Purpose: To evaluate respiratory-triggered three-dimensional (3D) true steady-state free-precession (SSFP) projection magnetic resonance angiographic sequences with time-spatial labeling inversion pulse (Time-SLIP) fo...Purpose: To evaluate respiratory-triggered three-dimensional (3D) true steady-state free-precession (SSFP) projection magnetic resonance angiographic sequences with time-spatial labeling inversion pulse (Time-SLIP) for visualizing the hepatic arteries and to optimize the image acquisition protocol. Materials and Methods: A 1.5-T clinical magnetic resonance imager was used to perform abdominal magnetic resonance angiography (MRA) in 25 consecutive patients before transcatheter arterial chemoembolization or surgery. We compared two selective space-labeling inversion pulse (tag pulse) patterns (Patterns I and II, oblique and parallel tag pulses, respectively). Two experienced radiologists evaluated the number of hepatic arterial branches visible on the acquired MRA images, and the results were referenced with those on images from intra-arterial digital subtraction angiography. Results: Images were acquired from all patients. The two radiologists clearly visualized branches of the left and right hepatic arteries. More peripheral hepatic arterial branches were identified in MRA images captured by using tag pulse Pattern I than in those acquired by using Pattern II (P P > 0.05). Conclusion: Non-contrast-enhanced Time-SLIP hepatic MRA with true SSFP allowed selective visualization of peripheral hepatic vessels.展开更多
目的探讨使用时间-空间标记反转脉冲(time-spatial labeling inversion p u l s e,Ti m e-S L I P)非对比增强血管成像技术评价肾动脉的价值。材料与方法使用1.5 T MR扫描仪对36例临床怀疑肾动脉狭窄的患者行Time-SLIP磁共振血管造影术(...目的探讨使用时间-空间标记反转脉冲(time-spatial labeling inversion p u l s e,Ti m e-S L I P)非对比增强血管成像技术评价肾动脉的价值。材料与方法使用1.5 T MR扫描仪对36例临床怀疑肾动脉狭窄的患者行Time-SLIP磁共振血管造影术(magnetic resonance angiography,MRA)检查。以320排CT血管造影(computed tomography angiography,CTA)和数字减影血管造影(digital subtraction angiography,DSA)为参考标准,评价Time-SLIP肾动脉MRA的图像质量和诊断肾动脉狭窄的能力。结果共71支肾动脉纳入研究,图像质量优秀的有51支(72%),良好的有17支(24%),差的有3支(4%)。Time-SLIP MRA诊断肾动脉狭窄的敏感度、特异度分别为100%、98.2%,诊断明显狭窄(狭窄程度>50%)的敏感度、特异度分别为90%、98.4%。Time-SLIP MRA定量评估肾动脉狭窄程度与CTA和DSA呈高度相关(r=0.959,P<0.01),但Time-SLIP MRA轻度高估肾动脉的狭窄程度[平均偏倚为(3.31±10.04)%]。结论 Time-SLIP非对比增强血管成像技术能够准确评价肾动脉。展开更多
文摘Purpose: To evaluate respiratory-triggered three-dimensional (3D) true steady-state free-precession (SSFP) projection magnetic resonance angiographic sequences with time-spatial labeling inversion pulse (Time-SLIP) for visualizing the hepatic arteries and to optimize the image acquisition protocol. Materials and Methods: A 1.5-T clinical magnetic resonance imager was used to perform abdominal magnetic resonance angiography (MRA) in 25 consecutive patients before transcatheter arterial chemoembolization or surgery. We compared two selective space-labeling inversion pulse (tag pulse) patterns (Patterns I and II, oblique and parallel tag pulses, respectively). Two experienced radiologists evaluated the number of hepatic arterial branches visible on the acquired MRA images, and the results were referenced with those on images from intra-arterial digital subtraction angiography. Results: Images were acquired from all patients. The two radiologists clearly visualized branches of the left and right hepatic arteries. More peripheral hepatic arterial branches were identified in MRA images captured by using tag pulse Pattern I than in those acquired by using Pattern II (P P > 0.05). Conclusion: Non-contrast-enhanced Time-SLIP hepatic MRA with true SSFP allowed selective visualization of peripheral hepatic vessels.
文摘目的探讨使用时间-空间标记反转脉冲(time-spatial labeling inversion p u l s e,Ti m e-S L I P)非对比增强血管成像技术评价肾动脉的价值。材料与方法使用1.5 T MR扫描仪对36例临床怀疑肾动脉狭窄的患者行Time-SLIP磁共振血管造影术(magnetic resonance angiography,MRA)检查。以320排CT血管造影(computed tomography angiography,CTA)和数字减影血管造影(digital subtraction angiography,DSA)为参考标准,评价Time-SLIP肾动脉MRA的图像质量和诊断肾动脉狭窄的能力。结果共71支肾动脉纳入研究,图像质量优秀的有51支(72%),良好的有17支(24%),差的有3支(4%)。Time-SLIP MRA诊断肾动脉狭窄的敏感度、特异度分别为100%、98.2%,诊断明显狭窄(狭窄程度>50%)的敏感度、特异度分别为90%、98.4%。Time-SLIP MRA定量评估肾动脉狭窄程度与CTA和DSA呈高度相关(r=0.959,P<0.01),但Time-SLIP MRA轻度高估肾动脉的狭窄程度[平均偏倚为(3.31±10.04)%]。结论 Time-SLIP非对比增强血管成像技术能够准确评价肾动脉。
