医学影像学杂志2024,Vol.34Issue(1) :11-13,22.

体素不相干运动成像对胎儿头颅扩散及灌注的定量评估

Quantitative evaluation of diffusion and perfusion in fetal brain by intravoxel incoherent motion

岳翠 袁逍 余美 王文 南海燕
医学影像学杂志2024,Vol.34Issue(1) :11-13,22.

体素不相干运动成像对胎儿头颅扩散及灌注的定量评估

Quantitative evaluation of diffusion and perfusion in fetal brain by intravoxel incoherent motion

岳翠 1袁逍 1余美 1王文 1南海燕1
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作者信息

  • 1. 空军军医大学第二附属医院放射科 陕西 西安 710038
  • 折叠

摘要

目的 应用磁共振体素不相干运动成像(intravoxel incoherent motion MR imaging,IVIM-MRI)评估正常胎儿头颅的弥散及灌注情况.方法 选取运用IVIM-MRI序列检查的 138 例胎儿,图像由西门子离线MITK软件处理,在小脑、丘脑、基底节区、额叶、顶叶、枕叶、颞叶取成对感兴趣区(ROI),在桥脑取单一感兴趣区(ROI),分别获得各脑区D值、f值及D*值,采用单因素方差分析(ANOVA)及Bonferroni事后多重比较.结果 各脑区之间D值差异有统计学意义(P<0.05),额叶D值最高,其次是顶叶,小脑明显减低,桥脑最低.各脑区之间f值差异有统计学意义(P<0.05),事后多重比较发现丘脑与大脑白质及桥脑f值差异有统计学意义(P<0.05);枕叶与丘脑、基底节区、小脑及桥脑之间差异有统计学意义(P<0.05).D*值差异无统计学意义(P>0.05).结论 IVIM-MRI成像可反映胎儿脑内弥散及灌注情况,为胎儿的产前检查及疾病筛查提供一定的依据.

Abstract

Objective To evaluate diffusion and perfusion in normal fetal brain quantitatively by Intravoxel Incoherent Mo-tion MR imaging(IVIM-MRI).Methods A total of 138 normal fetuses examined by IVIM-MRI were collected in our depart-ment.Images were processed by Siemens offline MITK software.Paired areas of interest(ROI)were obtained in the basal gan-glia,thalamus,cerebellar hemisphere,frontal lobe,parietal lobe,occipital lobe,temporal lobe,and single area of interest(ROI)was obtained in the pons.D value,f valueand D* value of each brain area were obtained respectively.One-way analysis of variable(ANOVA)followed by Bonferroni post-hoc multiple comparison was employed.Results There was statisticaldiffer-ence in D value among brain regions(P<0.05),with the highest value in frontal lobe,followed by parietal lobe,and the lowest value in cerebellar hemisphere and pons.There were significant differences in f value among brain regions(P<0.05).Multiple comparisons showed there were statistical differences between thalamus and cerebral hemispheres white matter,between thala-mus and pons(P<0.05);There was statistical difference between occipital lobe and basal gangliaregion,thalamus,cerebellar hemisphere and pons(P<0.05).There was no statistical difference in D* value among different brain regions(P>0.05).Conclu-sion IVIM-MRI imaging can reflect the diffusion and perfusion in the fetal brain.This paovides certain basis for prenatal exami-nation and disease screening of the fetus.

关键词

胎儿头颅/不相干运动/磁共振成像

Key words

Fetal Brain/Intravoxel Incoherent Motion/Magnetic resonance imaging

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出版年

2024
医学影像学杂志
山东医学影像学研究会,山东医学影像学研究所

医学影像学杂志

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影响因子:1.157
ISSN:1006-9011
参考文献量17
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