quantitative MRI

定量 MRI
  • 文章类型: Journal Article
    Quantitative Magnetic Resonance Imaging (qMRI) offers precise measurements of the relaxation characteristics of microstructures, representing a cutting-edge method in non-destructive fruit analysis. This study aims to visualize information on changes in moisture status and distribution at the subcellular level of winter jujube. The 0.5 T nuclear magnetic imaging equipment was utilized to rapidly, non-invasively, and accurately capture the internal relaxation status of the sample with multiple-echo-imaging. By examining the signal and noise data, a simulated dataset was developed to tackle the optimization challenge of estimating parameters for the discrete relaxation model from the multiple-echo-imaging data, especially under conditions of low signal-to-noise ratio (SNR) and in the context of heteroscedastic noise. An optimal weighting factor and the T2NR truncation model have been identified to establish an effective experimental inversion strategy. Subsequently, multiple-echo-imaging can rapidly and stably yielded voxel-level maps under conditions of low signal-to-noise ratio. Utilizing this experimental approach, data from winter jujube was collected and analyzed, facilitating an exploration of water activity (T2 mapping) and associated water content (A2 mapping). Through analyzing winter jujube fruits across two maturity stages, this study elucidates the role of precise quantification and voxel-wise visualization in moisture status detection. The methodology presents an innovative approach for assessing internal moisture distribution in fruits.
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  • 文章类型: Journal Article
    弥散峰度成像(DKI)衍生的指标被认为是低级别生发基质和脑室内出血(GMH-IVH)新生儿成熟的指标。然而,目前尚不清楚这些因素是否与神经发育结局相关.这项研究的目的是获得低度GMH-IVH新生儿的DKI衍生指标,并证明它们与后来的神经发育结果的关联。在这项前瞻性研究中,招募低度GMH-IVH新生儿和对照新生儿,和DKI在2020年1月至2021年3月期间进行。这些新生儿在18个月大时接受了Bayley婴儿发育量表测试。平均峰度(MK),测量径向峰度(RK)和灰质值。对测量值和神经发育结果评分进行Spearman相关分析。40名对照(18名男性,平均胎龄(GA)30周±1.3,MRI扫描校正GA38周±1)和30例低度GMH-IVH新生儿(13例男性,平均GA30周±1.5,MRI扫描校正GA38周±1)。低度GMH-IVH的新生儿在PLIC和丘脑中的MK和RK值较低(P<0.05)。丘脑MK值与精神发育指数(MDI)(r=0.810,95%CI0.695-0.13;P<0.001)和精神运动发育指数(PDI)(r=0.852,95%CI0.722-0.912;P<0.001)评分相关。尾状核RK值与MDI评分(r=0.496,95%CI0.657~0.933,P<0.001)和PDI评分(r=0.545,95%CI0.712~0.942,P<0.001)呈显著正相关。曲线下面积(AUC)用于评估丘脑(AUC=0.866,0.787)和尾状核(AUC=0.833,0.671)中MK和RK的诊断性能,以预测神经发育结果。作为定量神经成像标志物,丘脑中的MK和尾状核中的RK可能有助于预测低度GMH-IVH新生儿的神经发育结果。
    Diffusion Kurtosis Imaging (DKI)-derived metrics are recognized as indicators of maturation in neonates with low-grade germinal matrix and intraventricular hemorrhage (GMH-IVH). However, it is not yet known if these factors are associated with neurodevelopmental outcomes. The objective of this study was to acquire DKI-derived metrics in neonates with low-grade GMH-IVH, and to demonstrate their association with later neurodevelopmental outcomes. In this prospective study, neonates with low-grade GMH-IVH and control neonates were recruited, and DKI were performed between January 2020 and March 2021. These neonates underwent the Bayley Scales of Infant Development test at 18 months of age. Mean kurtosis (MK), radial kurtosis (RK) and gray matter values were measured. Spearman correlation analyses were conducted for the measured values and neurodevelopmental outcome scores. Forty controls (18 males, average gestational age (GA) 30 weeks ± 1.3, corrected GA at MRI scan 38 weeks ± 1) and thirty neonates with low-grade GMH-IVH (13 males, average GA 30 weeks ± 1.5, corrected GA at MRI scan 38 weeks ± 1). Neonates with low-grade GMH-IVH exhibited lower MK and RK values in the PLIC and the thalamus (P < 0.05). The MK value in the thalamus was associated with Mental Development Index (MDI) (r = 0.810, 95% CI 0.695-0.13; P < 0.001) and Psychomotor Development Index (PDI) (r = 0.852, 95% CI 0.722-0.912; P < 0.001) scores. RK value in the caudate nucleus significantly and positively correlated with MDI (r = 0.496, 95% CI 0.657-0.933; P < 0.001) and PDI (r = 0.545, 95% CI 0.712-0.942; P < 0.001) scores. The area under the curve (AUC) were used to assess diagnostic performance of MK and RK in thalamus (AUC = 0.866, 0.787) and caudate nucleus (AUC = 0.833, 0.671) for predicting neurodevelopmental outcomes. As quantitative neuroimaging markers, MK in thalamus and RK in caudate nucleus may help predict neurodevelopmental outcomes in neonates with low-grade GMH-IVH.
