Nakano S, Katoh T, Wakimaru K, Mori Y, Kageyama J, Hino I, Satoh K, Ohkawa M
Department of Radiology, Kagawa Medical University.
Nihon Igaku Hoshasen Gakkai Zasshi. 1998 Aug;58(9):489-96.
The purposes of this study were to (1) determine which condition, breath holding (BH) or quiet breathing (QB), is better for phase contrast (PC) measurement of the portal flow (PF); (2) assess the usefulness of respiratory compensation (RC), a technique that diminishes motion artifacts due to breathing, on PC flow measurement; and (3) evaluate the propriety of phase correction (PhC) using background for PC flow measurement. For purposes (1) and (2) respiratory simulation phantom (RSP) was measured, and PF measurements were performed in 6 healthy subjects (HS) and 53 patients. Thirty of the patients had liver cirrhosis (LC) and 23 did not. For purpose (3), flow measurements were carried out in the phantom and 6 HS. (1) In 6 HS, intra-subjective coefficients of variation (CV) were smaller under QB than under BH (p < 0.05). And PF in patients with LC was less than in those not under QB (p < 0.01). This difference was not statistically significant under BH. (2) In the RSP study PC flow measurement with high sort RC showed good reliability. (3) Intraobserver variation was smaller without PhC than with PhC (p < 0.05) in the HS study. It may be more useful to perform portal flow measurements under QB with RC and without PhC than with PhC or under BH.
(1)确定屏气(BH)或平静呼吸(QB)哪种状态更有利于门静脉血流(PF)的相位对比(PC)测量;(2)评估呼吸补偿(RC)这种减少呼吸运动伪影的技术在PC血流测量中的作用;(3)评估使用背景进行PC血流测量时相位校正(PhC)的适宜性。为实现目的(1)和(2),对呼吸模拟体模(RSP)进行了测量,并在6名健康受试者(HS)和53例患者中进行了PF测量。其中30例患者患有肝硬化(LC),23例未患肝硬化。为实现目的(3),在体模和6名HS中进行了血流测量。(1)在6名HS中,QB状态下的主观内变异系数(CV)小于BH状态下(p<0.05)。LC患者的PF在QB状态下低于未患肝硬化的患者(p<0.01)。在BH状态下,这种差异无统计学意义。(2)在RSP研究中,采用高排序RC的PC血流测量显示出良好的可靠性。(3)在HS研究中,观察者内变异在不进行PhC时小于进行PhC时(p<0.05)。在QB状态下采用RC且不进行PhC进行门静脉血流测量可能比进行PhC或在BH状态下更有用。