1% and 88.6% for the BH-RARE and NBH-RARE sequences, respectively (P = .027). Mean lesion-to-liver signal-difference-to-noise ratio for the NBH-RARE sequence was 14.0 +/- 11.5, significantly greater than 9.8 +/- 7.8 obtained for the BH-RARE sequence (P = .050) and 9.0 +/- 6.2 obtained for the CSE-T2 sequence (P = .015). The NBH-RARE sequence demonstrated fewer artifacts and greater overall image quality compared to the CSE-T2 sequence. The NBH-RARE sequence is a useful alternative to the liver signal-difference-to-noise ratio and lesion detection rate and better overall image quality.

摘要

为比较屏气(BH)和非屏气(NBH)混合快速采集弛豫增强(RARE)序列与传统自旋回波(CSE)T2加权(CSE-T2)磁共振序列的肝脏病变检出率、组织信号和噪声数据以及定性参数,对20例患者使用这三种序列进行成像。CSE-T2序列的病变检出率为73.5%,BH-RARE和NBH-RARE序列的病变检出率分别为81.1%和88.6%(P = 0.027)。NBH-RARE序列的平均病变与肝脏信号差异噪声比为14.0±11.5,显著高于BH-RARE序列的9.8±7.8(P = 0.050)和CSE-T2序列的9.0±6.2(P = 0.015)。与CSE-T2序列相比,NBH-RARE序列的伪影更少,整体图像质量更高。NBH-RARE序列在肝脏信号差异噪声比、病变检出率及整体图像质量方面是一种有用的替代方法。

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