临床放射学杂志2024,Vol.43Issue(10) :1661-1665.

自由呼吸三维采集(StarVIBE)增强序列用于头颈肿瘤的图像质量分析

Image Quality Analysis of Head and Neck Tumors using Contrast-Enhancedfreebreathing 3D Acquisition(StarVIBE)Sequence

张晓春 苏童 徐振谭 王天娇 曲江明 陈钰 张竹花 冯逢 金征宇
临床放射学杂志2024,Vol.43Issue(10) :1661-1665.

自由呼吸三维采集(StarVIBE)增强序列用于头颈肿瘤的图像质量分析

Image Quality Analysis of Head and Neck Tumors using Contrast-Enhancedfreebreathing 3D Acquisition(StarVIBE)Sequence

张晓春 1苏童 2徐振谭 2王天娇 2曲江明 2陈钰 2张竹花 2冯逢 2金征宇2
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作者信息

  • 1. 100091 北京,中国中医科学院西苑医院;100730 北京,中国医学科学院,北京协和医学院,北京协和医院
  • 2. 100730 北京,中国医学科学院,北京协和医学院,北京协和医院
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摘要

目的 分析T1加权(T1WI)自由呼吸三维采集K空间放射填充容积内插成像(StarVIBE)序列用于头颈肿瘤成像的图像质量,与水脂分离技术(Dixon)VIBE序列比较,探索其在头颈肿瘤中的应用价值.方法 回顾性搜集临床发现头颈肿瘤并进行自由呼吸StarVIBE序列及Dixon-VIBE增强T1WI扫描的患者,在两个序列上分别勾画患者肿瘤病灶的感兴趣区(ROI),记录信号强度(SI)及标准差(SD),计算StarVIBE及Dixon增强序列的肿瘤病灶信噪比(SNR)及对比噪声比(CNR);通过"五分法"评价病变清晰度、伪影、颈部血管清晰度、软骨结构清晰度及总体图像质量(1分=非常差,5分=优秀),比较StarVIBE与Dixon增强序列差异.结果 29例头颈肿瘤患者纳入研究,StarVIBE增强序列与Dixon增强序列的肿瘤病灶SNR高于Dixon增强序列(P=0.01),两个序列的CNR比较差异没有统计学意义(P=0.75).StarVIBE增强序列与Dixon增强序列比较,显示肿瘤病变清晰度(4.90 vs.3.72)、伪影(4.79 vs.3.41)、颈部血管清晰度(5.00 vs.4.03)、软骨结构清晰度(4.71 vs.2.82)及总体图像质量(4.93 vs.3.79),均优于Dixon序列,两组间差异有统计学意义(P<0.05).结论 自由呼吸增强StarVIBE序列显示头颈肿瘤原发灶具有较高的定量及定性图像质量,推荐作为头颈肿瘤的临床常规检查序列.

Abstract

Objective To compare the image quality of T1 weighted(T1WI)free breathing three-dimensional acquisi-tion K-space radiation filled volume interpolation imaging(StarVIBE)sequence for head and neck tumor imaging with water lipid separation technique(Dixon)VIBE sequence,and explore its application value in head and neck tumors.Methods Retrospective collection of patients with clinically discovered head and neck tumors who underwent free breathing StarVIBE sequence and Dixon-VIBE enhanced T1 WI scanning.The regions of interest(ROIs)of the tumor lesions were delineated on both sequences,and signal intensity(SI)and standard deviation(SD)were recorded.The signal-to-noise ratio(SNR)and contrast noise ratio(CNR)of the tumor lesions were calculated for StarVIBE and Dixon enhanced sequences.Evaluate the clarity of lesions,artifacts,neck vascular clarity,cartilage structure clarity,and overall image quality using the"five point method"(1 point=very poor,5 points=excellent),and compared the differences between StarVIBE and Dixon enhanced sequences.Results 29 patients with head and neck tumors were included in the study.The SNR of StarVIBE tumor le-sions was higher than that of Dixon enhanced sequences(P=0.01),while the CNR was not statistically significant(P=0.75).The StarVIBE enhanced sequence compared with the Dixon enhanced sequence,showed better clarity of tumor le-sions(4.90 vs.3.72),artifacts(4.79 vs.3.41),neck vascular clarity(5.00 vs.4.03),cartilage structure clarity(4.71 vs.2.82),and overall image quality(4.93 vs.3.79),the difference between the two groups was statistically significant(P<0.05).Conclusion The free breathing enhanced StarVIBE sequence has high quantitative and qualitative image quali-ty in displaying the primary lesion of head and neck tumors,and is recommended as a clinical routine examination sequence for head and neck tumors.

关键词

头颈肿瘤/磁共振成像/图像质量

Key words

Head and neck tumors/Magnetic resonance imaging/image quality

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基金项目

国家自然科学基金(82371962)

中央高水平医院临床科研业务费(2022-PVMCH-B-067)

2021SKY影像科研基金(Z-2014-07-2101)

出版年

2024
临床放射学杂志
黄石市医学科技情报所

临床放射学杂志

CSTPCD北大核心
影响因子:0.872
ISSN:1001-9324
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