首页|基于MRI体素内不相干运动成像技术的胎盘胎儿侧与母体侧的功能差别

基于MRI体素内不相干运动成像技术的胎盘胎儿侧与母体侧的功能差别

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目的:探讨胎盘胎儿侧与母体侧功能是否存在差异以及这两部分功能变化与孕周的相关性.方法:采用体素内不相干运动成像技术(IVIM),分别采集75例妊娠23~40周胎盘母体侧与胎儿侧的灌注分数f,扩散系数D和伪扩散系数D*的数据.通过Wilcoxon配对符号秩和检验比较胎盘母体侧与胎儿侧IVIM参数的差异,并采用回归方法进行曲线估计及曲线拟合分析胎儿侧和母体侧数据与孕周的相关性.结果:胎盘母体侧与胎儿侧的灌注分数f,扩散系数D之间的差异均具有统计学意义.母体侧灌注分数f-out(y)与孕周(x)具有相关性,呈现二次曲线相关,曲线拟合优度R2为0.121,方程式为y=0.635-0.0155x+0.0001x2.胎儿侧与母体侧灌注分数差值fin-fout(y)与孕周(x)具有相关性,呈二次曲线相关,曲线拟合优度R2为0.295,方程式为y=-1.318+0.080x-0.001x2.结论:胎盘胎儿侧与母体侧灌注功能存在显著差异,胎盘母体侧灌注分数与孕周具有相关性.
Functional differences between the fetal and maternal sides of the placenta based on MRI intravoxel incoherent motion imaging techniques
Objective:To investigate whether there are differences in placental function between the fetal side and maternal side,as well as the correlation between the functional changes in these two parts and the gestational weeks.Methods:The intravoxel incoherent motion imaging(IVIM)was employed to collect data on placental perfusion fraction(f),diffusion coefficient(D),and pseudo-diffusion coefficient(D*)from the maternal side and the fetal side of 75 placentas at gestational weeks 23-40,respectively.Differences between the maternal and fetal sides of the placenta were compared by the Wilcoxon matched-pairs signed rank test,and regression methods for curve estimation and curve fitting analysis were employed to explore the correlation between the fetal and maternal side data and gestational weeks.Results:There were statistically significant differences in f and D between the maternal and fetal sides of the placenta.Maternal lateral perfusion fraction(y)was correlated with gestational week(x),showing a quadratic correlation.The goodness of fit for the curve R2 was 0.121,with the equation y=0.635-0.0155x+0.0001x2.The difference value between the fetal-side perfusion fraction minus maternal-side perfusion fraction,fin-fout(y),was correlated with x,showing a quadratic correlation,and the goodness of fit for the curve R2 was 0.295,with the equation y=-1.318+0.080x-0.001x2.Conclusion:There are significant differences between the function of the fetal and maternal sides of the placenta,and the perfusion fraction of the maternal side of the placenta correlates with gestational week.

placentafetal sidematernal sideintravoxel incoherent motionperfusion fraction

刘婷、刘军

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西安交通大学第一附属医院医学影像科,西安 710061

胎盘 胎儿侧 母体侧 体素内不相干运动成像技术 灌注分数

陕西省自然基础研究计划西安交通大学第一附属医院院级课题

2017JQ8034XJTU1AF-3D-2018-005

2024

解剖学杂志
中国解剖学会

解剖学杂志

CSTPCD
影响因子:0.407
ISSN:1001-1633
年,卷(期):2024.47(3)
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