三英寸表面线圈在磁共振颈动脉斑块成像中的应用.pdfVIP

中国医学影像技术2007年第23卷第12期 Chin J Med Imaging Technol，2007，Vol 23，No 12 · 1809· Carotid plaque~arotid plaque imaging high resolution M ging：…： 一 一 ’ ‘ 一一R lmagin’ ging with 3--inch surface coil LI Ming—li ，ZHUⅥ一cheng ，FENG Feng’，YOU Hui’，HULing ，JJN Zheng—yu (1．Department of Radiology，2．Department of Neurology，Peking Union Medical College Hospital， Chinese Academy of Medical Sciences Peking Union Medical College，Beijing 100730，China) [Abstract] Objective To study the value of 3-inch surface coil in MR imaging of carotid plaques．Methods Thirty—three patients with atherosc1erosis underwent MR imaging with a 1．5-T system (Signa Excite HD)and two 3-inch coil．A stand— ardized protocol was performed to obtain 4 different contrast—weighted images(3D TOF，T1，and PD／T2一weighted)of the carotid arteries．An image~quality rating(5-point scale：1=poor，5一excellent)for each sequence was evaluated by two radi— ologists．Also 4 components of carotid plaque were analyzed based on 4 sequences．Results Totally 264 sequences(bilateral carotid arteries)were reviewed．Images with image quality≤2 were found in only 27 sequences(10．2 )，and images with quality≥4 were found in 147 sequences(55．7 )．Images with image~quality≥3 were included for plaque analysis，including 50 carotid arteries．Among them 32 plaques were found in 20 patients．Components analysis demonstrated 1 6 plaques with unambiguous lipid—rich／necrotic core(LR／NC)，10 plaques with hemorrhage，1 5 plaques with calcification and 5 plaques with ruptured fibrous cap．The inter-reader agreement(Kappa，95 CI)was excellent for evaluation of LR／NC(0．81；0．61 to 1．01)，hemorrhage(0．86；0．66 to 1．04)，calcification(0．87；0．70 to 1．00)，and moderate for evaluation of ruptured fi— brous cap(0．45；0．05 to 0．85)．Conclusion High—resolution MR imaging with 3-inch surface c