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新生儿期黄疸患儿TSB、Tau与苍白球MRI T1信号强度、MRS关联性及预测ABE的效能分析 被引量:2
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作者 刘朝艳 张捷宇 +2 位作者 马永倩 李洋 康志雷 《中国CT和MRI杂志》 2022年第11期28-32,共5页
目的探讨新生儿期黄疸患儿总胆红素(TSB)、Tau与苍白球MRI T1信号强度、磁共振波谱(MRS)关联性及预测急性胆红素脑病(ABE)的效能。方法选取2018年3月至2020年3月87例新生儿期单纯黄疸患儿(黄疸组)、87例ABE患儿(ABE组),观察2组MRI、MRS... 目的探讨新生儿期黄疸患儿总胆红素(TSB)、Tau与苍白球MRI T1信号强度、磁共振波谱(MRS)关联性及预测急性胆红素脑病(ABE)的效能。方法选取2018年3月至2020年3月87例新生儿期单纯黄疸患儿(黄疸组)、87例ABE患儿(ABE组),观察2组MRI、MRS,比较2组血清TSB和Tau、MRI T_(1)信号强度、MRS参数[N一乙酰天门冬氨酸(NAA)/肌酸(Cr)、胆碱(Cho)/Cr、NAA/Cho、肌醇(mI)/Cr、谷氨酸和谷氨酰胺复合物(Glx)/Cr]、新生儿神经行为评分(NBNA),分析ABE影响因素、血清TSB、Tau与MRI T_(1)信号强度、MRS参数、NBNA评分的相关性以及各指标预测ABE及病情的效能。结果ABE组血清TSB、Tau、MRI T_(1)信号强度、Glx/Cr高于黄疸组,NAA/Cr、NAA/Cho、NBNA评分低于黄疸组(P﹤0.05)。TSB、Tau、MRI T_(1)信号强度、NAA/Cr、NAA/Cho、Glx/Cr、NBNA评分均与ABE显著相关(P﹤0.05)。血清TSB、Tau与MRI T1信号强度、Glx/Cr呈正相关,与NAA/Cr、NAA/Cho、NBNA评分呈负相关(P﹤0.05)。各指标联合预测ABE联合的AUC最高。随病情程度加重,血清TSB、Tau、MRI T_(1)信号强度、Glx/Cr逐渐升高,NAA/Cr、NAA/Cho逐渐降低(P﹤0.05)。各指标联合预测ABE患儿中重度病情的AUC最高。结论血清TSB、Tau与苍白球MRI T_(1)信号强度、MRS参数存在一定相关性,四者联合检测对预防ABE、评估ABE病情程度具有指导性临床意义。 展开更多
关键词 新生儿期黄疸 总胆红素 TAU 苍白球mri t1信号强度 磁共振波谱 急性胆红素脑病
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Assessment the Optimal Effect of Time of Repetition: Extrinsic Pulse Parameter on Gd-DTPA Enhanced, Spin-Echo T1-Weighted MR Images under Low Magnetic Field Strength
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作者 Bimali Sanjeevani Weerakoon Toshiaki Osuga Takehisa Konishi 《International Journal of Medical Physics, Clinical Engineering and Radiation Oncology》 2016年第3期196-203,共9页
The contrast agent concentration, the time of repetition (TR) and magnetic field strength are significant parameters that influence for the accurate signal intensity (SI) in quantitative Magnetic Resonance Imaging (MR... The contrast agent concentration, the time of repetition (TR) and magnetic field strength are significant parameters that influence for the accurate signal intensity (SI) in quantitative Magnetic Resonance Imaging (MRI). Therefore, this study was conducted to investigate and refine the dependence and the optimal effect of Time of Repetition (TR) on the relationship between signal intensity and Gd-DTPA (Gadolinium-diethylene-triaminepenta-acetic acid) concentration, after applying two-dimensional (2D) Spin Echo (SE) pulse sequence under low-field MRI. In addition to that, the optimal concentration of Gd-DTPA at given sequence parameters at low-field MRI was also evaluated. A water-filled phantom was constructed for a range of Gd-DTPA concentrations (0 - 6 mmol/L) and the mean signal intensities (SIs) were assessed in the defined region of interest on T1-weighted images with different TR values (40 - 2000 ms). The generated signal-concentration curves for Gd-DTPA revealed that increasing TR was associated with the increase of the overall SIs and the maximum relationship between SI to concentration. Moreover, the required Gd-DTPA concentration to produce the maximum SI was associated to decrease with the increase of TR. In addition to this, the application of beyond 100 ms TR values in this study with relatively higher concentrations (beyond 1 - 2 mmol/L) has resulted predominantly non-linear patterns in the signal-concentration curves and it appears the saturation or decay of the SIs due to T2 effect. From these results, it can be suggested that the selection of relatively lower Gd-DTPA concentration ( mmol/L) with less than 800 ms (<800 ms) TR values can produce a better linear relationship between the concertation and SIs in T1-weighted SE low field contrast-enhanced MRI. Furthermore, this study also outlined the significance and necessity of the optimization of TR in SE sequence in low field MRI prior to a particular examination. 展开更多
关键词 Gd-DTPA Concentration Spin Echo Pulse Sequence signal intensity Time of Repetition t1-Weighted Images Low Field mri
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