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3.0T MR弥散加权成像及张量成像评价肝纤维化的临床研究 被引量:13
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作者 石喻 郭启勇 +1 位作者 张兰 卞胜晰 《中国医科大学学报》 CAS CSCD 北大核心 2012年第4期343-346,共4页
目的探讨MR弥散加权成像(DWI)及张量成像(DTI)对慢性病毒性肝炎患者的肝纤维化程度定量分析的能力。方法应用3.0T MR对8名志愿者、40例慢性病毒性(乙型或丙型)肝炎患者进行DWI及DTI检查,弥散敏感度(b值)选择0,800s/mm2,比照肝活检病理结... 目的探讨MR弥散加权成像(DWI)及张量成像(DTI)对慢性病毒性肝炎患者的肝纤维化程度定量分析的能力。方法应用3.0T MR对8名志愿者、40例慢性病毒性(乙型或丙型)肝炎患者进行DWI及DTI检查,弥散敏感度(b值)选择0,800s/mm2,比照肝活检病理结果,计算表观弥散系数(ADC)及平均弥散率(MD),分析2种方法定量肝纤维化分期的能力。结果受试者肝脏ADC和MD平均值分别为(1.26±0.12)×10-3 mm2/s和(1.39±0.14)×10-3 mm2/s,差异有统计学意义(Z=-5.775,P<0.01)。ADC、MD与纤维化分期呈显著负相关(r分别为-0.686,-0.481,P<0.01);ADC可有效鉴别正常肝脏(S0期)与S2、S3、S4期纤维化(P<0.05),肝硬化(S4期)与S1、S2、S3期纤维化(P值分别为0.003,0.041,0.014);MD能有效鉴别S4期与S0、S1期纤维化(P值分别为0.002,0.026),但不能鉴别比较其他各期纤维化(P>0.05)。ADC预测≥S2期、≥S3期及≥S4期纤维化的能力均优于MD(ROC曲线下面积,ADC分别为0.879、0.823、0.866;MD分别为0.796、0.743、0.725)。结论 DWI对肝纤维化分期的定量分析效果全面优于DTI,适合慢性病毒性肝炎患者的纤维化评价。 展开更多
关键词 MR弥散加权成像 肝纤维化程度 张量成像 临床研究 病毒性肝炎患者 肝纤维化分期 ROC曲线下面积 OT
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兔VX2肝癌模型磁共振张量成像扫描技术初探 被引量:2
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作者 孙希杰 许乙凯 +1 位作者 全显跃 梁文 《医疗卫生装备》 CAS 2008年第5期88-90,共3页
目的:探讨对兔VX2肝癌模型进行磁共振张量成像(DTI)的可行性及扫描方法。方法:对16只新西兰大白兔的VX2肝癌模型及对照组的4只正常新西兰大白兔进行磁共振成像及DTI;量化分析试验组瘤灶及对照组正常肝组织的平均弥散系数(ADC)、部分各... 目的:探讨对兔VX2肝癌模型进行磁共振张量成像(DTI)的可行性及扫描方法。方法:对16只新西兰大白兔的VX2肝癌模型及对照组的4只正常新西兰大白兔进行磁共振成像及DTI;量化分析试验组瘤灶及对照组正常肝组织的平均弥散系数(ADC)、部分各向异性值(FA)随不同b值(b值=100、600、1000 mm2/s)改变的变化规律。结果:兔VX2肝癌模型瘤灶ADC较对照组的正常肝组织减低、瘤灶FA较正常肝组织增高;瘤灶及正常肝组织的ADC、FA均随b值增大而波动减小(P<0.05),组间差异有显著性。结论:DTI能够敏感地显示兔VX2肝癌模型的病变结构;兔VX2肝癌模型的DTI对肝脏病变量化评价的临床应用提供了一定的理论指导。 展开更多
关键词 磁共振成像 张量成像 肝脏肿瘤 扫描技术
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兔VX2种植型肝癌模型动态磁共振张量成像的量化研究 被引量:4
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作者 徐绍斌 全显跃 孙希杰 《南方医科大学学报》 CAS CSCD 北大核心 2006年第3期335-338,共4页
目的探讨对兔VX2种植型肝癌模型的成瘤过程进行动态磁共振张量成像(DTI)量化研究的可行性及价值。方法在肿瘤植入后第14、18、22、26天分别对4组共16只新西兰大白兔VX2种植型肝癌模型和4组共4只正常新西兰大白兔进行磁共振成像及DTI;动... 目的探讨对兔VX2种植型肝癌模型的成瘤过程进行动态磁共振张量成像(DTI)量化研究的可行性及价值。方法在肿瘤植入后第14、18、22、26天分别对4组共16只新西兰大白兔VX2种植型肝癌模型和4组共4只正常新西兰大白兔进行磁共振成像及DTI;动态量化分析平均弥散系数(ADC)、指数弥散系数(eADC)的变化规律并与病理结果对照。结果兔VX2种植型肝癌模型的ADC呈先递增后递减趋势;eADC呈先递减后递增趋势;与对照组间存在显著性差异;病理结果的多项分析中,瘤内凝固性坏死和纤维增生呈明显递增趋势。结论DTI的量化指标(ADC、eADC)能够动态观测兔VX2种植型肝癌模型的部分生长特性;为DTI对肝脏病变的临床应用提供一定的理论指导。 展开更多
关键词 磁共振成像 张量成像 量化研究 肝脏肿瘤
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功能性电刺激对脑卒中早期患者下肢运动功能及磁共振弥散张量成像的影响 被引量:21
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作者 陈丹凤 燕铁斌 +2 位作者 黎冠东 李方明 梁启堂 《中华医学杂志》 CAS CSCD 北大核心 2014年第37期2886-2892,共7页
目的 结合磁共振弥散张量成像(DTI)技术探讨基于人体行走模式的功能性电刺激(FES)改善脑卒中早期患者下肢运动功能的可能机制.方法 收集2012年8月至2013年9月广东省江门市中心医院神经内科住院的脑卒中患者,将符合入选标准的患者48... 目的 结合磁共振弥散张量成像(DTI)技术探讨基于人体行走模式的功能性电刺激(FES)改善脑卒中早期患者下肢运动功能的可能机制.方法 收集2012年8月至2013年9月广东省江门市中心医院神经内科住院的脑卒中患者,将符合入选标准的患者48例,按照年龄、性别、病程、Brunnstrom分期及脑卒中类型进行分层后,应用Minimize计算机软件随机分为四通道FES组(18例)、双通道FES组(15例)及安慰刺激组(15例).3组患者常规治疗相同,四通道FES组采用基于正常行走模式设计的FES治疗仪治疗,刺激胫前肌、股四头肌内外侧头、腓肠肌及股二头肌;双通道FES组刺激胫前肌、腓骨长短肌;安慰刺激组电极放置与治疗组相同,但治疗时不予电流输出.3组患者在治疗开始前和治疗3周中的每周均进行Fugl-Meyer下肢运动功能(FMA)脑卒中患者姿势评定量表(PASS)、Brunel平衡量表(BBA)、Berg平衡量表(BBS)及改良Barthel指数(MBI)康复功能评定,部分患者在治疗前和治疗3周后给予DTI检查.结果 3组患者一般资料及治疗前各项评定结果差异无统计学意义.组内比较,治疗1周、2周和3周后,3组PASS、BBA、BBS、FMA及MBI评分与治疗前比较,差异均有统计学意义(均P<0.05);治疗3周后,四通道FES组和双通道FES组的患侧FA值与治疗前比较,差异有统计学意义(P<0.05).