中国卒中杂志 ›› 2014, Vol. 9 ›› Issue (11): 911-916.

• 论著 • 上一篇    下一篇

三维可变翻转角快速自旋回波成像技术在颈动脉高分辨磁共振成像中的应用

隋滨滨1,高培毅1,林燕1,荆利娜1,秦海强2   

  1. 1首都医科大学附属北京
    天坛医院放射科,北京
    市神经外科研究所
    2首都医科大学附属北京
    天坛医院神经内科
  • 收稿日期:2013-10-20 出版日期:2014-11-20 发布日期:2014-11-20
  • 通讯作者: 高培毅 cjr.gaopeiyi@vip.163. com

Clinical Study of Application Value of Three Dimensional-T2 Weighted Imaging-
Sampling Perfection with Application Optimized Contrasts Using Different Flip Angle
Evolutions Sequence in Carotid Plaques High-Resolution Magnetic Resonance Imaging

  1. *Radiology Department,
    Beijing Tiantan Hospital, Capital Medical University; Beijing Neurosurgery Institute, Beijing
    100050, China
  • Received:2013-10-20 Online:2014-11-20 Published:2014-11-20

摘要:

目的 探讨三维T2可变翻转角加权快速自旋回波成像技术(three dimensional-T2 weighted imagingsampling perfection with application optimized contrasts using different flip angle evolutions,3D-T2WISPACE) 序列在颈动脉高分辨率磁共振成像中的应用价值。 方法 收集临床怀疑颈动脉病变患者30例,进行高分辨多对比颈动脉磁共振成像(m a g n eti c resonance imaging,MRI),行冠状位3D-T2WI-SPACE序列并应用3D后处理软件进行斜矢状位和轴位重 建。比较3D-T2WI-SPACE序列和横轴位黑血T2WI序列的信噪比及图像质量,并对图像成像范围、对病 变诊断信息提供的充分程度进行比较。 结果 60支颈动脉中,正常13支,病变47支。其中颈动脉粥样硬化病变44支,颈动脉夹层1支,不明 原因的特发性狭窄2支。30例病例图像质量评价中,3D-T2WI-SPACE序列图像质量2级5例,3级25 例;T2WI序列图像质量2级4例,3级26例。3D-T2WI-SPACE序列对诊断信息提供的充分程度略优于 高分辨T2WI。3D-T2WI-SPACE序列与高分辨率T2WI图像的覆盖范围分别为(114.7±22.4)mm和46 mm。 3D-T2WI-SPACE序列图像与高分辨T2WI的信噪比平均值分别为15.7±3.5及22.7±14.7,差异无显著性 (P =0.163)。 结论 3D-T2WI-SPACE技术可作为颈动脉高分辨成像序列中的必要辅助序列。应用3D-T2WI-SPACE 序列结合重建技术,可为临床诊断提供更多信息。

文章导读: 对比研究显示,磁共振成像三维T2可变翻转角加权快速自旋回波成像对颈动脉病变血管的成像质
量和覆盖范围优于T2加权像序列,两者的信噪比无显著差异。

关键词: 颈动脉; 磁共振成像; 高分辨磁共振斑块成像; 三维重建

Abstract:

Objective To study the application value of three dimensional-T2 weighted imaging-sampling perfection with application optimized contrasts using different flip angle evolutions (3D-T2WISPACE) sequence in carotid high-resolution magnetic resonance imaging (MRI). Methods Thirty patients with suspected carotid disease were recruited in this study. Highresolution multicontrast MRI was performed using 3.0T MRI with a 4-channel surface carotid coil. 3D-T2WI-SPACE sequence was applied by coronal plane; and oblique saggital and axial images were reconstructed using post-processing software. Signal-to-noise ratio, image quality of 3D-T2WI-SPACE sequence and axial high-resolution T2WI sequence, as well as scan coverage and diagnostic information were compared. Results Among all sixty carotids, thirteen vessels are normal, and forty-four carotids were found plaques; one was carotid dissection; and two were idiopathic stenosis. For the image quality of 3D-T2WI-SPACE sequence and T2WI sequence, there were 5 cases and 4 cases with II grade, and 25 cases and 26 cases with III grade, respectively. 3D-T2WI-SPACE can provide more diagnostic information than T2WI. The coverage of SPACE and T2WI sequence were (114.7±22.4) mm and 46 mm, respectively. There was no significant difference between signal-to-noise ratio of 3D-T2WISPACE (15.7±3.5) and T2W (22.7±14.7) (P =0.163). Conclusion 3D-T2WI-SPACE sequence can be used as an important sequence in carotid highresolution MRI. This 3D sequence can provide large scan coverage and more important information for carotid imaging.

Key words: Carotid; Magnetic resonance imaging; High-resolution plaque magnetic resonance
imaging;
Three-dimensional reconstruction