blood oxygenation level-dependent

血氧水平依赖性
  • 文章类型: Journal Article
    基于热应激暴露后的急性小鼠模型,研究被动热疗如何影响静息状态的功能性脑活动。
    收集体重约24~29g、年龄12~16周龄的C57BL/6J雄性小鼠28只rs-fMRI数据。热疗组的小鼠(HT,40°C±0.5°C,40分钟)在麻醉准备扫描之前进行被动热疗。正常对照组(NC)处于常温状态(NC,20°C±2°C,40分钟)。数据预处理后,我们对HT(n=13)和NC(n=15)的数据进行了独立成分分析(ICA)和感兴趣区域(ROI)-ROI功能连接(FC)分析.
    组ICA分析表明,HT和NC均包含11个固有连接网络(ICN),可以分为四种类型的网络:皮层网络(CN),皮层下网络(SN),默认模式网络(DMN),和小脑网络。CN和SN属于感觉运动网络。与NC相比,HT中ICNs的功能网络组织发生改变,总体功能强度降低.此外,在CN中选择了13个ROI,SN,和DMN用于进一步的ROI-ROIFC分析。ROI-ROIFC分析显示被动热疗显著降低了以CN为代表的全脑的FC强度,SN,小鼠的DMN。
    长时间暴露于高温对小鼠的整体感知和认知水平的影响更大,这可能有助于理解神经元活动与生理热感觉和调节以及行为变化之间的关系。
    UNASSIGNED: To investigate how passive hyperthermia affect the resting-state functional brain activity based on an acute mouse model after heat stress exposure.
    UNASSIGNED: Twenty-eight rs-fMRI data of C57BL/6J male mice which weighing about 24 ∼ 29 g and aged 12 ∼ 16 weeks were collected. The mice in the hyperthermia group (HT, 40 °C ± 0.5 °C, 40 min) were subjected to passive hyperthermia before the anesthesia preparation for scanning. While the normal control group (NC) was subjected to normothermia condition (NC, 20 °C ± 2 °C, 40 min). After data preprocessing, we performed independent component analysis (ICA) and region of interested (ROI)-ROI functional connectivity (FC) analyses on the data of both HT (n = 13) and NC (n = 15).
    UNASSIGNED: The group ICA analysis showed that the HT and the NC both included 11 intrinsic connectivity networks (ICNs), and can be divided into four types of networks: the cortical network (CN), the subcortical network (SN), the default mode network (DMN), and cerebellar networks. CN and SN belongs to sensorimotor network. Compared with NC, the functional network organization of ICNs in the HT was altered and the overall functional intensity was decreased. Furthermore, 13 ROIs were selected in CN, SN, and DMN for further ROI-ROI FC analysis. The ROI-ROI FC analysis showed that passive hyperthermia exposure significantly reduced the FC strength in the overall brain represented by CN, SN, DMN of mice.
    UNASSIGNED: Prolonged exposure to high temperature has a greater impact on the overall perception and cognitive level of mice, which might help understand the relationship between neuronal activities and physiological thermal sensation and regulation as well as behavioral changes.
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  • 文章类型: Journal Article
    背景:为了找到一种有用的缺氧非侵入性生物标志物,用于评估食管鳞状细胞癌(ESCC)患者对确定性放化疗(dCRT)的早期治疗反应和预后,使用血氧水平依赖性(BOLD)磁共振成像(MRI)。
    方法:使用BOLDMRI在28例ESCC患者的dCRT前和2-3周后获得R2*值。独立样本t检验(正态)或Mann-WhitneyU检验(非正态)用于比较完全反应(CR)和非CR组之间R2*相关参数的差异。用受试者工作特征(ROC)曲线分析来测试参数在预测响应中的诊断性能。使用KaplanMeier曲线评估3年总生存期(OS),对数秩检验,和Cox比例风险回归分析。
    结果:后R2*,ΔR2*,CR组的Δ%R2*显著高于非CR组(P分别为0.002、0.003和0.006)。R2*相关参数显示肿瘤反应的良好预测,AUC范围从0.813到0.829。ΔR2*>-7.54s-1或CR患者的3年OS率明显长于ΔR2*≤-7.54s-1患者(72.37%vs.0.00%;危险比,HR=0.196;95%置信区间,95%CI=0.047-0.807;P=0.024)或非CR(76.47%vs.29.27%;HR=0.238,95%CI=0.059-0.963;P=0.044)。
    结论:初步结果表明,R2*值可能是评估接受dCRT治疗的ESCC的反应和预后的有用的缺氧非侵入性生物标志物。BOLDMRI可能作为评估肿瘤氧合代谢的潜在工具,在临床实践中常规应用,有利于临床决策。进一步的后续研究需要大量的样本来证实这些发现。
    BACKGROUND: To find a useful hypoxia non-invasive biomarker for evaluating early treatment response and prognosis to definitive chemoradiotherapy (dCRT) in patients with esophageal squamous cell carcinoma (ESCC), using blood oxygenation level-dependent (BOLD) magnetic resonance imaging (MRI).