组间比较,治疗1周后,3组MBI评分组间比较,差异有统计学意义(P =0.037),其中四通道组[(52±12)分]与安慰刺激组[(38±18)分]比较差异有统计学意义(P<0.05);治疗2周后,四通道FES组的PASS、MBI评分[(29±3)分、(73±13)分]分别与双通道FES组[(24±8)分、(60±17)分]比较,四通道FES组的PASS、BBA、BBS、FMA及MBI[(29±3)分、(8.3±2.4)分、(37±7)分、(22±5)分、(73±13)分]分别与安慰刺激组[(21±7)分、(6.2±3.1)分、(24±16)分、(15±8)分、(47±20)分]比较,双通道FES组的MBI[(60±17)分]与安慰刺激组[(47±20)分]比较,差异均有统计学意义(均P <0.05);治疗3周后,四通道FES组的FMA[(25±5)分]与双通道FES组[(20±7)分]比较,有近似统计学意义(P=0.055);四通道FES组的PASS、BBS、FMA及MBI[(31±3)分、(43±8)分、(25±5)分、(81±13)分]与安慰刺激组[(25±8)分、(29±17)分、(17±9)分、(54±25)分]比较,双通道FES组的MBI[(71±15)分]与安慰刺激组[(54±25)分]比较,差异有统计学意义(P<0.05).治疗3周后,3组患侧FA变化值明显升高,四通道FES组[(0.321±0.172)分]与安慰刺激组[(0.217±0.135)分]比较(P =0.020),双通道FES组[(0.333±0.164)分]与安慰刺激组[(0.217±0.135)分]比较(P =0.049),差异均有统计学意义.3组DTT结果显示,四通道FES组患侧纤维束明显增多,健侧纤维束改善不明显;双通道FES组和安慰刺激组改善不明显.结论 与传统的双通道FES相比,基于行走模式的FES疗效更显著,更有利于实现脑卒中后早期患者大脑结构和功能重组,促进运动功能恢复. 展开更多
关键词 脑卒中 功能性电刺激 偏瘫 下肢 弥散性张量成像
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DTI对脊髓圆锥与终丝界限区分的初步研究 被引量:4
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作者 苏晋生 代卫斌 +2 位作者 武瑞凤 张华华 李星 《实用医学影像杂志》 2005年第5期250-252,共3页
目的探讨DTI脊髓成像在区分脊髓圆锥与终丝界限的可行性及临床意义。方法选取10例腰椎MRI检查患者,行常规腰椎矢状位T1WI,T2WI检查,轴位T2WI检查,同时行T11~L4椎体水平脊髓EPI序列DTI成像。结果DTI能清晰显示脊髓及圆锥的形态及走行,... 目的探讨DTI脊髓成像在区分脊髓圆锥与终丝界限的可行性及临床意义。方法选取10例腰椎MRI检查患者,行常规腰椎矢状位T1WI,T2WI检查,轴位T2WI检查,同时行T11~L4椎体水平脊髓EPI序列DTI成像。结果DTI能清晰显示脊髓及圆锥的形态及走行,终丝未见显影,脊髓圆锥位于L1椎体下缘及L2椎体上缘,与常规MRI检查二者有较好的一致性。脊髓的ADC值低于脑脊液,FA值高于脑脊液。结论脊髓DTI能区分脊髓圆锥与终丝的界限。 展开更多
关键词 脊髓 圆锥 终丝 张量成像 磁共振成像
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神经影像学评估肌萎缩侧索硬化进展和预后研究进展 被引量:1
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作者 段青青 侯炎冰 +1 位作者 商慧芳 陈永平 《中国神经精神疾病杂志》 CAS CSCD 北大核心 2021年第12期750-755,共6页
ALS肌萎缩侧索硬化(amyotrophic lateral sclerosis,ALS)患者的中位生存时间约为3年,5年生存率约为39.6%[1],因此,监测疾病进展、早期预后评估,对制定相应治疗措施从而延缓疾病发展、延长患者寿命十分重要。近年来,研究发现神经影像学... ALS肌萎缩侧索硬化(amyotrophic lateral sclerosis,ALS)患者的中位生存时间约为3年,5年生存率约为39.6%[1],因此,监测疾病进展、早期预后评估,对制定相应治疗措施从而延缓疾病发展、延长患者寿命十分重要。近年来,研究发现神经影像学可以作为监测ALS进展和预后的工具[2]。 展开更多
关键词 肌萎缩侧索硬化 神经影像学 结构磁共振成像 静息态功能磁共振成像 磁共振波谱成像 弥散 张量成像 磁敏感加权成像 正电子发射断层扫描
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EFFECT OF POSITIVE-INDEFINITE MATRIX ON MAGNETIC RESONANCE DIFFUSION TENSOR-DERIVED PARAMETERS 被引量:1
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作者 张怀岺 任红润 +2 位作者 金新安 何青 高嵩 《Transactions of Nanjing University of Aeronautics and Astronautics》 EI 2010年第1期102-106,共5页
To evaluate the effect of the positive-indefinite matrix on the diffusion tensor-derived parameters, a modified algorithm is proposed for calculating these parameters. Magnetic resonance (MR) diffusion tensor images... To evaluate the effect of the positive-indefinite matrix on the diffusion tensor-derived parameters, a modified algorithm is proposed for calculating these parameters. Magnetic resonance (MR) diffusion tensor images of five healthy volunteers are collected. The diffusion sensitive gradient magnetic fields are applied along 25 directions and the diffusion weighting value is 1 000 s/mm^2. Many positive-indefinite diffusion tensors can be found in the white matter area, such as the genu and the splenium of corpus callosum. Due to the positive-indefinite matrix, the mean diffusivity (MD) and the fractional anisotropy (FA) are under-estimated and over-estimated by using the conventional algorithm. Thus, the conventional algorithm is modified by using the absolute values of all eigenvalues. Results show that both the robustness and the reliability for deriving these parameters are improved by the modified algorithm. 展开更多
关键词 magnetic resonance imaging (MRI) functional magnetic resonance imaging (fMRI) diffusion tensor image (DTI)
