目的:比较多回波合并梯度回波成像(multiple echo combined with two dimensional disturbed phase gradient echo,MEGRE)序列与脂肪抑制质子密度加权成像序列(fat-suppression proton density weighted imaging,FS-PDWI序列)在早期膝...目的:比较多回波合并梯度回波成像(multiple echo combined with two dimensional disturbed phase gradient echo,MEGRE)序列与脂肪抑制质子密度加权成像序列(fat-suppression proton density weighted imaging,FS-PDWI序列)在早期膝关节软骨损伤诊断中的应用价值。方法:选取2021年10月—2022年1月在重庆大学附属三峡医院就诊的100例骨性关节炎早期膝关节软骨损伤患者,采用GE1.5TMR成像系统进行多回波合并梯度回波成像和脂肪抑制质子密度加权成像,进行软骨损伤分级诊断,计算序列对膝关节软骨显示质量及损伤检出的准确度;Kappa一致性检验分析多回波合并梯度回波成像、脂肪抑制质子密度加权成像序列评分的一致性。结果:阅片者1评价200个图像序列中191个序列图像质量很好,9个序列图像质量一般;阅片者2评价188个序列图像质量很好,12个序列图像一般;MEGRE序列图像质量显著高于FS-PDWI序列(P <0.05)。MEGRE序列对膝关节软骨缺损程度分级的总体准确度和Kappa一致性分别为92.5%和92.4%。FS-PDWI序列对膝关节软骨缺损程度分级的总体准确度和Kappa一致性分别为80.0%和79.7%。结论:与FS-PDWI序列相比,MEGRE序列显示膝关节软骨图像质量更佳,对膝关节软骨缺损程度分级的总体准确度较高。MEGRE序列在膝关节软骨早期损伤的诊断上具有较高的应用价值。展开更多
目的 以活体^1H-MRS作为参考标准，评价三倍回波梯度回波序列对肝脏脂肪含量的量化。方法 此前瞻畦研究经伦理委员会批准，且所有病人签署了书面知情同意书。37例2型糖尿病病人（男31例，女6例，平均年龄56岁）采用3．0 T MR设备先对...目的 以活体^1H-MRS作为参考标准，评价三倍回波梯度回波序列对肝脏脂肪含量的量化。方法 此前瞻畦研究经伦理委员会批准，且所有病人签署了书面知情同意书。37例2型糖尿病病人（男31例，女6例，平均年龄56岁）采用3．0 T MR设备先对肝脏第VII段行单体素^1H-MRS，经T1和T2衰减的校正，通过4．7ppm（1ppm表示10^-6）水峰和1．3ppm甲基计算肝脏脂肪含量。展开更多
Background and Purpose -In contrast to platelet-rich white thrombi, red thrombi in the heart are rich in fibrin and trapped erythrocytes. The magnetic susceptibility effect of deoxygenated hemoglobin in red thrombi ma...Background and Purpose -In contrast to platelet-rich white thrombi, red thrombi in the heart are rich in fibrin and trapped erythrocytes. The magnetic susceptibility effect of deoxygenated hemoglobin in red thrombi may result in hypointense signals on T2*-weighted gradient echo imaging (GRE). We tested the hypothesis that a GRE susceptibility vessel sign (SVS) is specific for cardioembolic stroke. Methods -This retrospective study examined data from acute ischemic stroke patients who underwent diffusion-weighted imaging, GRE and magnetic resonance angiography (MRA) within 24 hours of stroke onset and who had symptomatic occl usion of large intracranial arteries in the circle of Willis. Hypointense signals within vascular cisterns on GRE corresponding to symptomatic vascular occlusio n were termed “GRE SVS.”Recanalization was assessed on follow-up MRA performe d within 7 days of onset. The relationships between GRE SVS and stroke subtypes and subsequent recanalization were explored. Results -Of the 95 patients who me t the inclusion criteria, GRE SVS was observed in 45 (47.4%). GRE SVS was more commonly associated with cardioembolic stroke patients (31 of 40, 77.5%) than w ith other stroke subtypes (14 of 55, 25.5%; P < 0.001). In 66 patients who unde rwent follow-up MRA, GRE SVS was associated with subsequent recanalization (P < 0.001). Multivariate analysis showed that GRE SVS was an independent predictor of cardioembolic stroke and subsequent recanalization (odds ratio, 10.75 and 4.2 6; 95%CI, 3.68 to 31.47 and 1.12 to 16.30). Conclusions -GRE SVS may predict c ardioembolic stroke and subsequent recanalization. Identifying clot composition may be important in choosing the optimal treatment based on clot characteristics .展开更多