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  • 文章类型: Journal Article
    目标:在慢性下腰痛(CLBP)中,脊柱病变与椎旁肌肉脂肪浸润之间的关系尚不清楚。本研究旨在通过定量MRI评估CLBP患者的MRI表现与椎旁肌肉形态和脂肪浸润之间的关系。
    方法:所有CLBP患者均于2021年7月至2022年12月在四家医疗机构入选。测量了L4/5和L5/S1椎间盘中央水平的多裂肌(MF)和竖脊肌(ES)的横截面积(CSA)和质子密度脂肪分数(PDFF)。MRI检查结果包括退行性腰椎滑脱(DLS),椎间盘退变(IVDD),关节突关节,椎间盘突出或突出,和疾病持续时间。分析CLBP患者的MRI表现与椎旁肌PDFF和CSA的关系。
    结果:本研究共纳入493例CLBP患者(198例女性,295名男性),平均年龄45.68±12.91岁。我们的研究表明,MRI发现的数量与L4/5水平的椎旁肌PDFF相关,但并不重要。此外,IVDD分级是影响L4-S1水平下椎旁肌PDFF的主要因素(L4/5时BES=1.845,P<0.05);DLS是影响L4/5水平下MFPDFF的显著因素(B=4.774,P<0.05)。包括年龄之后,性别,和身体质量指数(BMI)作为多变量回归分析中的控制变量,年龄对L4-S1水平的椎旁肌PDFF有显著的积极影响,ESPDFF的AUC最大为L4/5水平(AUC=0.646,截止值=47.5),而男性的PDFF低于女性。BMI仅在L4/5水平(AUC=0.559,截止值=24.535)对ESPDFF有积极影响。
    结论:CLBP患者椎旁肌脂肪浸润程度与多因素的累积或协同作用有关,特别是在L4/L5级别。尽管年龄和BMI是影响CLBP患者椎旁肌PDFF程度的重要因素,他们的诊断效能是中等的。
    OBJECTIVE: In chronic low back pain (CLBP), the relationship between spinal pathologies and paraspinal muscles fat infiltration remains unclear. This study aims to evaluate the relationship between MRI findings and paraspinal muscles morphology and fat infiltration in CLBP patients by quantitative MRI.
    METHODS: All the CLBP patients were enrolled from July 2021 to December 2022 in four medical institutions. The cross-sectional area (CSA) and proton density fat fraction (PDFF) of the multifidus (MF) and erector spinae (ES) muscles at the central level of the L4/5 and L5/S1 intervertebral discs were measured. MRI findings included degenerative lumbar spondylolisthesis (DLS), intervertebral disc degeneration (IVDD), facet arthrosis, disc bulge or herniation, and disease duration. The relationship between MRI findings and the paraspinal muscles PDFF and CSA in CLBP patients was analyzed.
