Similarity coefficient mapping（SCM） aims to improve the morphological evaluation of T＊2weighted magnetic resonance imaging（T＊2-w MRI）. However, how to interpret the generated SCM map is still pending. Moreover, ...Similarity coefficient mapping（SCM） aims to improve the morphological evaluation of T＊2weighted magnetic resonance imaging（T＊2-w MRI）. However, how to interpret the generated SCM map is still pending. Moreover, is it probable to extract tissue dissimilarity messages based on the theory behind SCM？ The primary purpose of this paper is to address these two questions. First, the theory of SCM was interpreted from the perspective of linear fitting. Then, a term was embedded for tissue dissimilarity information. Finally, our method was validated with sixteen human brain image series from multiecho T＊2-w MRI. Generated maps were investigated from signal-to-noise ratio（SNR） and perceived visual quality, and then interpreted from intra- and inter-tissue intensity. Experimental results show that both perceptibility of anatomical structures and tissue contrast are improved. More importantly, tissue similarity or dissimilarity can be quantified and cross-validated from pixel intensity analysis. This method benefits image enhancement, tissue classification, malformation detection and morphological evaluation.展开更多
Objective:To retrospectively evaluate the diagnostic efficacy of traditional MRI and T2 Mapping quantitative imaging technology for knee joint cartilage injury,clarify the differences in diagnostic value of the two im...Objective:To retrospectively evaluate the diagnostic efficacy of traditional MRI and T2 Mapping quantitative imaging technology for knee joint cartilage injury,clarify the differences in diagnostic value of the two imaging methods in different injury grades and different cartilage subregions,and provide evidence-based basis for the accurate diagnosis of clinical cartilage injury.Methods:Clinical and imaging data of 286 patients with knee joint lesions admitted to the Affiliated Hospital of Xiangtan Medicine and Health Vocational College from January 2020 to June 2023 were collected retrospectively.All patients underwent both traditional MRI sequences and T2 Mapping sequences.The knee joint cartilage was divided into 14 subregions.Two senior radiologists independently diagnosed the images of the two imaging technologies using a blind method and recorded the cartilage injury grades.The sensitivity,specificity,accuracy,positive predictive value,negative predictive value,and area under the receiver operating characteristic curve(AUC)of the two technologies for diagnosing cartilage injury were calculated and compared,and the differences in their diagnostic efficacy in different injury grades and different subregions were analyzed.Results:A total of 4004 cartilage