    METHODS: The R2* values were obtained pre- and 2-3 weeks post-dCRT in 28 patients with ESCC using BOLD MRI. Independent samples t-test (normality) or Mann-Whitney U test (non-normality) was used to compare the differences of R2*-related parameters between the complete response (CR) and the non-CR groups. Diagnostic performance of parameters in predicting response was tested with receiver operating characteristic (ROC) curve analysis. The 3-year overall survival (OS) was evaluated using Kaplan Meier curve, log rank test, and Cox proportional hazards regression analysis.
    RESULTS: The post-R2*, ∆R2*, and ∆%R2* in the CR group were significantly higher than those in the non-CR group (P = 0.002, 0.003, and 0.006, respectively). The R2*-related parameters showed good prediction of tumor response, with AUC ranging from 0.813 to 0.829. The 3-year OS rate in patients with ∆R2* >-7.54 s- 1 or CR were significantly longer than those with ∆R2* ≤ -7.54 s- 1 (72.37% vs. 0.00%; Hazard ratio, HR = 0.196; 95% confidence interval, 95% CI = 0.047-0.807; P = 0.024) or non-CR (76.47% vs. 29.27%; HR = 0.238, 95% CI = 0.059-0.963; P = 0.044).
    CONCLUSIONS: The preliminary results demonstrated that the R2* value might be a useful hypoxia non-invasive biomarker for assessing response and prognosis of ESCC treated with dCRT. BOLD MRI might be used as a potential tool for evaluating tumor oxygenation metabolism, which is routinely applied in clinical practice and beneficial to clinical decision-making. A large sample size was needed for further follow-up studies to confirm the findings.
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  • 文章类型: Journal Article
    脊髓功能磁共振成像(fMRI)期间的上肢运动范例可以提供对脊髓功能组织的了解。手抓是一项重要的日常功能,具有临床意义,但是以前对类似挤压运动的研究没有报告一致的活动区域,并且受到样本量和简单分析方法的限制。这里,我们研究脊髓fMRI激活,使用单手等距抓取任务,该任务被校准为参与者最大自愿收缩(MVC).考虑了两种任务建模方法:(1)从理想化的块设计(理想)得出的任务回归器,以及(2)基于标准化为单个MVC(%MVC)的记录力迹的任务回归器。在这两种方法中,小组的运动活动在任务侧的同侧半侧高度偏侧。激活跨越C5-C8,主要局限于C7脊髓段。还观察到空间分布的具体差异,例如使用%MVC回归器时C8和背索活动的增加。此外,我们探讨了数据量和空间平滑对手抓运动任务激活敏感性的影响。该分析表明,与fMRI运行次数相关的活动体素数量大幅增加,样本量,和空间平滑,演示实验设计选择对运动激活的影响。
    Upper extremity motor paradigms during spinal cord functional magnetic resonance imaging (fMRI) can provide insight into the functional organization of the cord. Hand-grasping is an important daily function with clinical significance, but previous studies of similar squeezing movements have not reported consistent areas of activity and are limited by sample size and simplistic analysis methods. Here, we study spinal cord fMRI activation using a unimanual isometric hand-grasping task that is calibrated to participant maximum voluntary contraction (MVC). Two task modeling methods were considered: (1) a task regressor derived from an idealized block design (Ideal) and (2) a task regressor based on the recorded force trace normalized to individual MVC (%MVC). Across these two methods, group motor activity was highly lateralized to the hemicord ipsilateral to the side of the task. Activation spanned C5-C8 and was primarily localized to the C7 spinal cord segment. Specific differences in spatial distribution are also observed, such as an increase in C8 and dorsal cord activity when using the %MVC regressor. Furthermore, we explored the impact of data quantity and spatial smoothing on sensitivity to hand-grasp motor task activation. This analysis shows a large increase in number of active voxels associated with the number of fMRI runs, sample size, and spatial smoothing, demonstrating the impact of experimental design choices on motor activation.