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Depression discrimination using fMRI and DTI data by wavelet based fusion scheme 被引量:1
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作者 赵竟 罗国平 +1 位作者 姚志剑 卢青 《Journal of Southeast University(English Edition)》 EI CAS 2012年第1期25-28,共4页
Both functional magnetic resonance imaging (fMRI) and diffusion tensor imaging (DTI) can provide different information of the human brain, so using the wavelet transform method can achieve a fusion of these two ty... Both functional magnetic resonance imaging (fMRI) and diffusion tensor imaging (DTI) can provide different information of the human brain, so using the wavelet transform method can achieve a fusion of these two types of image data and can effectively improve the depression recognition accuracy. Multi-resolution wavelet decomposition is used to transform each type of images to the frequency domain in order to obtain the frequency components of the images. To each subject, decomposition components of two images are then added up separately according to their frequencies. The inverse discrete wavelet transform is used to reconstruct the fused images. After that, principal component analysis (PCA) is applied to reduce the dimension and obtain the features of the fusion data before classification. Based on the features of the fused images, an accuracy rate of 80. 95 % for depression recognition is achieved using a leave-one-out cross-validation test. It can be concluded that this wavelet fusion scheme has the ability to improve the current diagnosis of depression. 展开更多
关键词 classification functional magnetic resonanceimaging (fMRI) diffusion tensor imaging (DTI) medicalimage fusion DEPRESSION
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Diffusion tensor imaging of the brain in patients with Alzheimer's disease and cerebrovascular lesions 被引量:5
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作者 CHEN Shao-qiong KANG Zhuang +2 位作者 HU Xi-quan HU Bing ZOU Yan 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2007年第4期242-247,共6页
Background:Recent autopsy study showed a high incidence of cerebrovascular lesions in Alzheimer's disease(AD).To assess the impact of cerebrovascular pathology in AD,we used diffusion tensor imaging(DTI) to study ... Background:Recent autopsy study showed a high incidence of cerebrovascular lesions in Alzheimer's disease(AD).To assess the impact of cerebrovascular pathology in AD,we used diffusion tensor imaging(DTI) to study AD patients with and without cerebrovascular lesions.Materials and Methods:Conventional and DTI scans were obtained from 10 patients with probable AD,10 AD/V patients(probable AD with cerebrovascular lesions) and ten normal controls.Mean diffusivity(D) and fractional anisotropy(FA) values of some structures involved with AD pathology were measured.Results:D value was higher in AD patients than in controls in hippocampus and the cingulate gyrus.In AD/V patients,increased D value was found in the same structures and also in the thalamus and basal ganglia compared to controls.There was a significant difference of D value between AD and AD/V patients.FA value reduced in the white matter of left inferior temporal gyrus and in the bilateral middle cingulate gyrus in patients with AD/V compared with controls.The MMSE(mini-mental state examination) score significantly correlated with FA value in the right hippocampus(r=0.639,P<0.019),in the right anterior cingulate gyrus(r=0.587,P<0.035) and in left parahippocampal gyrus(r=0.559,P<0.047).Conclusion:Cerebrovascular pathology had stronger impact on the D value than the AD pathology alone did.Elevated D value in thalamic and basal ganglia may contribute to cognitive decline in AD/V patients.Reduced FA values in AD/V patients may indicate that cerebrovascular pathology induced more severe white matter damage than the AD pathology alone did. 展开更多