    RESULTS: A total of 493 CLBP patients were included in the study (198 females, 295 males), with an average age of 45.68 ± 12.91 years. Our research indicates that the number of MRI findings are correlated with the paraspinal muscles PDFF at the L4/5 level, but is not significant. Moreover, the grading of IVDD is the primary factor influencing the paraspinal muscles PDFF at the L4-S1 level (BES at L4/5=1.845, P < 0.05); DLS was a significant factor affecting the PDFF of MF at the L4/5 level (B = 4.774, P < 0.05). After including age, gender, and Body Mass Index (BMI) as control variables in the multivariable regression analysis, age has a significant positive impact on the paraspinal muscles PDFF at the L4-S1 level, with the largest AUC for ES PDFF at the L4/5 level (AUC = 0.646, cut-off value = 47.5), while males have lower PDFF compared to females. BMI has a positive impact on the ES PDFF only at the L4/5 level (AUC = 0.559, cut-off value = 24.535).
    CONCLUSIONS: The degree of paraspinal muscles fat infiltration in CLBP patients is related to the cumulative or synergistic effects of multiple factors, especially at the L4/L5 level. Although age and BMI are important factors affecting the degree of paraspinal muscles PDFF in CLBP patients, their diagnostic efficacy is moderate.
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  • 文章类型: Journal Article
    目的:正常衰老与脑容量变化有关,并且可以使用合成磁共振成像(MRI)在可接受的扫描时间内执行脑分割。本研究旨在探讨健康成人按年龄和性别的脑容量变化,并使用合成MRI提供特定年龄和性别的参考值。
    方法:共300名健康成年人(141名男性,中位年龄48岁;159名女性,中位年龄50)在3.0T接受了合成MRI。脑实质体积(BPV),灰质体积(GMV),白质体积(WMV),髓鞘体积(MYV),使用合成MRI软件计算脑脊液体积(CSFV)。这些体积通过颅内体积归一化为归一化GMV(nGMV),归一化WMV(nWMV),归一化MYV(nMYV),归一化BPV(nBPV),和归一化CSFV(nCSFV)。在男性和女性中,标准化的脑体积都是根据年龄绘制的,并确定了最能解释脑容量年龄依赖性的曲线拟合模型。比较不同年龄和性别组的标准化脑容量。
    结果:nGMV的近似曲线,nWMV,nCSFV,nBPV,nMYV最好用二次曲线拟合。nBPV在男性和女性的各个年龄段单调下降,而nCSFV的变化则表现出相反的趋势。随着年龄的增长,男性和女性的nWMV和nMYV逐渐增加,然后下降。在成年早期(20岁),男性的nWMV和nMYV比女性低,峰值晚(p<0.005)。男性和女性的nGMV在成年早期下降,直到30岁,然后保持稳定。nWMV大幅下降,nBPV,nMYV在60年代(土耳其测试,p<.05)。
    结论:我们的研究使用合成MRI提供了特定年龄和性别的脑容量参考值,这可能是区分大脑疾病和健康大脑的客观工具。
    OBJECTIVE: Normal aging is associated with brain volume change, and brain segmentation can be performed within an acceptable scan time using synthetic magnetic resonance imaging (MRI). This study aimed to investigate the brain volume changes in healthy adult according to age and gender, and provide age- and gender-specific reference values using synthetic MRI.
    METHODS: A total of 300 healthy adults (141 males, median age 48; 159 females, median age 50) were underwent synthetic MRI on 3.0 T. Brain parenchymal volume (BPV), gray matter volume (GMV), white matter volume (WMV), myelin volume (MYV), and cerebrospinal fluid volume (CSFV) were calculated using synthetic MRI software. These volumes were normalized by intracranial volume to normalized GMV (nGMV), normalized WMV (nWMV), normalized MYV (nMYV), normalized BPV (nBPV), and normalized CSFV (nCSFV). The normalized brain volumes were plotted against age in both males and females, and a curve fitting model that best explained the age dependence of brain volume was identified. The normalized brain volumes were compared between different age and gender groups.
    RESULTS: The approximate curves of nGMV, nWMV, nCSFV, nBPV, and nMYV were best fitted by quadratic curves. The nBPV decreased monotonously through all ages in both males and females, while the changes of nCSFV showed the opposite trend. The nWMV and nMYV in both males and females increased gradually and then decrease with age. In early adulthood (20s), nWMV and nMYV in males were lower and peaked later than that in females (p < .005). The nGMV in both males and females decreased in the early adulthood until the 30s and then remains stable. A significant decline in nWMV, nBPV, and nMYV was noted in the 60s (Turkey test, p < .05).