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  • 文章类型: Journal Article
    通过植入MobiusHD进行的血管内压力反射扩增(EVBA)被认为是通过压力反射机制降低交感神经活动来降低血压。在本探索性研究中,我们研究了MobiusHD植入对顽固性高血压患者的中枢交感神经回路和脑血流量(CBF)的影响。
    在13名患者中,我们在休息和Valsalva动作期间进行了血氧水平依赖性功能磁共振成像(BOLDfMRI),在EVBA之前和之后3个月。使用全脑方法和脑干特异性分析来分析数据。使用动脉自旋标记MRI评估CBF。
    静息状态fMRI分析未显示EVBA后3个月的功能连通性存在显着差异。对于瓦尔萨尔瓦的机动数据,全脑fMRI分析显示后扣带回和前扣带回激活明显增加,岛状皮层,precuneus,左丘脑和小脑前.脑干特异性fMRI分析显示,EVBA后3个月,右中脑BOLD活性显着增加。平均灰质CBF(部分体积校正)从基线时的48.9(9.9)ml/100gr/min显着降低至3个月时的43.4(13.0)ml/100gr/min(p=0.02)。
    在接受EVBA治疗的顽固性高血压患者中进行的首次fMRI初步研究显示,在Valsalva动作期间,与交感神经活动相关的脑区的BOLD活动显着增加。在压力反射回路中涉及的大脑区域中未观察到显着的信号强度变化。需要进一步的随机对照研究来调查观察到的变化是否由EVBA直接引起。
    www.clinicaltrials.gov,标识符:NCT02827032。
    UNASSIGNED: Endovascular baroreflex amplification (EVBA) by implantation of the MobiusHD is hypothesized to lower blood pressure by decreasing sympathetic activity through the mechanism of the baroreflex. In the present exploratory study we investigated the impact of MobiusHD implantation on central sympathetic nerve circuits and cerebral blood flow (CBF) in patients with resistant hypertension.
    UNASSIGNED: In thirteen patients, we performed blood oxygenation level-dependent functional magnetic resonance imaging (BOLD fMRI) at rest and during Valsalva maneuvers, before and 3 months after EVBA. Data were analyzed using a whole-brain approach and a brainstem-specific analysis. CBF was assessed using arterial spin labeling MRI.
    UNASSIGNED: Resting-state fMRI analysis did not reveal significant differences in functional connectivity at 3 months after EVBA. For the Valsalva maneuver data, the whole-brain fMRI analysis revealed significantly increased activation in the posterior and anterior cingulate, the insular cortex, the precuneus, the left thalamus and the anterior cerebellum. The brainstem-specific fMRI analysis showed a significant increase in BOLD activity in the right midbrain 3 months after EVBA. Mean gray matter CBF (partial volume corrected) decreased significantly from 48.9 (9.9) ml/100 gr/min at baseline to 43.4 (13.0) ml/100 gr/min (p = 0.02) at 3 months.
    UNASSIGNED: This first fMRI pilot study in patients with resistant hypertension treated with EVBA showed a significant increase in BOLD activity during the Valsalva maneuver in brain regions related to sympathetic activity. No notable signal intensity changes were observed in brain areas involved in the baroreflex circuit. Future randomized controlled studies are needed to investigate whether the observed changes are directly caused by EVBA.
    UNASSIGNED: www.clinicaltrials.gov, identifier: NCT02827032.