关键词 Diffusion tensor imaging (DTI) Alzheimer's disease (AD) CEREBROVASCULAR Magnetic resonance imaging (MRI)
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A fast-imaging method for airborne gravity gradient data based on tensor invariants
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作者 Zhou Shuai Wei Yue +3 位作者 Wu Yan-gang Jiao Jian Lu Peng-yu Jiang Dan-Dan 《Applied Geophysics》 SCIE CSCD 2022年第2期284-293,309,共11页
Airborne gravity gradient data contain additional short-wavelength information about the buried geological bodies.This study develops a fast interpretation method based on the gravity gradient data for the sources’sp... Airborne gravity gradient data contain additional short-wavelength information about the buried geological bodies.This study develops a fast interpretation method based on the gravity gradient data for the sources’spatial location and physical property parameters.This study analyzes the advantages of the source parameter inversion method based on tensor invariants.It proposes a normalized fast-imaging method based on tensor invariants to quickly estimate the spatial location parameters of sources through the local maximum value position of the imaging results.First,the tensor invariant characteristics and the imaging method’s effect in a simple model are analyzed using a theoretical model.Second,to analyze the imaging method’s application effect in complex model conditions,the method’s applicability is quantitatively analyzed using the data added with noise,superimposed anomalies of adjacent sources,and anomalies of deep and shallow geological bodies.The theoretical model’s simulation results show that the model’s imaging results in this study have satisfactory performance on the spatial position estimation of the sources.Finally,the method is applied to the gravity anomaly data corresponding to the Humble salt dome.The imaging results can effectively estimate the distribution of the salt dome’s horizontal and depths,verifying the practicability of the method. 展开更多
关键词 gravity gradient tensor invariants imaging method spatial location parameters
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Modified Wiener method in diffusion weighted image denoising
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作者 易三莉 陈真诚 林红利 《Journal of Central South University》 SCIE EI CAS 2011年第6期2001-2008,共8页
To denoise the diffusion weighted images (DWls) featured as multi-boundary, which was very important for the calculation of accurate DTIs (diffusion tensor magnetic resonance imaging), a modified Wiener filter was... To denoise the diffusion weighted images (DWls) featured as multi-boundary, which was very important for the calculation of accurate DTIs (diffusion tensor magnetic resonance imaging), a modified Wiener filter was proposed. Through analyzing the widely accepted adaptive Wiener filter in image denoising fields, which suffered from