subregions from 286 patients were included in the analysis,including 1836 injured subregions and 2168 normal subregions.The overall sensitivity(89.7%),accuracy(91.2%),and AUC(0.946)of T2 Mapping quantitative imaging for diagnosing cartilage injury were significantly higher than those of traditional MRI(76.3%,82.5%,and 0.852 respectively),with statistically significant differences(p<0.001);there was no significant difference in specificity between the two(93.5%vs 90.8%,p=0.062).Subgroup analysis showed that T2 Mapping had the most significant diagnostic advantage in early cartilage injury(Grade 1),with sensitivity(78.5%)33.2%higher than that of traditional MRI(45.3%)(p<0.001).Conclusion:The diagnostic efficacy of T2 Mapping quantitative imaging for knee joint cartilage injury is significantly superior to that of traditional MRI,especially in the detection of early cartilage injury and accurate evaluation of weight-bearing area injury.Data verify its clinical applicability and reliability.It can be used as an important supplementary method to traditional MRI,and is recommended for the early diagnosis,grading evaluation,and clinical follow-up of cartilage injury.展开更多
目的探讨心脏磁共振组织追踪(cardiac magnetic resonance tissue tracing,CMR-TT)技术及T1 mapping技术在2型糖尿病(type 2 diabetes mellitus,T2DM)患者心肌损伤评估中的应用价值。材料与方法前瞻性收集2023年12月至2025年4月在我院...目的探讨心脏磁共振组织追踪(cardiac magnetic resonance tissue tracing,CMR-TT)技术及T1 mapping技术在2型糖尿病(type 2 diabetes mellitus,T2DM)患者心肌损伤评估中的应用价值。材料与方法前瞻性收集2023年12月至2025年4月在我院进行心脏磁共振检查的T2DM患者64例,健康对照(healthy controls,HC)32例。所有心脏磁共振图像数据导入专用软件进行分析,获取全心心肌应变参数、双心室功能参数以及左心室T1 mapping参数,采用t检验,Mann-Whitney U检验及卡方检验对两组间上述参数进行比较,采用Pearson及Spearman相关性分析心肌结构、功能与心肌应变的关联。结果T2DM组左心室心肌质量指数(left ventricular myocardial mass index,LVMI)、左心室重塑指数(left ventricular remodeling index,LVRI)增加(均P<0.001),左心室全局纵向应变(global longitudinal peak strain in the left ventricle,LV GLS)、右心室全局纵向应变降低(均P<0.05),T2DM组周向左心室收缩期峰值应变率(peak systolic strain rate of the left ventricle,LV PSSR)、纵向LV PSSR及左心室舒张期峰值应变率(diastolic peak strain rate of the left ventricle,LV PDSR)绝对值均降低(均P<0.019)。T2DM患者左心房/右心房(leftatrium/rightatrium,LA/RA)储存应变、LA/RA导管应变均降低(均P<0.001)。T2DM患者的细胞外容积(extracellular volume,ECV)较HC组升高(P<0.001)。双心室射血分数、收缩末期容积指数与双心室应变功能均相关(均P<0.003)。LVMI与左心室全局径向应变(global radial strain of the left ventricle,LV GRS)、左心室全局周向应变(global circumferential strain of the left ventricle,LV GCS)、LV GLS、周向LV PSSR、纵向LV PSSR、径向LV PDSR、周向LV PDSR、纵向LV PDSR相关(均P<0.021)。左心室舒张末期容积指数与LV GCS、LV GLS、周向LV PSSR、纵向LV PSSR、周向LV PDSR相关(均P<0.044)。右心室舒张末期容积指数与右心室全局周向应变相关(r=0.331,P=0.007)。LVRI与LV GLS及纵向LV PDSR相关(均P<0.01),且与径向LV PSSR弱相关(r=0.266,P=0.034)。结论T2DM患者全心心肌应变较对照组降低,ECV值升高,双心室心肌结构、功能与心肌应变相互关联,CMR-TT及T1 mapping技术可以有效检测糖尿病心肌损伤。展开更多