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  • 文章类型: Journal Article
    目的:尽管血液氧合水平依赖性(BOLD)MRI在评估肾小球肾炎活动方面有用,其与组织学结果的关系尚不清楚.由于肾小球肾炎呈现多种复杂的损伤模式,分析每种模式是必不可少的。我们旨在阐明肾小球系膜增生性肾小球肾炎的肾脏组织学发现与BOLDMRI发现之间的关系。
    方法:本研究包括2013年1月至2022年9月在我们大学医院通过肾活检诊断为肾小球系膜增生性肾小球肾炎的16岁以下儿童。在肾活检前后两周内,在3T时使用BOLDMRI测量皮质和髓质自旋弛豫率(R2*)值。R2*值,包括低剂量氧气给药的波动,进行了与皮质相关的回顾性检查(系膜增生,内皮细胞增殖,新月,硬化症,和纤维化)和髓质发现(纤维化)。
    结果:研究期间对肾小球肾炎进行了16次肾活检,1例患者因合并症被排除在外;其余14例患者包括6名男孩,在BOLD检查时平均年龄为11.9±3.5岁.没有患者有髓纤维化。在肾脏组织参数中,只有硬化与R2*值显着相关:髓质与大气压下的R2*值(r=0.53,P<0.05),皮质与低剂量氧给药的R2*值变化率(r=-0.57,P<0.03)。在多元回归分析中,只有硬化是皮质给氧时R2*值变化的独立原因(回归系数-0.109,P<0.05).
    结论:由于R2*值反映了肾脏的组织学变化,BOLDMRI可能有助于评估系膜增生性肾小球肾炎,减轻患者负担。
    OBJECTIVE: Despite the usefulness of blood oxygenation level-dependent (BOLD) MRI in assessing glomerulonephritis activity, its relationship with histological findings remains unclear. Because glomerulonephritis presents multiple complex injury patterns, analysis of each pattern is essential. We aimed to elucidate the relationship between the histological findings of the kidney and BOLD MRI findings in mesangial proliferative glomerulonephritis.
    METHODS: Children under 16 years of age diagnosed with mesangial proliferative glomerulonephritis by kidney biopsy at our university hospital between January 2013 and September 2022 were included in this study. Cortical and medullary spin relaxation rate (R2*) values were measured using BOLD MRI at 3T within two weeks before and after the kidney biopsy. The R2* values, including the fluctuations with low-dose oxygen administration, were retrospectively examined in relation to the cortical (mesangial proliferation, endothelial cell proliferation, crescent, sclerosis, and fibrosis) and medullary findings (fibrosis).
    RESULTS: Sixteen times kidney biopsies were performed for glomerulonephritis during the study period, and one patient was excluded because of comorbidities; the remaining 14 patients included six boys with a mean age of 11.9 ± 3.5 years at the BOLD examination. None of the patients had medullary fibrosis. Among the kidney tissue parameters, only sclerosis showed a significant correlation with R2* values: medulla with R2* values under atmospheric pressure (r = 0.53, P < 0.05) and cortex with the rate of change in R2* values with low-dose oxygen administration (r = -0.57, P < 0.03). In the multiple regression analysis, only sclerosis was an independent contributor to the change in R2* values with oxygen administration in the cortex (regression coefficient -0.109, P < 0.05).
    CONCLUSIONS: Since the R2* values reflect histological changes in the kidney, BOLD MRI may facilitate the evaluation of mesangial proliferative glomerulonephritis, potentially reducing the patient burden.
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  • 文章类型: Journal Article
    意义:荧光共振能量转移(FRET)传感器在通过共聚焦显微镜研究神经生理学时提供了巨大的好处。然而,它们在基于纤维的体内记录中的使用受到大量混杂效应的阻碍,因此几乎没有报道。目的:我们旨在研究使用FRET传感器在啮齿动物大脑中进行体内基于纤维的乳酸记录是否可行,并对主要的血液动力学伪影实施校正算法。方法:我们同时进行了基于纤维的FRET记录乳酸(Laconic)和钙(Twitch-2B)与功能性MRI和药理学MRI。应用MR衍生的参数来校正血液动力学伪影。FRET测量结果通过局部场电位验证,磁共振波谱,血液分析结果:血液动力学伪影主导了Laconic和Twitch-2B的基于纤维的体内FRET测量。我们基于MR的校正算法能够在感觉刺激或静脉乳酸注射期间去除伪影并检测乳酸和钙的变化。结论:使用基于FRET的传感器,体内基于纤维的乳酸记录是可行的。然而,信号校正是必需的。MR衍生的血液动力学参数可以成功地应用于伪影校正。
    Significance: Fluorescence resonance energy transfer (FRET) sensors offer enormous benefits when studying neurophysiology through confocal microscopy. Yet, their use for fiber-based in vivo recordings is hampered by massive confounding effects and has therefore been scarcely reported. Aim: We aim to investigate whether in vivo fiber-based lactate recordings in the rodent brain are feasible with FRET sensors and implement a correction algorithm for the predominant hemodynamic artifact. Approach: We performed fiber-based FRET recordings of lactate (Laconic) and calcium (Twitch-2B) simultaneously with functional MRI and pharmacological MRI. MR-derived parameters were applied to correct hemodynamic artifacts. Results of FRET measurements were validated by local field potential, magnetic resonance spectroscopy, and blood analysis. Results: Hemodynamic artifacts dominated fiber-based in vivo FRET measurements with both Laconic and Twitch-2B. Our MR-based correction algorithm enabled to remove the artifacts and detect lactate and calcium changes during sensory stimulation or intravenous lactate injections. Conclusions: In vivo fiber-based lactate recordings are feasible using FRET-based sensors. However, signal corrections are required. MR-derived hemodynamic parameters can successfully be applied for artifact correction.