    CONCLUSIONS: Our study provides age- and gender-specific reference values of brain volumes using synthetic MRI, which could be objective tools for discriminating brain disorders from healthy brains.
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  • 文章类型: Journal Article
    目的:&#xD;基于模型的交替重建耦合拟合,被称为MARCO,提出了准确、快速的磁共振参数映射。&#xD;方法:&#xD;MARCO利用信号模型作为正则化,通过在重建时基于迭代更新的参数图最小化图像序列和由合适的信号模型产生的信号之间的偏差。该技术可以通过添加稀疏性约束来合并图像序列和参数两者的先验知识。将优化问题分解为三个子问题,并通过涉及重构和非线性最小二乘拟合的三个交替步骤进行求解,它可以同时产生对比度加权图像和参数图。&#xD;主要结果:&#xD;该算法应用于T2mapping与扩展相位图算法集成和验证来自幻像和体内源的欠采样多回波自旋回波数据。与传统的压缩感知和基于模型的方法相比,所提出的方法可以在高加速因子下产生更准确的T2图和更多细节。&#xD;意义:&#xD;所提出的方法为定量MR弛豫测量提供了基本框架,理论上适用于所有定量MR弛豫测量。它有潜力提高定量成像技术的诊断效用。 .
    Objective.A model-based alternating reconstruction coupling fitting, termed Model-based Alternating Reconstruction COupling fitting (MARCO), is proposed for accurate and fast magnetic resonance parameter mapping.Approach.MARCO utilizes the signal model as a regularization by minimizing the bias between the image series and the signal produced by the suitable signal model based on iteratively updated parameter maps when reconstructing. The technique can incorporate prior knowledge of both image series and parameters by adding sparsity constraints. The optimization problem is decomposed into three subproblems and solved through three alternating steps involving reconstruction and nonlinear least-square fitting, which can produce both contrast-weighted images and parameter maps simultaneously.Main results.The algorithm is applied toT2mapping with extended phase graph algorithm integrated and validated on undersampled multi-echo spin-echo data from both phantom and in vivo sources. Compared with traditional compressed sensing and model-based methods, the proposed approach yields more accurateT2maps with more details at high acceleration factors.Significance.The proposed method provides a basic framework for quantitative MR relaxometry, theoretically applicable to all quantitative MR relaxometry. It has the potential to improve the diagnostic utility of quantitative imaging techniques.
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  • 文章类型: Journal Article
    目的:开发一种高度加速的多回波自旋回波方法,坦普尔,用于减少采集时间和/或增加肾脏T2映射的空间分辨率。
    方法:TEMPURA通过组合独立的回声或在k空间之间共享一个回声,将几个相邻的回声合并到一个k空间中。基于压缩感知理论重构组合k空间。减小的翻转角用于重聚焦脉冲,并采用扩展相图算法对间接回波的影响进行校正。开发了两个序列:快速屏气序列;和高分辨率序列。性能是在幻影上前瞻性评估的,16位健康受试者,和两个不同类型的肾肿瘤患者。
    结果:快速TEMPURA方法将采集时间从3-5分钟减少到一次屏气(18s)。幻影测量显示,快速TEMPURA的平均绝对百分比误差(MAPE)为8.2%,这与标准化的呼吸触发序列(7.4%)相当,但远低于纯k-t欠采样加速的序列(21.8%)。高分辨率TEMPURA将平面内的体素尺寸从3×3减小到1×1mm2,从而改善了详细解剖结构的可视化。体内T2测量显示出良好的一致性(快速:MAPE=1.3%-2.5%;高分辨率:MAPE=2.8%-3.3%)和高相关系数(快速:R=0.85-0.98;高分辨率:0.82-0.96)与标准化方法,优于仅k-t欠采样(MAPE=3.3-4.5%,R=0.57-0.59)。
    结论:TEMPURA提供快速和高分辨率的肾T2测量。它有可能以前所未有的空间分辨率提高临床吞吐量并描绘肿瘤内异质性和组织生境。
    OBJECTIVE: To develop a highly accelerated multi-echo spin-echo method, TEMPURA, for reducing the acquisition time and/or increasing spatial resolution for kidney T2 mapping.