文摘目的:比较多回波合并梯度回波成像(multiple echo combined with two dimensional disturbed phase gradient echo,MEGRE)序列与脂肪抑制质子密度加权成像序列(fat-suppression proton density weighted imaging,FS-PDWI序列)在早期膝关节软骨损伤诊断中的应用价值。方法:选取2021年10月—2022年1月在重庆大学附属三峡医院就诊的100例骨性关节炎早期膝关节软骨损伤患者,采用GE1.5TMR成像系统进行多回波合并梯度回波成像和脂肪抑制质子密度加权成像,进行软骨损伤分级诊断,计算序列对膝关节软骨显示质量及损伤检出的准确度;Kappa一致性检验分析多回波合并梯度回波成像、脂肪抑制质子密度加权成像序列评分的一致性。结果:阅片者1评价200个图像序列中191个序列图像质量很好,9个序列图像质量一般;阅片者2评价188个序列图像质量很好,12个序列图像一般;MEGRE序列图像质量显著高于FS-PDWI序列(P <0.05)。MEGRE序列对膝关节软骨缺损程度分级的总体准确度和Kappa一致性分别为92.5%和92.4%。FS-PDWI序列对膝关节软骨缺损程度分级的总体准确度和Kappa一致性分别为80.0%和79.7%。结论:与FS-PDWI序列相比,MEGRE序列显示膝关节软骨图像质量更佳,对膝关节软骨缺损程度分级的总体准确度较高。MEGRE序列在膝关节软骨早期损伤的诊断上具有较高的应用价值。
文摘目的 以活体^1H-MRS作为参考标准，评价三倍回波梯度回波序列对肝脏脂肪含量的量化。方法 此前瞻畦研究经伦理委员会批准，且所有病人签署了书面知情同意书。37例2型糖尿病病人（男31例，女6例，平均年龄56岁）采用3．0 T MR设备先对肝脏第VII段行单体素^1H-MRS，经T1和T2衰减的校正，通过4．7ppm（1ppm表示10^-6）水峰和1．3ppm甲基计算肝脏脂肪含量。
文摘Background and Purpose -In contrast to platelet-rich white thrombi, red thrombi in the heart are rich in fibrin and trapped erythrocytes. The magnetic susceptibility effect of deoxygenated hemoglobin in red thrombi may result in hypointense signals on T2*-weighted gradient echo imaging (GRE). We tested the hypothesis that a GRE susceptibility vessel sign (SVS) is specific for cardioembolic stroke. Methods -This retrospective study examined data from acute ischemic stroke patients who underwent diffusion-weighted imaging, GRE and magnetic resonance angiography (MRA) within 24 hours of stroke onset and who had symptomatic occl usion of large intracranial arteries in the circle of Willis. Hypointense signals within vascular cisterns on GRE corresponding to symptomatic vascular occlusio n were termed “GRE SVS.”Recanalization was assessed on follow-up MRA performe d within 7 days of onset. The relationships between GRE SVS and stroke subtypes and subsequent recanalization were explored. Results -Of the 95 patients who me t the inclusion criteria, GRE SVS was observed in 45 (47.4%). GRE SVS was more commonly associated with cardioembolic stroke patients (31 of 40, 77.5%) than w ith other stroke subtypes (14 of 55, 25.5%; P < 0.001). In 66 patients who unde rwent follow-up MRA, GRE SVS was associated with subsequent recanalization (P < 0.001). Multivariate analysis showed that GRE SVS was an independent predictor of cardioembolic stroke and subsequent recanalization (odds ratio, 10.75 and 4.2 6; 95%CI, 3.68 to 31.47 and 1.12 to 16.30). Conclusions -GRE SVS may predict c ardioembolic stroke and subsequent recanalization. Identifying clot composition may be important in choosing the optimal treatment based on clot characteristics .