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  • 文章类型: Journal Article
    目的:使用血氧水平依赖性(BOLD)磁共振成像(MRI)对肾脏进行无创评估取得了显着进展;适应症已扩展到包括肾小球肾炎的评估。然而,没有从急性到治疗后缓解期的纵向测量报告.因此,本研究旨在探讨肾小球肾炎患儿急性期和缓解期的自旋舒张率(R2*)值.
    方法:回顾性分析2014年1月至2021年10月诊断为IgA血管炎伴肾炎(IgAVN)并需要进行肾活检的所有儿科患者;从发病到缓解的4例患者被纳入本研究。总的来说,在急性期和缓解期进行了8次MRI检查,使用1.5TMRI系统从10个回波中确定低剂量氧气引起的R2*值和波动,回波时间为4.76-47.6ms,重复时间为153ms。
    结果:接受MRI的患者的中位年龄在急性期为8.5岁,在缓解期为13.9岁。急性期的R2*值高于缓解期;然而,差异不显著(皮质;p=0.32,髓质;p=0.052)。在急性期(皮质;p=0.67和髓质;p=0.76),氧气管理不会引起皮质或髓质的R2*值波动;但是,在缓解阶段,由于低剂量给氧,皮质和髓质中的R2*值显著降低(皮质;p<0.01和髓质;p<0.01)。
    结论:在IgAVN的不同阶段观察到的R2*值波动表明BOLDMRI可用于评估疾病活动。因此,我们提出BOLDMRI联合低剂量氧疗作为评估肾小球肾炎活动性的无创方法.
    OBJECTIVE: Noninvasive assessment of the kidney using blood oxygenation level-dependent (BOLD) magnetic resonance imaging (MRI) has progressed remarkably; indications have expanded to include the evaluation of glomerulonephritis. However, no longitudinal measurements from acute to post-treatment remission phases have been reported. Hence, this study aimed to investigate spin relaxation rate (R2*) values during acute and remission phases in children with glomerulonephritis.
    METHODS: All pediatric patients with IgA vasculitis with nephritis (IgAVN) diagnosed between January 2014 and October 2021 and requiring renal biopsy were retrospectively reviewed; four patients who were observed from onset to remission were included in this study. In total, eight MRIs were performed in the acute and remission phases, and R2* values and fluctuations induced by low-dose oxygen administration were determined from 10 echoes using a 1.5 T MRI system with 4.76-47.6 ms echo times and a 153 ms repetition time.
    RESULTS: The median age of patients undergoing MRI was 8.5 years in the acute phase and 13.9 years in the remission phase. R2* values of the acute phase were higher than those of the remission phase; however, the difference was not significant (cortex; p = 0.32 and medulla; p = 0.052). Oxygen administration did not cause fluctuations in the R2* values in the cortex or medulla during the acute phase (cortex; p = 0.67 and medulla; p = 0.76); however, in the remission phase, the R2* values in the cortex and medulla significantly decreased due to low-dose oxygen administration (cortex; p < 0.01 and medulla; p < 0.01).
    CONCLUSIONS: The fluctuation in R2* values observed during different phases of IgAVN indicates that BOLD MRI may be used to assess disease activity. Therefore, we propose BOLD MRI with low-dose oxygen administration as a noninvasive method to evaluate the activity of glomerulonephritis.
