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重庆医科大学附属第一医院放射科
纸质出版日期:2013,
网络出版日期:2013-03-30,
移动端阅览
李鹏, 吕发金, 彭聪, 等. IDEAL与3D FSE-Cube序列正常臂丛节后神经成像对比研究[J]. 陆军军医大学学报, 2013,35(6):553-557.
LI PENG, LU FAJIN, PENG CONG, et al. Comparison of IDEAL and 3D FSE-Cube sequences for normal postganglionic brachial plexus. [J]. Journal of army medical university, 2013, 35(6): 553-557.
目的 比较IDEAL序列及3D FSE-Cube序列臂丛节后神经成像图像质量。 方法 利用3.0T磁共振对30名志愿者采用IDEAL序列及3D FSE-Cube序列进行臂丛节后神经成像,每名志愿者在进行3D FSE-Cube序列扫描时均进行两次扫描,第2次使用了自制匀场辅助装置。将所得图像进行MIP、CPR等后处理,计算两种序列臂丛神经各水平显示率,进行神经成像质量评分,测量神经、肌肉、背景噪声信号
并计算神经信噪比(SNR)及对比噪声比(CNR)。 结果 使用辅助装置前3D FSE-Cube序列臂丛神经神经节、锁骨上区神经、锁骨下区神经显示率分别为73.33%、56.67%、40.00%,使用辅助装置后为100.00%、97.67%、93.33%,两组间差异有统计学意义(
P
<
0.05);IDEAL与3D FSE-Cube序列神经节显示率分别为96.67%、100.00%,锁骨上区神经显示率分别为86.67%、96.67%,差异均无统计学意义(
P
>0.05),锁骨下区神经显示率分别为70.00%及93.33%,3D FSE-Cube序列显著高于IDEAL序列(
P
<
0.05);两序列神经节水平成像质量无显著差异(
P
>0.05),斜角肌水平、胸锁关节水平、腋动脉水平3D FSE-Cube序列神经成像质量优于IDEAL序列(
P
<
0.05);IDEAL序列神经节水平神经信号高于3D FSE-Cube序列(
P
<
0.05),斜角肌水平、胸锁关节水平、腋动脉水平两组间差异无统计学意义(
P
>0.05);IDEAL序列信噪比及对比噪声比均高于3D FSE-Cube序列(
P
<
0.01)。 结论 IDEAL序列和3D FSE-Cube序列均能清晰的显示节后臂丛神经,3D FSE-Cube序列结合使用匀场辅助装置具有更高的神经成像质量。
Objective To compare the sequences of iterative decomposition of water and fat with echo asymmetric and least-squares estimation (IDEAL) and 3D FSE-Cube imaging of
brachial plexus. Methods Brachial plexus of 30 health volunteers were imaged on 3.0T MR system with sequences of 3D FSE-Cube and IDEAL respectively. All of the volunteers underwent the same MR scanning for 2 times with 3D FSE-Cube sequence with the assistive device was used in the second time. Images were post-processed with MIP and CPR
and then the display rate was calculated
and image quality was assessed
signal noise ratio (SNR) and contrast-to-noise ratio (CNR) were calculated. Results The display rates of the ganglion
supra clavicular nerve
and infra clavicular nerve on 3D FSE-Cube sequence were 73.33%
56.67% and 40.00% respectively
while the rates were 100.00%
97.67% and 93.33% respectively after use of the assistive device
with statistically difference between them (
P
<
0.05). The display rate of ganglion were 96.67% and 100.00% on IDEAL and 3D FSE-Cube respectively
and that of supra clavicular nerve was 86.67% and 96.67%
respectively
but there was no significantly difference in both of them (
P
>0.05). The infra clavicular nerve was shown better on 3D FSE-Cube than IDEAL (93.33%
vs
70.00%
P
<
0.05). In levels of ganglion
the imaging quality on IDEAL and 3D FSE-Cube had no significant difference(
P
>0.05). In the levels of interscalene area
costoclavicular space
and axillary
the quality of 3D FSE-Cube was better than IDEAL (
P
<
0.05). In the level of ganglion
the signals of IDEAL were higher than those of 3D FSE-Cube (
P
<
0.05). There was no significant difference in other level of brachial plexus between the 2 sequences (
P
>0.05). SNR and CNR were both higher in IDEAL than in 3D FSE-Cube (
P
<
0.01). Conclusion The sequences of IDEAL and 3D FSE-Cube both have the capacity of clearly displaying postganglionic brachial plexus
But the imaging quality of 3D FSE-Cube is better when combined with assistive device.
臂丛神经磁共振成像磁化率伪影
brachial plexusmagnetic resonance imagingmagnetic susceptibility artifact
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