    METHODS: TEMPURA merges several adjacent echoes into one k-space by either combining independent echoes or sharing one echo between k-spaces. The combined k-space is reconstructed based on compressed sensing theory. Reduced flip angles are used for the refocusing pulses, and the extended phase graph algorithm is used to correct the effects of indirect echoes. Two sequences were developed: a fast breath-hold sequence; and a high-resolution sequence. The performance was evaluated prospectively on a phantom, 16 healthy subjects, and two patients with different types of renal tumors.
    RESULTS: The fast TEMPURA method reduced the acquisition time from 3-5 min to one breath-hold (18 s). Phantom measurements showed that fast TEMPURA had a mean absolute percentage error (MAPE) of 8.2%, which was comparable to a standardized respiratory-triggered sequence (7.4%), but much lower than a sequence accelerated by purely k-t undersampling (21.8%). High-resolution TEMPURA reduced the in-plane voxel size from 3 × 3 to 1 × 1 mm2, resulting in improved visualization of the detailed anatomical structure. In vivo T2 measurements demonstrated good agreement (fast: MAPE = 1.3%-2.5%; high-resolution: MAPE = 2.8%-3.3%) and high correlation coefficients (fast: R = 0.85-0.98; high-resolution: 0.82-0.96) with the standardized method, outperforming k-t undersampling alone (MAPE = 3.3-4.5%, R = 0.57-0.59).
    CONCLUSIONS: TEMPURA provides fast and high-resolution renal T2 measurements. It has the potential to improve clinical throughput and delineate intratumoral heterogeneity and tissue habitats at unprecedented spatial resolution.
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  • DOI:
    文章类型: Preprint
    目的:本研究旨在开发一种高分辨率的全脑多参数定量MRI方法,用于同时绘制髓鞘-水分数(MWF),T1、T2和质子密度(PD),全部在临床上可行的扫描时间内。
    方法:我们开发了3DViSTa-MRF,将短横向弛豫时间分量(ViSTa)可视化技术与MR指纹(MRF)相结合,在临床3T扫描仪上实现高保真全脑MWF和T1/T2/PD映射。为了实现快速采集和记忆高效的重建,ViSTa-MRF序列利用优化的预处理算法,利用优化的3D微型金色角度混洗螺旋投影采集和联合时空子空间重建。利用拟议的ViSTa-MRF方法,实现了高保真直接MWF映射,而无需多隔室拟合,这可能会从其他假设或先验中引入偏差和/或噪声。
    结果:体内结果证明了所提出的采集和重建框架在提供具有高SNR和良好质量的快速多参数映射方面的有效性。1mm-和0.66mm-iso数据集的体内结果表明,通过所提出的方法测量的MWF值与标准ViSTa结果一致,后者在较低的SNR下慢30倍。此外,我们应用所提出的方法对婴儿脑发育和死后脑样本的MWF和T1/T2/PD映射进行5分钟的全脑1mm-iso评估。
    结论:在这项工作中,我们开发了一种3DViSTa-MRF技术,可以获取全脑MWF,在5分钟和15分钟内在1mm和0.66mm各向同性分辨率下的定量T1、T2和PD图,分别。这种进步允许对大脑中的髓鞘形成变化进行定量研究。
    UNASSIGNED: This study aims to develop a high-resolution whole-brain multi-parametric quantitative MRI approach for simultaneous mapping of myelin-water fraction (MWF), T1, T2, and proton-density (PD), all within a clinically feasible scan time.
    UNASSIGNED: We developed 3D ViSTa-MRF, which combined Visualization of Short Transverse relaxation time component (ViSTa) technique with MR Fingerprinting (MRF), to achieve high-fidelity whole-brain MWF and T1/T2/PD mapping on a clinical 3T scanner. To achieve fast acquisition and memory-efficient reconstruction, the ViSTa-MRF sequence leverages an optimized 3D tiny-golden-angle-shuffling spiral-projection acquisition and joint spatial-temporal subspace reconstruction with optimized preconditioning algorithm. With the proposed ViSTa-MRF approach, high-fidelity direct MWF mapping was achieved without a need for multi-compartment fitting that could introduce bias and/or noise from additional assumptions or priors.