目的基于T2^(*)mapping定量分析业余马拉松运动员足踝部关节软骨的T2^(*)值,并分析其与性别、年龄、身体质量指数(body mass index,BMI)、跑龄、跑量之间的相关性。材料与方法于2023年7月份至2023年9月份招募重庆市长跑运动爱好者48名,...目的基于T2^(*)mapping定量分析业余马拉松运动员足踝部关节软骨的T2^(*)值,并分析其与性别、年龄、身体质量指数(body mass index,BMI)、跑龄、跑量之间的相关性。材料与方法于2023年7月份至2023年9月份招募重庆市长跑运动爱好者48名,其中跑量<300 km/月的36例(中低跑量组),跑量≥300 km/月的12例(高跑量组)。所有受试者均进行单侧无症状踝关节的MRI扫描,扫描序列包括T2^(*)mapping多回波自旋回波(spin echo,SE)序列矢状位、质子密度加权成像脂肪抑制(proton density-weighted imaging fat-saturated,PDWI-FS)序列矢状位、冠状位、横轴位以及T1加权脂肪抑制成像(T1-weighted imaging fat-saturated,T1WI-FS)序列横轴位。沿关节软骨轮廓边缘勾画距骨穹窿、跟骰关节跟骨面、骰骨面及后距下关节跟骨面、距骨面软骨作为感兴趣区(region of interest,ROI),获得相应的T2^(*)值。采用线性回归分析软骨T2^(*)值与年龄、BMI、跑龄的相关性,采用独立样本t检验分析不同跑量及不同性别间的软骨T2^(*)值差异。结果(1)距骨穹窿、跟骰关节跟骨面及骰骨面、后距下关节跟骨面及距骨面软骨T2^(*)值在性别上的差异均具有统计学意义(P=0.001、P<0.001、P=0.002、P=0.008、P=0.004);(2)高跑量组的距骨穹窿、后距下关节跟骨面软骨T2^(*)值高于中低跑量组(P=0.014、0.023),不同跑量的跟骰关节跟骨面及骰骨面、后距下关节距骨面软骨T2^(*)值的差异均无统计学意义(P=0.987、0.072、0.724);(3)距骨穹窿、跟骰关节跟骨面及骰骨面、后距下关节跟骨面、距骨面软骨T2^(*)值均与BMI呈正相关(r=0.376、0.384、0.300、0.422、0.455,P=0.005、0.004、0.019、0.001、0.001)。结论在业余马拉松运动员这一跑步群体中,与中低跑量相比,高跑量更有可能导致距骨穹窿、后距下关节跟骨面软骨损伤;而与较低的BMI相比,高BMI增加了距骨穹窿、跟骰关节跟骨面、骰骨面及后距下关节跟骨面、距骨面软骨损伤的风险。展开更多
基金Project supported in part by the National High Technology Research and Development Program of China(Grant Nos.2015AA043203 and 2012AA02A604)the National Natural Science Foundation of China(Grant Nos.81171402+8 种基金61471349and 81501463)the Innovative Research Team Program of Guangdong Province,China(Grant No.2011S013)the Science and Technological Program for Higher Education,Science and Researchand Health Care Institutions of Guangdong ProvinceChina(Grant No.2011108101001)the Natural Science Foundation of Guangdong Province,China(Grant No.2014A030310360)the Fundamental Research Program of Shenzhen City,China(Grant No.JCYJ20140417113430639)Beijing Center for Mathematics and Information Interdisciplinary Sciences,China
文摘Similarity coefficient mapping（SCM） aims to improve the morphological evaluation of T＊2weighted magnetic resonance imaging（T＊2-w MRI）. However, how to interpret the generated SCM map is still pending. Moreover, is it probable to extract tissue dissimilarity messages based on the theory behind SCM？ The primary purpose of this paper is to address these two questions. First, the theory of SCM was interpreted from the perspective of linear fitting. Then, a term was embedded for tissue dissimilarity information. Finally, our method was validated with sixteen human brain image series from multiecho T＊2-w MRI. Generated maps were investigated from signal-to-noise ratio（SNR） and perceived visual quality, and then interpreted from intra- and inter-tissue intensity. Experimental results show that both perceptibility of anatomical structures and tissue contrast are improved. More importantly, tissue similarity or dissimilarity can be quantified and cross-validated from pixel intensity analysis. This method benefits image enhancement, tissue classification, malformation detection and morphological evaluation.
