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
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。
