DOI QR코드

DOI QR Code

Evaluation of Usefulness of an m-DIXON Technique during an Abdomen MRI Examination : A Comparison with an e-THRIVE Technique

복부 MRI검사에서 m-DIXON기법의 유용성 평가: e-THRIVE기법과 비교 분석

  • Lee, Bo-Woo (Department of Radiology, Konyang University Hospital) ;
  • Park, Myung-Cheol (Department of Radiology, Konyang University Hospital) ;
  • Lee, Jin-Hoi (Department of Radiology, Konyang University Hospital) ;
  • Kim, Ki-Jin (Department of Nuclear Medicine, Konyang University Hospital) ;
  • Bae, Seok-Hwan (Department of Radiological Science, Konyang University)
  • 이보우 (건양대학교병원 영상의학과) ;
  • 박명철 (건양대학교병원 영상의학과) ;
  • 이진회 (건양대학교병원 영상의학과) ;
  • 김기진 (건양대학교병원 핵의학과) ;
  • 배석환 (건양대학교 방사선학과)
  • Received : 2014.08.04
  • Accepted : 2014.10.20
  • Published : 2014.10.28

Abstract

This research is conducted to identify whether an m-DIXON technique which is useful for an abdomen MRI examination compared with an existing e-THRIVE technique is a clinically useful or not. There was evaluated quantitative and qualitative to 84 subjects who had abdomen MRI exam due to their liver disease were conducted during a period from September in 2013 to February in 2014. First of all the quantitative evaluation, the m-DIXON technique's SNR was $90.42{\pm}16.90$ and the e-THRIVE technique was $60.42{\pm}11.54$ and the m-DIXON technique's CNR was $52.38{\pm}22.58$ and the e-THRIVE technique was $46.31{\pm}20.25$. Secondly in the qualitative evaluation, the m-DIXON technique's image quality was $4.06{\pm}0.34$, a artifact was $3.64{\pm}0.22$, and fat suppression was $4.16{\pm}0.15$, the e-THRIVE technique's image quality was $3.14{\pm}0.35$, a artifact was $3.06{\pm}0.38$, fat suppression was $3.14{\pm}0.30$. In conclusion, m-DIXON technique for abdomen MRI examination showed superiority over both SNR as a quantitative anaylsis, CNR and a qualitative analysis.

이 연구의 목적은 복부 MRI검사에 유용한 m-DIXON기법이 기존 e-THRIVE기법에 비해 임상적으로 유용한 검사인지 알아보기 위해 2013년 9월부터 2014년 2월까지 간 질환을 주소로 복부 MRI검사를 시행한 84명을 대상으로 분석하였다. 연구결과에서 SNR은 m-DIXON기법 $90.42{\pm}16.90$, e-THRIVE $60.42{\pm}11.54$로 나타났으며, CNR은 m-DIXON기법 $52.38{\pm}22.58$, e-THRIVE기법 $46.31{\pm}20.25$로 나타났다. 정성적 평가는 m-DIXON기법에서 영상의 질 $4.06{\pm}0.34$, 인공물 $3.64{\pm}0.22$, 지방소거 $4.16{\pm}0.15$로 나타났으며, e-THRIVE기법에서 영상의 질 $3.14{\pm}0.35$, 인공물 $3.06{\pm}0.38$, 지방소거 $3.14{\pm}0.30$으로 나타났다. 결론적으로 복부 MRI검사에서 m-DIXON기법은 e-THRIVE 기법에 비해 정량적 평가 및 정성적 평가에서 우수한 것으로 나타나, 향후 복부질환의 진단에 유용하게 활용할 것을 제안한다.