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  • 文章类型: Journal Article
    目的:儿童经常因肾脏血液氧合水平依赖性(BOLD)磁共振成像(MRI)而镇静,可能需要低剂量氧气给药。目前尚不清楚低剂量氧气给药是否会影响BOLDMRI的结果。我们研究了低剂量氧气给药对肾脏BOLDMRI的影响及其在存在或不存在肾脏疾病时的变化。
    方法:我们回顾性检查了2013年至2020年期间接受MRI检查的肾病儿童。患者分为肾小球肾炎和非肾小球肾炎组;使用3.0TMRI系统确定自旋弛豫时间(T2*)。
    结果:该研究包括10名儿童(每组5名患者);两组之间的患者特征没有显着差异。在整个队列中,给氧降低了髓质的平均自旋弛豫率(R2*)值(p<0.04)。非肾小球肾炎组的平均R2*值随着给氧而降低,而在肾小球肾炎组中没有观察到这种情况。两组对氧气给药的反应在皮质(p<0.05)和髓质(p<0.02)中存在显着差异。
    结论:低剂量给氧影响BOLDMRI的结果。我们建议了解氧气给药引起的波动有助于监测肾小球肾炎的疾病活动。
    OBJECTIVE: Children are often sedated for renal blood oxygenation level-dependent (BOLD) magnetic resonance imaging (MRI) and may require low-dose oxygen administration. It is unclear whether low-dose oxygen administration affects results of BOLD MRI. We investigated the effect of low-dose oxygen administration on renal BOLD MRI and its variation by the presence or absence of renal disease.
    METHODS: We retrospectively examined children undergoing MRI for renal disease between 2013 and 2020. Patients were divided into glomerulonephritis and non-glomerulonephritis groups; spin relaxation time (T2*) was determined using a 3.0 T MRI system.
    RESULTS: The study included 10 children (5 patients in each group); patient characteristics between the groups did not differ significantly. In the entire cohort, oxygen administration reduced mean spin relaxation rate (R2*) value in the medulla (p < 0.04). The mean R2* value decreased with oxygen administration in the non-glomerulonephritis group, whereas this was not observed in the glomerulonephritis group. The responses to oxygen administration of the two groups differed significantly in the cortex (p < 0.05) and medulla (p < 0.02).
    CONCLUSIONS: Low-dose oxygen administration affects the results of BOLD MRI. We suggest that understanding the fluctuations due to oxygen administration is useful in monitoring the disease activity of glomerulonephritis.
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  • 文章类型: Journal Article
    磁共振成像(MRI)在临床医学中对于许多实质器官的形态学和断层成像评估是必不可少的。不同的成像方法,多样化的生物信息,如代谢产物的灌注量和测量,可以获得。除了用于形态学评估的常规MRI,扩散加权MRI/扩散张量成像用于评估大脑中的白质结构;动脉自旋标记用于脑血流评估;磁共振弹性成像用于脂肪肝和肝硬化评估;磁共振波谱用于评估大脑特定区域的代谢物;和血液氧合水平依赖性成像用于神经学探索进食行为,肥胖,和食物感知。未来这一应用范围将继续扩大。营养学是一个多学科、包罗万象的研究领域;因此,MRI有许多不同的应用。我们提出了可用于评估营养状况的MRI技术的文献综述,尤其是透析患者。我们使用MEDLINE作为信息来源,在PubMed中进行了关键字搜索,发现,作为一种营养评价方法,MRI已经常用于全面和定量地评估肌肉质量以确定身体成分。
    Magnetic resonance imaging (MRI) is indispensable in clinical medicine for the morphological and tomographic evaluation of many parenchymal organs. With varied imaging methods, diverse biological information, such as the perfusion volume and measurements of metabolic products, can be obtained. In addition to conventional MRI for morphological assessment, diffusion-weighted MRI/diffusion tensor imaging is used to evaluate white matter structures in the brain; arterial spin labeling is used for cerebral blood flow evaluation; magnetic resonance elastography for fatty liver and cirrhosis evaluation; magnetic resonance spectroscopy for evaluation of metabolites in specific regions of the brain; and blood oxygenation level-dependent imaging for neurological exploration of eating behavior, obesity, and food perception. This range of applications will continue to expand in the future. Nutritional science is a multidisciplinary and all-inclusive field of research; therefore, there are many different applications of MRI. We present a literature review of MRI techniques that can be used to evaluate the nutritional status, particularly in patients on dialysis. We used MEDLINE as the information source, conducted a keyword search in PubMed, and found that, as a nutritional evaluation method, MRI has been used frequently to comprehensively and quantitatively evaluate muscle mass for the determination of body composition.
