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3T磁共振直肠小视野APT成像

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目的 化学交换饱和转移(CEST)成像技术已成为诊断与脑部和全身疾病代谢相关变化的有用工具,通过计算与水分子相邻化合物的可交换质子的含量进行定量分析。具体而言,酰胺质子转移(APT)CEST技术通过比较可交换的内源性蛋白质或肽的含量变化来区分正常组织与脑卒中和脑肿瘤组织。在体内的小器官病变诊断中,小视野(rFOV)成像技术已被广泛应用,本研究旨在应用rFOV成像技术来识别直肠中的CEST信号,探讨rFOV成像技术在直肠疾病临床诊断中的潜在效用,并为直肠疾病的放化疗提供代谢影像信息。方法 使用3。0T磁共振成像扫描仪对11名健康志愿者进行了横断面全视野(Full_FOV)和rFOV CEST成像。设置的分辨率分别为2。5×2。5×6 mm3和1。5×1。5×6 mm3。采用了 0。7μT和2μT两种预饱和脉冲。rFOV成像采用了 ZOOM成像方法。对于2 μT的饱和脉冲,采用了±3。5 ppm的MTRasym方法进行定量分析,而对于0。7μT的饱和脉冲,则采用Lorentzian Difference的方法来量化CEST的对比度图和曲线。结果 相较于Full_FOV成像,rFOV方法可以在保持较好对比度的同时将扫描时间减半。与Full FOV方法相比,rFOV成像方法可以得出与Full FOV方法几乎相同的Z谱和MTRasym曲线。此外,以大约3 min的时间可以实现1。5 mm×1。5 mm分辨率的rFOV成像。这种rFOV成像方法可以更好地显示出整个直肠的解剖细节,包括CEST成像对比图及定量分析曲线。结论 CEST MRI在直肠疾病诊断方面具有较高价值,采用rFOV技术可以提供更高的空间和时间分辨率。由于其在直肠疾病诊断方面的潜力,CESTMRI可以作为临床诊断直肠疾病的首选。
Reduced Field of View APT Imaging of Rectum(RAPTOR)at 3T MRI Scanner
Objective The chemical exchange saturation transfer(CEST)technique has become a valuable tool in diagnosing metabolic changes associated with cerebral and systemic diseases,leveraging the calculation of compounds with exchangeable protons in proximity to water molecules.Specifically,the amide proton transfer(APT)CEST technique has shown promise in diagnosing cerebral strokes and tumors by comparing altered endogenous proteins or peptides with normal tissues.Reduced field of view(rFOV)imaging technology has been widely used in the diagnosis of small organ lesions in the body.In this study,we aim to apply the rFOV imaging to identify CEST signals in the rectum,investigating the potential utility of rFOV technique in clinical diagnosis of rectal diseases and providing metabolic insights for chemoradiotherapy.Methods MRI images of eleven healthy volunteers were acquired using transverse FullFOV and rFOV CEST imaging on a 3T scanner.The resolution was set at 2.5×2.5x 6 mm3 and 1.5×1.5×6 mm3 for Full FOV or the rFOV method.Saturation powers of 0.7 μT and 2 μT were applied.For the 2 μT saturation,MTRasym at±3.5 ppm was employed,while for 0.7 μT saturation,Lorentzian difference was used for CEST quantification of the contrast maps and curves.Results The rFOV method has the advantage of halving the scan time while maintaining the same contrast as the Full FOV method.When compared to Full FOV methods,rFOV methods exhibited nearly identical Z_spec and very similar MTRasym curves.Additionally,rFOV with a 1.5 mm×1.5 mm in-plane resolution could be achieved in approximately 3 min.rFOV method displayed better structural details for the entire rectum,including CEST contrast maps and quantitative curves.Conclusion CEST MRI proves valuable in diagnosing rectal diseases,and employing the rFOV technique could provide higher spatial and temporal resolution.CEST MRI should be the preferred choice for offering improved diagnostic capabilities with its potential for rectal disease diagnosis.

chemical exchange saturation transfer(CEST)reduced field of view(rFOV)full field of view(Full_FOV)rectum

柴旭斌、王翌、何子骏、刘爱华、薛蓉

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中国科学院生物物理研究所,脑与认知科学国家重点实验室,北京 100101

中国科学院大学,北京 100049

首都医科大学,北京天坛医院,北京市神经外科研究所,北京 100070

清华大学医学院生物医学工程系,北京 100084

天津中医药大学,公共卫生与健康科学学院,天津 301617

首都医科大学,北京脑重大疾病研究院,北京 100069

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化学交换饱和转移成像 小视野 全视野 直肠

科技创新2030国家重点研发计划国家重点研发计划中国科学院基础前沿科学计划从0到1原始创新项目

2022ZD02119012020AAA01056012019YFA0707103ZDBS-LY-SM028

2024

生物化学与生物物理进展
中国科学院生物物理研究所,中国生物物理学会

生物化学与生物物理进展

CSTPCD北大核心
影响因子:0.476
ISSN:1000-3282
年,卷(期):2024.51(6)