    UNASSIGNED: The in-vivo results demonstrate the effectiveness of the proposed acquisition and reconstruction framework to provide fast multi-parametric mapping with high SNR and good quality. The in-vivo results of 1mm- and 0.66mm-iso datasets indicate that the MWF values measured by the proposed method are consistent with standard ViSTa results that are 30x slower with lower SNR. Furthermore, we applied the proposed method to enable 5-minute whole-brain 1mm-iso assessment of MWF and T1/T2/PD mappings for infant brain development and for post-mortem brain samples.
    UNASSIGNED: In this work, we have developed a 3D ViSTa-MRF technique that enables the acquisition of whole-brain MWF, quantitative T1, T2, and PD maps at 1mm and 0.66mm isotropic resolution in 5 and 15 minutes, respectively. This advancement allows for quantitative investigations of myelination changes in the brain.
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  • 文章类型: Journal Article
    目的:本研究旨在开发一种高分辨率的全脑多参数定量MRI方法,用于同时绘制髓鞘-水分数(MWF),T1,T2,和质子密度(PD),全部在临床上可行的扫描时间内。
    方法:我们开发了短横向弛豫时间分量(ViSTa)-MRF的3D可视化,将ViSTa技术与MR指纹(MRF)相结合,在临床3T扫描仪上实现高保真全脑MWF和T1/T2/PD映射。为了实现快速采集和记忆高效的重建,ViSTa-MRF序列利用优化的预处理算法,利用优化的3D微型金色角度混洗螺旋投影采集和联合时空子空间重建。利用拟议的ViSTa-MRF方法,实现了高保真直接MWF映射,而无需多隔室拟合,这可能会从额外的假设或先验中引入偏差和/或噪声。
    结果:体内结果证明了所提出的采集和重建框架在提供具有高SNR和良好质量的快速多参数映射方面的有效性。Imm和0.66mm各向同性分辨率数据集的体内结果表明,通过所提出的方法测量的MWF值与标准的ViSTa结果一致,后者在较低的SNR下慢30倍。此外,我们应用所提出的方法对婴儿脑发育和死后脑样本的MWF和T1/T2/PD映射进行5分钟全脑1mm-iso评估。
    结论:在这项工作中,我们开发了一种3DViSTa-MRF技术,可以获取全脑MWF,定量T1,T2,和PD图在1和0.66mm各向同性分辨率在5和15分钟,分别。这种进步允许对大脑中的髓鞘形成变化进行定量研究。
    OBJECTIVE: This study aims to develop a high-resolution whole-brain multi-parametric quantitative MRI approach for simultaneous mapping of myelin-water fraction (MWF), T1, T2, and proton-density (PD), all within a clinically feasible scan time.
    METHODS: We developed 3D visualization of short transverse relaxation time component (ViSTa)-MRF, which combined ViSTa technique with MR fingerprinting (MRF), to achieve high-fidelity whole-brain MWF and T1/T2/PD mapping on a clinical 3T scanner. To achieve fast acquisition and memory-efficient reconstruction, the ViSTa-MRF sequence leverages an optimized 3D tiny-golden-angle-shuffling spiral-projection acquisition and joint spatial-temporal subspace reconstruction with optimized preconditioning algorithm. With the proposed ViSTa-MRF approach, high-fidelity direct MWF mapping was achieved without a need for multicompartment fitting that could introduce bias and/or noise from additional assumptions or priors.
    RESULTS: The in vivo results demonstrate the effectiveness of the proposed acquisition and reconstruction framework to provide fast multi-parametric mapping with high SNR and good quality. The in vivo results of 1 mm- and 0.66 mm-isotropic resolution datasets indicate that the MWF values measured by the proposed method are consistent with standard ViSTa results that are 30× slower with lower SNR. Furthermore, we applied the proposed method to enable 5-min whole-brain 1 mm-iso assessment of MWF and T1/T2/PD mappings for infant brain development and for post-mortem brain samples.
    CONCLUSIONS: In this work, we have developed a 3D ViSTa-MRF technique that enables the acquisition of whole-brain MWF, quantitative T1, T2, and PD maps at 1 and 0.66 mm isotropic resolution in 5 and 15 min, respectively. This advancement allows for quantitative investigations of myelination changes in the brain.
