首页|非酒精性脂肪性肝病患者定量非对称回波最小二乘估算法迭代水脂分离序列脂肪参数与临床资料的相关性

非酒精性脂肪性肝病患者定量非对称回波最小二乘估算法迭代水脂分离序列脂肪参数与临床资料的相关性

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目的 观察非酒精性脂肪性肝病(NAFLD)定量非对称回波最小二乘估算法迭代水脂分离序列(IDEAL-IQ)脂肪参数与临床资料的相关性.方法 前瞻性纳入42例NAFLD患者,根据体质量指数分为瘦型组(n=9)、超重组(n=19)及肥胖组(n=14);比较3组间及两两组间临床资料及IDEAL-IQ脂肪参数[即肝脏脂肪分数(HFF)、腹部内脏脂肪组织(VAT)体积及皮下脂肪组织(SAT)体积],分析HFF、腹部VAT及SAT体积与临床资料的相关性.结果 3组腹部VAT及SAT体积差异均有统计学意义(P均<0.05);其中,肥胖组腹部VAT体积明显高于瘦型组及超重组,两两组间比较腹部SAT体积差异均有统计学意义(P均<0.05).男性与女性患者腹部VAT及SAT体积差异均有统计学意义(t=2.559、2.606,P均<0.05),而HFF差异无统计学意义(t=1.332,P=0.191).NAFLD患者HFF与年龄、收缩压(SBP)、舒张压(DBP)及谷草转氨酶(GOT)均呈正相关(r=0.418、0.408、0.370、0.340,P 均<0.05).结论 NAFLD 患者HFF与年龄、SBP、DBP及AST相关,腹部VAT及SAT体积与性别相关.
Correlations of iterative decomposition of water and fat with echo asymmetry and the least squares estimation quantification sequence fat parameters and clinical data in patients with non-alcoholic fatty liver disease
Objective To observe the correlations of iterative decomposition of water and fat with echo asymmetry and the least squares estimation quantification sequence(IDEAL-IQ)fat parameters and clinical data in patients with non-alcoholic fatty liver disease(NAFLD).Methods Totally 42 NAFLD patients were prospectively enrolled and divided into lean group(n=9),overweight group(n=19)and obese group(n=14)based on body mass index.Clinical data and IDEAL-IQ fat parameters(hepatic fat fraction[HFF],abdominal visceral adipose tissue[VAT]and subcutaneous adipose tissue[SAT]volumes)were compared among 3 groups and between each 2 groups,and the correlations of HFF,abdominal VAT and SAT volumes and clinical data were analyzed.Results Significant differences of abdominal VAT and SAT volumes were found among 3 groups(both P<0.05).Abdominal VAT volume in obese group was significantly higher than that in lean and overweight groups(both P<0.05),and significant differences of abdominal SAT volume were found between each 2 groups(all P<0.05).Meanwhile,significant differences of abdominal VAT and SAT volumes were found between male and female patients(t=2.559,-2.606,both P<0.05),but not of HFF(t=1.332,P=0.191).HFF was positively correlated with age,systolic blood pressure(SBP),diastolic blood pressure(DBP)and glutamic-oxaloacetic transaminase(GOT)in NAFLD patients(r=0.418,0.408,0.370,0.340,all P<0.05).Conclusion In NAFLD patients,HFF was related to age,SBP,DBP and GOT,while abdominal VAT and SAT volumes were related to gender.

non-alcoholic fatty liver diseaseadipose tissuemagnetic resonance imagingwater-fat separation

伍雪、舒健、李品雄、闵凡

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西南医科大学附属医院放射科,四川泸州 646000

内江市第二人民医院医学影像科,四川内江 641000

非酒精性脂肪肝 脂肪组织 磁共振成像 水脂分离

2024

中国医学影像技术
中国科学院声学研究所

中国医学影像技术

CSTPCD北大核心
影响因子:0.763
ISSN:1003-3289
年,卷(期):2024.40(11)