中国临床医学影像杂志  2020, Vol. 31 Issue (2): 95-97    DOI: 10.12117/jccmi.2020.02.005
  头颈部影像学 本期目录 | 过刊浏览 | 高级检索 |
自制米袋在3.0T MRI颈部弥散序列扫描中的价值
汪  荣,朱大荣,韩志江,丁金旺
浙江大学医学院附属杭州市第一人民医院放射科,浙江 杭州  310006
The application of customized rice bags during neck 3.0T MRI scanning with diffusion weighted imaging
WANG Rong, ZHU Da-rong, HAN Zhi-jiang, DING Jin-wang
Department of Radiology, Affiliated Hangzhou First People’s Hospital, Zhejiang University School of Medicine, Hangzhou 310006, China
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摘要 目的:探讨自制米袋在3.0T MRI颈部弥散加权成像(Diffusion weighted imaging,DWI)序列扫描中的应用价值。方法:通过常规及米袋序列,用相同参数对50名志愿者颈部进行DWI扫描,对所得图像进行主观四级法及客观测量法评价,并比较分析。结果:50例志愿者主观评价法中,DWI图像质量分级在常规组和米袋组分别为30例和0例(1级)、15例和0例(2级)、5例和4例(3级)、0例和46例(4级),P均<0.05。客观评价法中,DWI图像在b值为200、400、600、800 s/mm2时相位编码方向变形率平均值在常规组和米袋组分别为80.51±25.31和11.41±4.31、81.92±23.27和12.23±5.25、82.89±19.63和12.52±9.67,83.41±30.44和13.22±11.32,P均<0.05;结论:在3.0T MRI颈部DWI序列扫描中,应用米袋辅助扫描可明显提高成像质量,减少变形率,并且操作简单,易于推广。
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汪 荣
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关键词 磁共振成像    
Abstract:Objective:  To investigate the value of using customized rice bags during the neck 3.0T MRI scanning with diffusion weighted imaging(DWI) pulse sequences. Methods: Fifty healthy volunteers were scanned with the DWI sequences using the same parameter settings, one group with customized rice bags placed on the neck and upper chest and the other group without. The resultant images were compared using a four-level observer-grading system(Levels 1~4 for image effect from the worst to the best) for subjective evaluation as well as via quantitative measurements of deformation rate in different regions of interest for objective evaluation. Statistical significance for the comparison between the conventional(no rice bag) group and the rice-bag group or between the observers was analysed by the Mann-Whitney test and the Wilcoxon test, or the Kappa test. Results: Using the four-level observer-grading system for the DWI, the 50 cases were classified as followed in the conventional group vs. the rice-bag group: 30 vs. 0(Level 1), 15 vs. 0 (Level 2), 5 vs. 4 (Level 3), and 0 vs. 46 (Level 4), with P<0.05 for all levels. For the quantitative comparison, the deformation rate for the conventional group vs. the rice-bag group in the average deformation rate of phase encoding direction when the b=200, 400, 600 and 800 s/mm2 were 80.51±25.31 and 11.41±4.31, 81.92±23.27 and 12.23±5.25, 82.89±19.63 and 12.52±9.67, 83.41±30.44 and 13.22±11.32. Conclusion: In neck 3.0T MR DWI scans, the use of customized rice bags can significantly improve the imaging quality and reduce the deformation rate. It is simple to implement and hence broadly applicable.
Key wordsNeck    Magnetic resonance imaging
收稿日期: 2019-05-13     
PACS:  R323.1  
  R445.2  
基金资助:浙江省公益技术应用研究项目(2017C33180);杭州市农业与社会发展科研自主申报项目(20191203B93);2015浙江省医药卫生计划项目2015KYB293;浙江省教育厅科研项目(Y201636958)。
通讯作者: 韩志江,杭州市第一人民医院放射科,310006。E-mail:hzjsyy@126.com   
作者简介: 汪荣(1981-),男,浙江杭州人,主管技师。E-mail:67950282@qq.com
引用本文:   
汪 荣,朱大荣,韩志江,丁金旺. 自制米袋在3.0T MRI颈部弥散序列扫描中的价值[J]. 中国临床医学影像杂志, 2020, 31(2): 95-97.
WANG Rong, ZHU Da-rong, HAN Zhi-jiang, DING Jin-wang. The application of customized rice bags during neck 3.0T MRI scanning with diffusion weighted imaging. JOURNAL OF CHINA MEDICAL IMAGING, 2020, 31(2): 95-97.
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