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  • 文章类型: Journal Article
    背景:脑膜瘤亚型在治疗计划和预后描述中至关重要,1级脑膜瘤.T2弛豫法可以提供详细的微观信息,但通常受到长扫描时间的限制。
    目的:为了研究从多个重叠回波脱离成像(MOLED)得出的T2图预测脑膜瘤亚型和Ki-67指数的潜力,并比较两种不同的感兴趣区域(ROI)放置(整个肿瘤和对比增强,分别)。
    方法:前瞻性。
    方法:包含11管不同浓度的MnCl2的体模,8名健康志愿者,75例1级脑膜瘤。
    3T扫描仪。MOLED,T2加权自旋回波序列,T2-暗流体序列,和对比后T1加权梯度回波序列。
    结果:描绘了两个ROI:整个肿瘤面积(ROI1)和对比增强面积(ROI2)。从T2图中提取直方图参数。神经病理学家根据2021年分类标准对脑膜瘤亚型和Ki-67指数进行了审查。
    方法:线性回归,Bland-Altman分析,皮尔逊相关分析,独立t检验,Mann-WhitneyU测试,用Bonferroni校正的Kruskal-Wallis测试,多因素logistic回归分析P值显著性水平为0.05。
    结果:MOLEDT2序列对体模和志愿者具有出色的准确性(Meandiff=-1.29%,SDdiff=1.25%和Meandiff=0.36%,SDdiff=2.70%,分别),志愿者具有良好的可重复性(平均变异系数=1.13%;组内相关系数=0.877)。对于ROI1和ROI2,脑膜瘤亚型,T2方差的曲线下面积最高(ROC曲线下面积分别为0.768和0.761)。两种ROIs比较差异无统计学意义(P=0.875)。T2参数与Ki-67指数之间存在显着相关性(r=0.237-0.374)。
    结论:MOLEDT2图可以有效区分脑膜上皮,纤维状,和过渡性脑膜瘤.此外,T2直方图参数与Ki-67指数显著相关。
    方法:1技术效果:阶段2。
    BACKGROUND: Meningioma subtype is crucial in treatment planning and prognosis delineation, for grade 1 meningiomas. T2 relaxometry could provide detailed microscopic information but is often limited by long scanning times.
    OBJECTIVE: To investigate the potential of T2 maps derived from multiple overlapping-echo detachment imaging (MOLED) for predicting meningioma subtypes and Ki-67 index, and to compare the diagnostic efficiency of two different region-of-interest (ROI) placements (whole-tumor and contrast-enhanced, respectively).
    METHODS: Prospective.
    METHODS: A phantom containing 11 tubes of MnCl2 at different concentrations, eight healthy volunteers, and 75 patients with grade 1 meningioma.
    UNASSIGNED: 3 T scanner. MOLED, T2-weighted spin-echo sequence, T2-dark-fluid sequence, and postcontrast T1-weighted gradient echo sequence.
    RESULTS: Two ROIs were delineated: the whole-tumor area (ROI1) and contrast-enhanced area (ROI2). Histogram parameters were extracted from T2 maps. Meningioma subtypes and Ki-67 index were reviewed by a neuropathologist according to the 2021 classification criteria.
    METHODS: Linear regression, Bland-Altman analysis, Pearson\'s correlation analysis, independent t test, Mann-Whitney U test, Kruskal-Wallis test with Bonferroni correction, and multivariate logistic regression analysis with the P-value significance level of 0.05.
    RESULTS: The MOLED T2 sequence demonstrated excellent accuracy for phantoms and volunteers (Meandiff = -1.29%, SDdiff = 1.25% and Meandiff = 0.36%, SDdiff = 2.70%, respectively), and good repeatability for volunteers (average coefficient of variance = 1.13%; intraclass correlation coefficient = 0.877). For both ROI1 and ROI2, T2 variance had the highest area under the curves (area under the ROC curve = 0.768 and 0.761, respectively) for meningioma subtyping. There was no significant difference between the two ROIs (P = 0.875). Significant correlations were observed between T2 parameters and Ki-67 index (r = 0.237-0.374).
    CONCLUSIONS: MOLED T2 maps can effectively differentiate between meningothelial, fibrous, and transitional meningiomas. Moreover, T2 histogram parameters were significantly correlated with the Ki-67 index.
