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磁共振弥散成像血管密度:概念及潜在多种临床应用

王毅翔 姚殿琦 李才应 肖本亨 Akmal Sabarudin Giuseppe Guglielmi

新发传染病电子杂志2024,Vol.9Issue(6):36-41,6.
新发传染病电子杂志2024,Vol.9Issue(6):36-41,6.DOI:10.19871/j.cnki.xfcrbzz.2024.06.007

磁共振弥散成像血管密度:概念及潜在多种临床应用

Magnetic resonance diffusion derived vessel density:concepts and potential diverse applications

王毅翔 1姚殿琦 1李才应 1肖本亨 1Akmal Sabarudin 2Giuseppe Guglielmi3

作者信息

  • 1. 香港中文大学医学院影像与介入放射学系,沙田 中国香港
  • 2. Diagnostic Imaging and Radiotherapy Program,Faculty of Health Sciences,The National University of Malaysia,Kuala Lumpur,Malaysia
  • 3. Radiology Unit,Department of Clinical and Experimental Medicine,Foggia University School of Medicine,Foggia,Italy
  • 折叠

摘要

Abstract

On diffusion-weighted(DW)imaging,blood vessels show high signal when there is no diffusion gradient(b=0s/mm2),while they show low signal even when very low b-values(such as b=l or 2s/mm2)are applied.Thus,the signal difference between images when the diffusion gradient is'off'and images when the diffusion gradient is'on'reflects the extent of tissue vessel density.We measure this via MRI diffusion derived vessel density(DDVD).For spin-echo type echo-planar imaging sequence,the second motion probing gradient after the 180-degree radiofrequency pulse could not fully re-focus the flowing spins in vessel and micro-vessels after being de-phased by the first motion probing gradient before the 180-degree radiofrequency pulse.The analysis of DDVD requires only two b-values(with one being b=0s/mm2 and the other being a non-zero low b-value),with a significantly shorter scanning time than contrast enhanced CT/MRI while without the need of a contrast agent injection and without radiation associated with CT.DDVD measure appears to be useful as a straightforward imaging biomarker in diverse clinical scenarios,including hepatitis B liver fibrosis,hepatocellular carcinoma,rectal carcinoma,liver hemangioma,early preeclampsia placenta,placenta accreta spectrum disorder,ischemic penumbra of brain stroke.

关键词

磁共振/弥散加权成像/血管密度/乙型肝炎肝纤维化

Key words

Magnetic resonance imaging/Diffusion-weighted imaging/Vessel density/Hepatitis B liver fibrosis

分类

医药卫生

引用本文复制引用

王毅翔,姚殿琦,李才应,肖本亨,Akmal Sabarudin,Giuseppe Guglielmi..磁共振弥散成像血管密度:概念及潜在多种临床应用[J].新发传染病电子杂志,2024,9(6):36-41,6.

基金项目

香港基础研究基金项目(14112521) (14112521)

新发传染病电子杂志

OACSTPCD

2096-2738

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