论著-头颈部
正常人脑1 H-MRS代 谢产物定量的相关 影响因素分析*
作者:李玉欣1 喻奇志1 周晓玲1 钟 正1 江登科2 周 明1
所属单位:1.湖南省长沙市第一医院放射科 (湖南 长沙 410008) 2.湖南中医药大学第二附属医院放 射科 (湖南 长沙 410007)
PDF摘要
目的 探讨不同回波时间(TE)、 受检者年龄、性别、侧别对正常成人 脑1 H-MRS额叶及基底节区磁共振波谱 (magneticresonance spectroscopyMRS) 代谢物定量的影响。方法 通过对17位健 康志愿者(20-60岁)采用多体素点分辨波 谱(PRESS)序列进行1 H-MRS检查,TE分别 采用30ms、135ms,对比双侧额叶及基底 节区同一感兴趣区NAA/Cr,Cho/Cr值,并 且按照TE、年龄、性别、左右分组比较各 组间结果。结果 (1)TE为135时可以获得 更高质量的图像;长、短TE两组间左右额 叶及基底节区NAA/Cr比值及左右基底节区 Cho/Cr比值对比有显著性差异。(2)在同 一TE参数下,左右额叶对称部位感兴趣区 NAA/Cr值对比有显著差异,而性别对波 谱代谢物相对定量值的无显著影响;(3) 双侧额叶NAA/CR及右侧基底节区NAA/CR 值与年龄呈显著负相关。结论 不同回波 时间、年龄及侧别对MRS代谢物会产生影 响,而性别对MRS代谢产物无影响。
Objective To investigate the effect of echo time, age, gender and the difference between right and left on metabolite quantity in front lobe and basal ganglia of MR spectroscopy in healthy adults. Methods MRS were employed in 17 right-handed healthy volunteers (5 male and 12 female, age range 20~60years, average age 48.5±16.5) used multi-voxel PRESS sequence with diffent TE(30ms and 135ms).Voxels were selected at the same areas of bilateral frontal white matter and basal ganglia, N-acetylaspartate(NAA), choline-containing compounds(Cho) and creatine(Cr) and NAA/Cr Cho/Cr were measured. And compared each statistical index between right and left, male and female. Results (1) We could got higher quality imagingsused PRESS135.And the NAA/Cr ratios in the frontal white matter and basal ganglia using PRESS135 and PRESS35 sequence had significant difference. However, there had no difference between them about the concentrations of Cho/ Cr in the basal ganglia. (2) The NAA/Cr had significant difference between right and left frontal white matter at the same TEs. However, no significant gender effects were found in the concentrations and their ratios. (3)Significant negative-correlation between age and NAA/Cr ratios were observed in the bilateral frontal white matter and right basal ganglia area. Conclusion This study demonstrated that different echo time, age laterality differences may affect the metabolicratios measured by MR spectroscopy, but there had no gender differences in both side of frontal white matter and right basal ganglia.
【关键词】磁共振成像;磁共振波谱;影 响因素
【中图分类号】R445.2
【文献标识码】A
【DOI】 10.3969/j.issn.1672- 5131.2017.03.004
前言
MRS扫描所获得的代谢物信息依赖于扫描设备及参数等各方面的 因素,相关因素包括设备场强、脉冲序列及TR和回波时间(echo time TE)的选择、体素大小及感兴趣区(ROI)的确定、饱和带的放置以及匀 场的优化等方面。本研究利用1 H-MRS多体素PRESS序列对正常人进行颅 脑MRS扫描,通过研究额叶及基底节区代谢物的特点分析长、短TE、受 检者年龄、性别以及侧别对MRS代谢物定量的影响,为MRS在神经系统 疾病研究及临床应用中提供客观、基础参考依据。
中国CT和MRI杂志
第15卷, 第 3 期
2017年03月
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