Keywords

References

  1. Korea Centers for Disease Control & Prevention, Korea National Health and Nutrition Examination Survey 2012, https://knhanes.cdc.go.kr/knhanes/ index.do.
  2. Nguyen M.H., Keeffe E.B., Screening for hepatocellular carcinoma, J Clinical Gastroenterol, Vol. 35 No. 5, pp. 86-91, 2002. https://doi.org/10.1097/00004836-200207000-00018
  3. Mendez-Gallart R., Bautista A., Estevez E., et al., Abdominal cystic lymphangiomas in pediatrics; surgical approach and outcomes, Acta Chir Belg, Vol. 111 No. 6, pp. 374-377, 2011. https://doi.org/10.1080/00015458.2011.11680776
  4. J. B. Seo, M. J. Cho, T. H. Jung, et al, A study consideration on abdomen magnetic resonance T1-weighted image for a pediatric in need of sedation, Korean Society of MR Technology, Vol. 22 No. 1, pp. 124-130, 2010.
  5. The Korea Society of Magnetic Resonance Imaging: Textbook Magnetic Resonance Imaging, Chung-Ku Publishing, 2010.
  6. Bayramoglu S., Kilickesmez O., Cimilli T., et al, T2-weighted MRI of the upper abdomen: comparison of four fat-suppressed T2-weighted sequences including PROPELLER (BLADE) technique, Academic Radiology, Vol. 17 No. 3, pp. 368-374, 2010.
  7. Y. I. Kim, MRI of the Whole Body, Korea Medical Publishing CO, 1995.
  8. PHILIPS, m-DIXON being developed to simplify and accelerate liver MRI, Publication for the Philips MRI Community, Issue 41, pp. 32-33, 2010.
  9. Blakeborough A., Mathieu D. G., Strotzer M., et al, Magnetic Resonance Image of the liver: New imaging strategies for evaluating focal liver lesions, Eur Radiol, Vol 10, pp. 72-85, 2009.
  10. Stark D.D., Wittenberg J., Edelman R.R., et al, Detecion of hepatic metastases by magnetic resonance; Analysis of pulse sequence performance Radiology, Vol. 159, pp. 365-370, 1986. https://doi.org/10.1148/radiology.159.2.3008212
  11. J. S. Park, J. H. Park, T. U. Wang, et al, Comparison between Pre-Contrast and Post-Contrast HASTE T2-Weighted Image in Gd-EOB-DTPA Enhanced Live MRI. Korean Society of MR Technology, Vol. 21 No. 1, pp. 75-81, 2011.
  12. Seneterre E., Taourel P., Bouvier Y., et al. Detection of hepatic metastases: Ferumoxidesenhanced MR imaging versus unenhanced MR imaging and CT during arterial protography. Radiology, Vol. 200, pp. 785-792, 1996. https://doi.org/10.1148/radiology.200.3.8756932
  13. Teefey S.A., Hildeboldt C.C., Dehdashti F., et al, Detection of primary hepatic malignancy in liver transplant candidates; Prospective comparision of CT, MRI image, US, and PET. Radiology, Vol. 226, pp. 533-542, 2003. https://doi.org/10.1148/radiol.2262011980
  14. Perkins T. G., Van Tilburg J. L., Herigault G., et al, Preliminary clinical experience with a multiecho 2-Point DIXON sequence at 3T as an efficient alternative, Proc. Intl. Soc. Mag. Reson. Med., Vol 18, pp. 556, 2010.
  15. Eggers H., Brendel B., Herigault G., Comparison of DIXON methods for fat suppression in single breath-hold 3D gradient-echo abdominal MRI, Proc. Intl. Soc. Mag. Reson. Med., Vol 17, pp. 2705, 2009.
  16. Dixon W. T., Simple Proton Spectroscopic Imaging, Radiology, Vol. 153, pp. 189-194, 1984. https://doi.org/10.1148/radiology.153.1.6089263
  17. Perkins T.G., Herigault G., Eggers H., et al, Abdominal MR Imaging at 3.0T: Preliminary Clinical Experience with 2-Point mDIXON as an Alternative to eThrive and Chemical Shift Imaging. Thieme E-Journals RoFo, pp. 182-A8, 2010.
  18. M. H. Lee, Y. K. Kim, M. J. Park, et al, Gadoxetic acid-enhanced fat suppressed three-dimensional T1-weighted MRI using a multiecho dixon technique at 3 tesla: emphasis on image quality and hepatocellular carcinoma detection, J Magn Reson Imaging, Vol. 38 No. 2, pp. 401-410, 2013. https://doi.org/10.1002/jmri.23983
  19. Puneet S., Bobby K., Hiroumi D., et al, Optimization of single injection arterial phase gadolinium enhanced MRI using bolus track real-time imaging, Journal of MRI, Vol. 33, pp. 110-118, 2011.
  20. Tauil B., Koh D. M., Diffusion-weighted MR imaging of the liver, Radiology, Vol. 254 No. 1, pp. 47-66, 2010. https://doi.org/10.1148/radiol.09090021