基金Application Research of MRI Physiological Quantitative Imaging Technology in the Diagnosis of Cartilage Injury(Project No.:RCYJ2021-04)。
文摘Objective:To retrospectively evaluate the diagnostic efficacy of traditional MRI and T2 Mapping quantitative imaging technology for knee joint cartilage injury,clarify the differences in diagnostic value of the two imaging methods in different injury grades and different cartilage subregions,and provide evidence-based basis for the accurate diagnosis of clinical cartilage injury.Methods:Clinical and imaging data of 286 patients with knee joint lesions admitted to the Affiliated Hospital of Xiangtan Medicine and Health Vocational College from January 2020 to June 2023 were collected retrospectively.All patients underwent both traditional MRI sequences and T2 Mapping sequences.The knee joint cartilage was divided into 14 subregions.Two senior radiologists independently diagnosed the images of the two imaging technologies using a blind method and recorded the cartilage injury grades.The sensitivity,specificity,accuracy,positive predictive value,negative predictive value,and area under the receiver operating characteristic curve(AUC)of the two technologies for diagnosing cartilage injury were calculated and compared,and the differences in their diagnostic efficacy in different injury grades and different subregions were analyzed.Results:A total of 4004 cartilage subregions from 286 patients were included in the analysis,including 1836 injured subregions and 2168 normal subregions.The overall sensitivity(89.7%),accuracy(91.2%),and AUC(0.946)of T2 Mapping quantitative imaging for diagnosing cartilage injury were significantly higher than those of traditional MRI(76.3%,82.5%,and 0.852 respectively),with statistically significant differences(p<0.001);there was no significant difference in specificity between the two(93.5%vs 90.8%,p=0.062).Subgroup analysis showed that T2 Mapping had the most significant diagnostic advantage in early cartilage injury(Grade 1),with sensitivity(78.5%)33.2%higher than that of traditional MRI(45.3%)(p<0.001).Conclusion:The diagnostic efficacy of T2 Mapping quantitative imaging for knee joint cartilage injury is significantly superior to that of traditional MRI,especially in the detection of early cartilage injury and accurate evaluation of weight-bearing area injury.Data verify its clinical applicability and reliability.It can be used as an important supplementary method to traditional MRI,and is recommended for the early diagnosis,grading evaluation,and clinical follow-up of cartilage injury.
文摘目的探讨心脏磁共振组织追踪(cardiac magnetic resonance tissue tracing,CMR-TT)技术及T1 mapping技术在2型糖尿病(type 2 diabetes mellitus,T2DM)患者心肌损伤评估中的应用价值。材料与方法前瞻性收集2023年12月至2025年4月在我院进行心脏磁共振检查的T2DM患者64例,健康对照(healthy controls,HC)32例。所有心脏磁共振图像数据导入专用软件进行分析,获取全心心肌应变参数、双心室功能参数以及左心室T1 mapping参数,采用t检验,Mann-Whitney U检验及卡方检验对两组间上述参数进行比较,采用Pearson及Spearman相关性分析心肌结构、功能与心肌应变的关联。结果T2DM组左心室心肌质量指数(left ventricular myocardial mass index,LVMI)、左心室重塑指数(left ventricular remodeling index,LVRI)增加(均P<0.001),左心室全局纵向应变(global longitudinal peak strain in the left ventricle,LV GLS)、右心室全局纵向应变降低(均P<0.05),T2DM组周向左心室收缩期峰值应变率(peak systolic strain rate of the left ventricle,LV PSSR)、纵向LV PSSR及左心室舒张期峰值应变率(diastolic peak strain rate of the left ventricle,LV PDSR)绝对值均降低(均P<0.019)。T2DM患者左心房/右心房(leftatrium/rightatrium,LA/RA)储存应变、LA/RA导管应变均降低(均P<0.001)。T2DM患者的细胞外容积(extracellular volume,ECV)较HC组升高(P<0.001)。双心室射血分数、收缩末期容积指数与双心室应变功能均相关(均P<0.003)。LVMI与左心室全局径向应变(global radial strain of the left ventricle,LV GRS)、左心室全局周向应变(global circumferential strain of the left ventricle,LV GCS)、LV GLS、周向LV PSSR、纵向LV PSSR、径向LV PDSR、周向LV PDSR、纵向LV PDSR相关(均P<0.021)。左心室舒张末期容积指数与LV GCS、LV GLS、周向LV PSSR、纵向LV PSSR、周向LV PDSR相关(均P<0.044)。右心室舒张末期容积指数与右心室全局周向应变相关(r=0.331,P=0.007)。LVRI与LV GLS及纵向LV PDSR相关(均P<0.01),且与径向LV PSSR弱相关(r=0.266,P=0.034)。结论T2DM患者全心心肌应变较对照组降低,ECV值升高,双心室心肌结构、功能与心肌应变相互关联,CMR-TT及T1 mapping技术可以有效检测糖尿病心肌损伤。
