实用医学影像杂志2024,Vol.25Issue(3) :217-221.DOI:10.16106/j.cnki.cn14-1281/r.2024.03.014

非酒精性脂肪肝患者胰腺脂肪含量的磁共振成像定量评估

Clinical value of quantitative evaluation of pancreatic fat content in patients with non-alcoholic fatty liver disease based on MRI IDEAL-IQ technology

李月 王雅静
实用医学影像杂志2024,Vol.25Issue(3) :217-221.DOI:10.16106/j.cnki.cn14-1281/r.2024.03.014

非酒精性脂肪肝患者胰腺脂肪含量的磁共振成像定量评估

Clinical value of quantitative evaluation of pancreatic fat content in patients with non-alcoholic fatty liver disease based on MRI IDEAL-IQ technology

李月 1王雅静2
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作者信息

  • 1. 455000 河南省安阳市第二人民医院医学影像科
  • 2. 华北理工大学附属医院核磁共振室
  • 折叠

摘要

目的 分析基于磁共振成像-非对称回波的最小二乘估算法迭代水脂分离技术(MRI IDE-AL-IQ)定量评估非酒精性脂肪肝患者胰腺脂肪含量的临床价值.方法 对2021年10月至2022年10月在安阳市第二人民医院、华北理工大学附属医院进行上腹部高场磁共振检查的115例非酒精性脂肪肝病患者的临床资料进行回顾性分析,将其作为研究组,另对同期进行健康体检的110名研究对象的临床资料进行回顾性分析,均采用高场磁共振对所有研究进行扫描,扫描序列包括IDEAL-IQ、T2加权成像(T2WI)快速自旋回波、扩散加权成像(DWI)扫描等,对图像进行重组,获取脂肪分数、脂相等图像.将2组研究对象胰腺不同部位脂肪分数值进行对比,将2组研究对象L2/3椎间隙椎间隙脂肪面积进行对比,包括皮下脂肪面积、内脏脂肪面积、内脏脂肪面积与总脂肪面积比值.结果 研究组患者肝脏、胰头、胰体、胰尾脂肪含量均比对照组高,差异均有统计学意义(均P<0.05);研究组患者L2/3椎间隙内脏脂肪面积、内脏脂肪面积与总脂肪面积比值比对照组高,皮下脂肪面积比对照组低,差异均有统计学意义(均P<0.05).结论 基于MRI IDE-AL-IQ技术定量应用于非酒精性脂肪肝患者胰腺脂肪含量的评估中具有较高的临床价值,非酒精性脂肪肝患者的全胰腺平均分数值均比健康人群高,非酒精性脂肪肝患者胰腺脂肪浸润分布较为均匀,而健康人群的胰腺脂肪分布不均匀,其中以胰腺钩突部、头颈部的脂肪含量较高.

Abstract

Objective To analyze the clinical value of quantitative evaluation of pancreatic fat content in patients with non-alcoholic fatty liver disease based on magnetic resonance imaging asymmetric echo three-point water lipid separation quantification map(MRI IDEAL-IQ).Methods The clinical data of 115 patients with nonalcoholic fatty liver disease who underwent upper abdominal high-field magnetic resonance examination in Anyang Second People's Hospital and the Affiliated Hospital of North China University of Science and Technology from October 2021 to October 2022 were retrospectively analyzed.As a study group,the clinical data of 110 patients who underwent physical examination during the same period were also retrospectively analyzed.High-field magnetic resonance was used to scan all studies.Scanning sequences included IDEAL-IQ,T2WI fast spin echo,diffusion-weighted imaging(DWI)scanning,etc.Images were reconstructed to obtain fat fraction and fat equality images.Fat fraction values in different parts of the pancreas were compared between the two groups,and the fat area of intervertebral space in L2/3 intervertebral space was compared between the two groups,including subcutaneous fat area,visceral fat area,and the ratio of visceral fat area to total fat area.Results The fat content of liver,pancreatic head,body and tail of the study group was higher than that of the control group(P<0.05).The area of visceral fat in the L2/3 intervertebral space and the ratio of visceral fat area to total fat area in the study group were higher than those in the control group,and the subcutaneous fat area was lower than that in the control group,with statistical significance(all P<0.05).Conclusion The quantitative application of MRI IDEAL-IQ technology in the evaluation of pancreatic fat content in non-alcoholic fatty liver patients has high clinical value.The average score of the whole pancreas in non-alcoholic fatty liver patients is higher than that of the healthy population,and the distribution of pancreatic fat infiltration in non-alcoholic fatty liver patients is relatively uniform,while the distribution of pancreatic fat in the healthy population is uneven,with higher fat content in the uncinate process and head and neck of the pancreas.

关键词

磁共振成像/非酒精性脂肪性肝病/胰腺/脂肪含量

Key words

Magnetic resonance imaging/Non-alcoholic fatty liver disease/Pancreas/Fat content

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出版年

2024
实用医学影像杂志
中华医学会山西分会,山西省人民医院

实用医学影像杂志

影响因子:0.735
ISSN:1009-6817
参考文献量13
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