    METHODS: 1 TECHNICAL EFFICACY: Stage 2.
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  • 文章类型: Journal Article
    背景:在疾病的非常早期阶段诊断可疑的杜兴氏肌营养不良症(DMD)患者具有挑战性。需要更多的证据来证明定量MRI(qMRI)在发生实质性身体衰退之前精确识别患者的潜力。
    目的:评估多参数qMRI对DMD患者的早期诊断性能,以及识别轻度功能减退的DMD患者的能力。
    方法:前瞻性。
    方法:240名DMD受试者(9.0±2.2岁),24名男性健康对照(HCs)(9.2±2.5岁)。
    3.0T/3点Dixon,T1-映射,和T2映射。
    结果:qMRI测量(脂肪分数[FF],T1和T2)的11条大腿肌肉(股直肌[RF],股外侧肌[VL],vastusintermedius,中肌,gracilis,Sartorius,长内收肌,内收肌magnus[AM],半腱肌,半膜,股二头肌长头[BFLH])在右侧进行。NorthStar动态评估(NSAA)评分用于评估DMD患者的功能,并将其分为三个亚组:轻度(76-100分),中等(51-75分),和严重(0-50分)功能下降。
    方法:独立t检验,方差分析,和接收器工作特性(ROC)曲线。P值<0.05被认为具有统计学意义。
    结果:与HC相比,所有DMD患者组的FF和T2均显著增高,而T1则明显降低。T1和T2在RF中的组合,VL,AM,BFLH在区分五名无异常脂肪浸润的DMD患者与HC方面取得了优异的曲线下面积(AUC)(0.967-0.992)。总的来说,T2在区分轻度功能下降的DMD和HC方面达到比FF和T1更高的AUC,而FF在区分三个功能下降的DMD亚组时获得的AUC高于T1和T2。
    结论:多参数qMRI在疾病早期对DMD患者具有有效的诊断能力,并能识别轻度体质下降的患者。
    方法:2技术效果:阶段3。
    BACKGROUND: It is challenging to diagnose suspected Duchenne muscular dystrophy (DMD) patients in the very early stage of the disease. More evidence is needed to demonstrate the potential of quantitative MRI (qMRI) in precisely identifying patients before substantial physical decline occurs.
    OBJECTIVE: To assess the early diagnostic performance of multi-parametric qMRI for DMD patients, and the ability to identify DMD patients with mild functional decline.
    METHODS: Prospective.
    METHODS: One hundred and forty DMD subjects (9.0 ± 2.2 years old), 24 male healthy controls (HCs) (9.2 ± 2.5 years old).
    UNASSIGNED: 3.0 T/3-point Dixon, T1-mapping, and T2-mapping.
    RESULTS: qMRI measurements (fat fraction [FF], T1, and T2) of 11 thigh muscles (rectus femoris [RF], vastus lateralis [VL], vastus intermedius, vastus medialis, gracilis, sartorius, adductor longus, adductor magnus [AM], semitendinosus, semimembranosus, biceps femoris long head [BFLH]) on the right side were conducted. NorthStar ambulatory assessment (NSAA) score used to evaluate the function of DMD patients and divided them into three subgroups: mild (76-100 score), moderate (51-75 score), and severe (0-50 score) functional decline.
    METHODS: Independent t-test, ANOVA analysis, and receiver operating characteristic (ROC) curves. A P-value <0.05 was considered statistically significant.
    RESULTS: Compared with HCs, FF and T2 were significantly higher in the group of all DMD patients, while T1 was significantly lower. The combination of T1 and T2 in RF, VL, AM, and BFLH achieved excellent area under curve (AUCs) (0.967-0.992) in differentiating five DMD patients without abnormal fat infiltration from HCs. Overall, T2 reached higher AUCs than FF and T1 in distinguishing DMD with mild functional decline from HCs, whereas FF achieved higher AUCs than T1 and T2 in distinguishing three DMD subgroups with functional decline.
    CONCLUSIONS: Multi-parametric qMRI demonstrate effective diagnostic capabilities for DMD patients in the early stage of the disease, and can identify patients with mild physical decline.
    METHODS: 2 TECHNICAL EFFICACY: Stage 3.
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