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  • 文章类型: Journal Article
    弥散加权(DW)和血氧水平依赖性(BOLD)磁共振成像是功能性MR的经典序列,但是对非移植肾病的探索是有限的。
    使用DW和BOLD成像分析肾小管间质性肾炎(TIN)的表观扩散系数(ADC)和R2*值的特征。
    四种急性TIN,13名慢性TIN患者,并纳入4名对照.我们使用多个梯度回波序列来获取12个T2*加权图像以计算R2*图。DW成像通过组合单发自旋回波回波平面成像脉冲序列和沿x的附加运动探测梯度脉冲来获取ADC值,y,z轴具有两个b值:0和200,以及0和800s/mm2。ATIN患者在肾活检(T0)和第3个月(T3)进行DW和BOLD磁共振检查。我们半定量地评估了病理变化,并在功能MR中进行了相关性分析,病理和临床指标。
    在ATIN,ADC显着降低(b为0,200s/mm2,2.86±0.19vs.3.39±0.11,b为0.800s/mm2,1.76±0.12vs.2.16±0.08,P<0.05)比对照组,在T3时表现出明显的缓解。皮质和髓质R2*值(CR2*,MR2*)下降,仅在MR2*中观察到显着差异(T024.3±2.1vs.T333.1±4.1,P<0.05)。未发现功能性MR与组织病理学指标之间的关系。MR2*与eGFR(R=0.682,P=0.001)、血肌酐(R=-0.502,P=0.012)密切相关。当b为0,200s/mm2时,ADC较低的患者治疗后ADC增加更多(R=-0.956,P=0.044)和MR2*(R=-0.949,P=0.05)。在CTIN组中,降低MR2*和MR2*/CR2*提供了肾内缺血的证据。具有晚期CKD(eGFR<45)的CTIN具有显著较低的ADCb200值。
    我们观察到ATIN病例系列中ADC和R2*值的降低和缓解。ATIN患者的ADCb800和MR2*同时降低。CR2*在CTIN中具有持续低的MR2*的伪正常化表明肾内缺氧。
    Diffusion-weighted (DW) and blood oxygen level-dependent (BOLD) magnetic resonance imaging are classical sequences of functional MR, but the exploration in non-transplanted kidney disease is limited.
    To analyze the characteristics of apparent diffusion coefficient (ADC) and R2* value using DW and BOLD imaging in tubulointerstitial nephritis (TIN).
    Four acute TIN, thirteen chronic TIN patients, and four controls were enrolled. We used multiple gradient-echo sequences to acquire 12 T2*-weighted images to calculate the R2* map. DW imaging acquired ADC values by combining a single-shot spin-echo echo-planar imaging pulse sequence and the additional motion probing gradient pulses along the x,y, z-axes with two b values:0 and 200, as well as 0 and 800 s/mm2. ATIN patients performed DW and BOLD magnetic resonance at renal biopsy(T0) and the third month(T3). We assessed the pathological changes semiquantitatively, and conducted correlation analyses within functional MR, pathological and clinical indexes.
    In ATIN, ADCs were significantly lower(b was 0,200 s/mm2, 2.86 ± 0.19 vs. 3.39 ± 0.11, b was 0,800 s/mm2, 1.76 ± 0.12 vs. 2.16 ± 0.08, P < 0.05) than controls, showing an obvious remission at T3. Cortical and medullary R2* values (CR2*,MR2*) were decreased, significant difference was only observed in MR2*(T0 24.3 ± 2.1vs.T3 33.1 ± 4.1,P < 0.05). No relationship was found between functional MR and histopathological indexes.MR2* had a close relationship with eGFR (R = 0.682,P = 0.001) and serum creatinine(R = -0.502,P = 0.012). Patients with lower ADC when b was 0,200 s/mm2 showed more increase of ADC(R = -0.956,P = 0.044) and MR2*(R = -0.949,P = 0.05) after therapy. In CTIN group, lowered MR2* and MR2*/CR2* provided evidence of intrarenal ischemia. CTIN with advanced CKD (eGFR< 45) had significantly lower ADCb200 value.
    We observed the reduction and remission of ADC and R2* values in ATIN case series. ATIN patients had concurrently decreased ADCb800 and MR2*. The pseudo normalization of CR2* with persistently low MR2* in CTIN suggested intrarenal hypoxia.
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