平衡快速梯度回波序列临床应用价值.docVIP

平衡快速梯度回波序列临床应用价值 　 作者：张嵘 元建鹏 李勇 刘庆余 钟镜联 黄穗乔 云文娟 【摘要】 目的 评价平衡快速梯度回波序列(balance-FFE，B-FFE)的临床应用价值。方法 860例怀疑胸腹疾患的患者分别行快速自旋回波(TSE)和B-FFE检查，然后对TSE T2WI序列与B-FFE序列的图像清晰度、血管显示、脏器边界及间隙解剖及病灶检出进行分析比较。结果 B-FFE序列的图像清晰度、血管显示及解剖显示均优于TSE T2WI序列，对肝癌和转移瘤的检出率略低于TSE，肝血管瘤与肝囊肿的检出率略高于TSE。结论 B-FFE能很好地显示血管系统及其病变侵犯；清楚地显示胆管内外的病变，重建后的图像质量可与MRCP相媲美；扫描速度快，几乎无运动伪影，对较重或不能屏气的患者有明显的优势。 【关键词】 磁共振成像 平衡快速梯度回波 诊断技术 【Abstract】 Objective To evaluate the clinical application of B-FFE sequences.Methods B-FFE sequence imaging were performed in 860 patients with a 1.5T MR scanner.All imagings were evaluated for quality of images，definition of blood vessels，demonstration of dissection.The results were compared with those from Turbo-SE T2-weighted imagings.The lesion detection of 25 patients proven hepatic lesions were evaluated too.Results Compare with TSE，B-FFE has good quality of imaging，excellent demonstrastion of blood vessels and dissection.For detecting solid lesions，TSE was little better than B-FFE，but for detecting cystic lesions，TSE was little bad.Conclusion The B-FFE sequence is good at revealing the blood vessels and pancreaticobiliary tract wall lesions as well as the tumor invasion.The quality of the pancreaticobiliary tract reconstruction image are as good as MRCP.B-FFE images with so short scan time are almost free from motion artifacts.It is significantly promising in advanced patients and those can not hold the breathe to compete examinations with relatively long time. 【Key words】 MRI balance-fast field echo diagnostic techniques 平衡快速梯度回波序列（balance-FFE，B-FFE）是近年来随着MRI技术的发展应用于临床的一种快速序列，该序列由于采用极短的TR和TE，血管、胰胆管等表现为清晰的亮信号，在临床应用中体现出独特的优势［1，2］。笔者回顾性分析平衡快速梯度回波序列的临床应用价值。 1 资料与方法 1.1 一般资料 本组860例临床患者分别接受了常规快速自旋回波（turbo spin echo，TSE）序列和B-FFE序列检查，男547例，女313例，年龄1～81岁。其中腹部检查637例，胸部检查152例，内耳检查71例。 1.2 MRI检查方法 使用Philips intera 1.5T超导型磁共振成像系统。各部位先进行常规的TSE序列扫描：视野为350～380mm，矩阵256×256，层厚/层距5.0mm/1.0mm，层数根据病变范围扫描20～40层。T1WI，TR/TE/采集次数为400ms/14ms/2；T2WI，TR/TE/采集次数为3000ms/90ms/2。然后进行B-FFE序列扫描，视野为35