影像诊断与介入放射学2024,Vol.33Issue(4) :258-264.DOI:10.3969/j.issn.1005-8001.2024.04.003

基于螺旋成像TOF-MRA在颅内动脉成像中的应用研究

Value of intracranial time-of-flight magnetic resonance angiography based on spiral imaging

于雨洁 陈楚玥 李茗 赵献策 张雅静 王坤 王茂雪
影像诊断与介入放射学2024,Vol.33Issue(4) :258-264.DOI:10.3969/j.issn.1005-8001.2024.04.003

基于螺旋成像TOF-MRA在颅内动脉成像中的应用研究

Value of intracranial time-of-flight magnetic resonance angiography based on spiral imaging

于雨洁 1陈楚玥 1李茗 1赵献策 2张雅静 3王坤 1王茂雪1
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作者信息

  • 1. 210008 江苏南京,南京大学医学院附属鼓楼医院医学影像科
  • 2. 200072 上海,飞利浦(中国)投资有限公司
  • 3. 215024 江苏苏州,飞利浦健康科技(中国)有限公司苏州分公司临床科研部
  • 折叠

摘要

目的 以压缩感知(CS)重建的时间飞跃法磁共振血管造影(TOF-MRA)(MRACS)为参考,探讨基于螺旋成像技术的MR血管成像(MRAspiral)在颅内血管成像中的应用价值.方法 2021 年 5 月 29 日—2022 年 6 月 11 日,前瞻性收集 49 例怀疑脑血管病变患者的头颅MRA图像.采集序列CS敏感度编码为 4 加速的TOF-MRA(MRACS4)和MRAspiral(采集窗口τ分别为 4、6、8、12).在大脑前动脉(ACA)、大脑中动脉(MCA)、大脑后动脉(PCA)的近段和远段绘制兴趣区.以胼胝体为背景计算比值(CR).由两名经验丰富的放射科医生分别对图像质量和诊断价值进行定性分析.采用单因素重复测量方差分析比较CR值的差异,Friedman检验比较定性分析的差异.结果 在远段分支,PCA在MRAτ6 的CR值(2.61±1.09)低于MRACS4(3.16±1.62)(P=0.014).余 MRAspiral 图像的 CR 值(MRAτ4:2.73±1.45,MRAτ8:2.78±1.28,MRAτ12:2.64±1.43)与MRACS4 的CR值无显著性差异(P>0.05).在远段血管显示方面,MRAτ4(4.78±0.41)、MRAτ6(4.77±0.42)及MRAτ8(4.55±0.52)明显优于MRACS4(4.28±0.52)(P<0.005).在颅内近段血管显影方面,MRACS4 显示优于MRAspiral.结论 MRAspiral对颅内远段血管的显示优于MRACS,可更好地评估颅内动脉狭窄程度,同时MRAτ8 可以在保证图像质量的同时减少采集时间.

Abstract

Objective To assess the value of intracranial time-of-flight magnetic resonance angiography(MRA)based on spiral imaging technology(MRAspiral)compared to compressed sensing(CS)reconstruction(MRACS).Methods From 29 May 2021 to 11 June 2022,brain MRA of 49 patients with suspected cerebrovascular disease was prospectively analyzed.MRA sequences with CS factor of 4(MRACS4)and MRAspiral(the acquisition window τ is 4,6,8,12)were acquired.The regions of interest were placed in the proximal and distal segments of the anterior cerebral artery,middle cerebral artery,and posterior cerebral artery(PCA)to calculate the contrast ratio(CR)with the corpus callosum as the background on both sequences.Qualitative analysis of image quality and diagnostic feasibility were performed independently by two experienced radiologists.One-way repeated measures ANOVA analysis was used to compare the differences in CR values and Friedman test was used to evaluate the differences in qualitative analysis.Results The CR value in the distal PCA(2.61±1.09)of MRAτ6 was significantly lower(P=0.014)than that of MRACS4(3.16±1.62).The CR values of the other MRAspiral images(MRAτ4:2.73±1.45,MRAτ8:2.78±1.28,MRAτ12:2.64±1.43)were not significantly different from those of MRACS4(P>0.05).The CR values in the MRAτ4(4.78±0.41),MRAτ6(4.77±0.42)and MRAτ8(4.55±0.52)were significantly better than MRACS4 in distal vascular visualization(P<0.005).MRACS4 showed better performance than MRAspiral in proximal vessels(P>0.005).Conclusion MRAspiral is superior to MRACS in displaying distal intracranial vessels,allowing for a better assessment of the degree of intracranial vascular stenosis.MRAτ8 can reduce acquisition time while ensuring image quality.

关键词

磁共振血管成像/螺旋采集/压缩感知/脑动脉

Key words

Magnetic resonance angiography/Spiral acquisition/Compressed sensing/Cerebral artery

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出版年

2024
影像诊断与介入放射学
中山大学

影像诊断与介入放射学

CSTPCD
影响因子:0.51
ISSN:1005-8001
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