annoying noise around the edges of DWIs and in turn greatly affected the denoising effect of DWIs, a local-shift method capable of overcoming the defect of the adaptive Wiener filter was proposed to help better denoising DWIs and the modified Wiener filter was constructed accordingly. To verify the denoising effect of the proposed method, the modified Wiener filter and adaptive Wiener filter were performed on the noisy DWI data, respectively, and the results of different methods were analyzed in detail and put into comparison. The experimental data show that, with the modified Wiener method, more satisfactory results such as lower non-positive tensor percentage and lower mean square errors of the fractional anisotropy map and trace map are obtained than those with the adaptive Wiener method, which in turn helps to produce more accurate DTIs. 展开更多
关键词 diffusion weighted image (DWI) diffusion tensor image (DTI) local-shift method modified Wiener filter
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Microsurgery Resection of Intrinsic Insular Tumors via Transsylvian Surgical Approach in 12 Cases 被引量:2
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作者 Peng Wang Ming-can Wu +3 位作者 Shi-jie Chen Xian-ping Xu Yong Yang Jie Cai 《Clinical oncology and cancer researeh》 CAS CSCD 2012年第1期44-47,共4页
Objective To investigate the clinical characteristics, operative methods, and diffusion tensor imaging (DTI) in tile resection of intrinsic insular gliomas via transsylvian approach. Methods From June 2008 to June 2... Objective To investigate the clinical characteristics, operative methods, and diffusion tensor imaging (DTI) in tile resection of intrinsic insular gliomas via transsylvian approach. Methods From June 2008 to June 2010, 12 patients with intrinsic insular gliomas were treated via transsylvian microsurgical approach, with preoperative magnetic resonance imaging diffusion tensor imaging (MR DTI) evaluation. The data of these patients were retrospectively analyzed. Results All patients had astrocytoma, including 8 patients of Grades 1 to II, 2 patients of Grades III to IV, and 2 patients of mixed glial tumors. The insular tumors were completely removed in 9 patients, whereas they were only partially removed from 3 patients. No death was related to the operations. Two patients had transient aphasia, 2 experienced worsened hemiplegia on opposite sides of their bodies, and 2 had mild hemiplegia and language function disturbance. Conclusions Most of tile insular gliomas are of low grade. By evaluating the damage of the corticospinal tract through DTI and using ultrasonography to locate the tumors during operation, microsurgery treatment removes the lesions as much as possible, protects the surrounding areas, reduces the mobility rate, and improves the postoperative quality of life. 展开更多
关键词 MICROSURGERY cerebral cortex GLIOMA diffusion tensor imaging
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脑内神经纤维束3.0T磁共振评价
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作者 王春红 宋光义 +4 位作者 李建红 高兴军 付美萍 郭时伟 郑晓娜 《中国实用医刊》 2011年第22期100-102,共3页
目的探讨3.0TMRI评价脑内神经纤维束的价值。方法使用3.0TMRI对正常人群20例志愿者进行纤维束成像,观察常见纤维束及与周围结构关系。结果脑内常见纤维束及周围结构关系均可很好显示。结论3.0TMRI可以很好的评价脑内神经纤维束及其... 目的探讨3.0TMRI评价脑内神经纤维束的价值。方法使用3.0TMRI对正常人群20例志愿者进行纤维束成像,观察常见纤维束及与周围结构关系。结果脑内常见纤维束及周围结构关系均可很好显示。结论3.0TMRI可以很好的评价脑内神经纤维束及其周围结构关系,有助于临床疾病诊断和治疗。 展开更多
关键词 磁共振成像 张量成像 纤维束
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