IDEAL序列在节后臂丛神经磁共振成像中的应用.docVIP

IDEAL序列在节后臂丛神经磁共振成像中的应用 当代医学2011年9月第17卷第27期总第254期ContemporaryMedicine,Sep.2011,Vo1.17No.27IssueNo.254 doi:10.3969/J.issn.1009-4393.2011.27.001 IDEAL序列在节后臂丛神经磁共振成像中的应用 邓义关秀红赖碧玉 【摘要]目的探讨IDEAL(etryandtheleast-squaresestimation)联合FRFSE序列在节后臂丛神经成像中的应用价值.方法3o名颈椎MR检查的成人患 者,均无臂丛神经损伤病史,分成两组(每组男性8位,女性7位),用GEsignaHDx3OT磁共振机行臂丛神经成像,采用冠状位薄层扫描,分别扫描IDEAL— FRI::SE序列和STIR序列.对IDEAL及STIR原始图像在SUNADW4.421作站上进行多平面重组(Multi-PlaneReconstruction,MPR)及最大信号投影(MaximumIntensity Projection,MIP)后处理.观察分析各序列可清晰显示的臂丛神经节,锁骨上神经,锁骨下神经数目.结果每组30侧臂丛神经,STIR序列清晰显示神经节 16,锁骨上神经24,锁骨下神经17,信噪比(38.3±2.30),对比噪声比(21.5±1.3o).IDEAL序列清晰显示神经节27,锁骨上神经30,锁骨下神经23,信噪比 (56.5±3.20),对比噪声比(32.4±2.10).结论IDEAL序列可以清楚地显示节后臂丛神经,与STIR序列比较具有明显优势,具有良好应用前景. 【关键词】臂丛神经,磁共振,成像序列;水脂分离技术 【Abstract]ObjectiveTostudytheapplicationofiterativedecompositionofwaterandfatwithechoasymmetryandleast—squaresestimationin combinationwithfastrecoveryfastspin-echosequenceinPostganglionicbrachialplexusmagneticresonanceimaging.Methods30adultpatients, nohistoryofbrachialplexusinjury,dividedintotwogroups(n=8males,7females),underwentcoronalMRSCanofbrachialplexususingIDEAL - FRFSEandSTIRsequencesrespectivelyonGEsignaaDx3.0TMRscanner.Multi?planereconstructionfMaR)andmaximumintensityprojection (MIP)wereperformedbasedonbothIDEAL-FRFSEandSTIRsourceimagestogetrandomanglereconstructivecoronalimagesofbrachialplexus. Imagesofbrachialplexusonthetwosequenceswereobserved.Thecaseofclearlyvisualizedganglion,supraclavicularnerveandsubclavicular nerveofbrachialplexuswascalculated.Onebrachialplexusinjurycase,male,20yearsold,IDEAL-FRFSEcoronalscanwasperformed.Results Thenumberofclearlyvisualizedganglion,supraclavicularnerveandsubclavicularnerveofbrachialplexuswas16,24,17onSTIRsequence,and 27,30,23onIDEAL-FRFSEsequence,respectively.SNRandCNRwere(38.3-4-2.30),(21.5+1.30)onSTIRsequence,(56.5:1:3.20),and(32.4~2.10) onIDEALsequence,respectively.ConclusionIDEAL—FRFSEsequencecanclearlyshowPostganglionicbrachialplexus,ComparedwithSTIR sequencehasobviousadvantages.IDEALimagingisapromisi