首页|自由呼吸DISCO-Star序列在动态增强肝脏MRI中的可行性研究

自由呼吸DISCO-Star序列在动态增强肝脏MRI中的可行性研究

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目的 本研究旨在比较自由呼吸条件下的DISCO-Star序列与屏气时的LAVA序列在肝脏成像中的图像质量,并探讨DISCO-Star序列在肝脏扫描中的应用潜力.方法 本研究回顾性分析了2023年12月至2024年3月期间,同时接受自由呼吸DISCO-Star序列及屏气LAVA序列检查的20名患者.两种序列的图像质量通过5点评分法进行评价.评价内容包括两位观察者的一致性、运动伪影、肝脏边缘的清晰度、扫描时机和总体图像质量.结果 两位观察者在总体图像质量上显示出较高的一致性(K=0.814).屏气LAVA序列图像在运动伪影、肝脏边缘清晰度、扫描时机方面以及图像总体质量的评分优于自由呼吸DISCO-Star序列图像,两组间的差异有统计学意义(P值均<0.05).两组图像的可诊断性评分差异无统计学意义(P=1).结论 DISCO-Star序列在不需要患者屏气的情况下提供了与LAVA序列相媲美的图像质量,对于那些无法进行屏气操作的患者具有重要的临床意义,值得进一步推广应用.
Feasibility Study of Free-Breathing DISCO-Star Sequence in Dynamic Contrast-Enhanced Hepatic MRI
Objective This study aimed to compare the image quality of the free-breathing DISCO-Star sequence with the breath-hold LAVA sequence in hepatic imaging and explore the application potential of the DISCO-Star sequence in liver scans.Methods This study retrospectively analyzed 20 patients who underwent examinations with both the free-breathing DISCO-Star sequence and the breath-hold LAVA sequence between December 2023 and March 2024.The image quality was evaluated using a 5-point scoring system.Evaluation content included the consistency of two observers,motion artifacts,clarity of liver edges,timing of scans,and overall image quality.Results The two observers showed high consistency in overall image quality(K=0.814).The breath-holding LAVA sequence images scored better than the free breathing DISCO-Star sequence images in terms of motion artifacts,clarity of liver edges,timing of the scan,and overall image quality,with statistically significant differences between the two groups(P values all<0.05).There was no significant difference in the diagnostic ability scoring between the two groups(P=1).Conclusion The DISCO-Star sequence offers image quality comparable to the LAVA sequence without necessitating breath-holds,holding substantial clinical relevance for patients incapable of breath-holding and meriting broader clinical adoption.

Magnetic Resonance ImagingLiverFree-BreathingBreath-Holding

张茗城、尹伟

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海军军医大学附属长海医院放射诊断科(上海 200433)

磁共振成像 肝脏 自由呼吸 屏气

2024

中国CT和MRI杂志
北京大学深圳临床医学院 北京大学第一医院

中国CT和MRI杂志

CSTPCD
影响因子:1.578
ISSN:1672-5131
年,卷(期):2024.22(10)