基于压缩感知的3D-SPACE序列在肩锁关节损伤诊断中的应用价值
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1.南京医科大学第一附属医院放射科;2.西门子数字医疗科技上海有限公司应用培训部;3.南京医科大学第一附属医院

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R445.2

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国家自然科学基金项目(面上项目,重点项目,重大项目)


Application Value of 3D-SPACE Sequence Based on Compressed Sensing in the Diagnosis of Acromioclavicular Joint Injury
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Department of Radiology,the First Affiliated Hospital of Nanjing Medical University

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    目的:探讨三维可变翻转角快速自旋回波(Sampling Perfection with Application optimized Contrast using different flip angle Evolutions,SPACE)序列联合压缩感知(Compressed Sensing,CS)技术在肩锁关节损伤诊断中的应用价值。方法:前瞻性的纳入有肩部外伤史、临床怀疑肩锁关节损伤的患者34例,对患者分别进行常规二维(two-dimension,2D)磁共振序列和基于压缩感知的3D CS-SPACE序列扫描。分别在两组图像上测量肱二头肌长头腱和肱骨骨髓腔的信号值SI和标准差SD,并计算出信噪比(signal to noise ratio,SNR)、对比噪声比(contrast to noise ratio,CNR);三位医生分别通过两组图像评估肩锁关节的损伤情况并给出其诊断信心评级。比较两组图像骨髓腔、肱二头肌长头腱的SNR、CNR以及诊断信心评级;分别分析三位医生在常规2D图像中的诊断一致性和CS-SPACE图像中的诊断一致性,最后评估两组图像之间的诊断一致性。结果:图像质量的客观评价中CS-SPACE图像的图像SNR和CNR均明显优于常规2D图像;对于两组图像诊断信心的评级有两位医生的评级CS-SPACE图像明显高于常规2D图像,一位医生评级无明显差异;三位医生在常规2D图像和CS-SPACE图像上对肩锁关节损伤的评估均具有较高的一致性(k均>0.6),两组图像间对肩锁关节的损伤评估具有较高的一致性(k值均>0.6)。结论: 对于肩锁关节损伤的诊断CS-SPACE序列图像与常规2D图像具有较高的一致性且CS-SPACE序列能够在缩短扫描时间的同时获得更好的图像质量。

    Abstract:

    o assess the value of SPACE sequence combined with compressed sensing technique in the diagnosis of acromioclavicular joint injury. Methods: 34 patients with a history of shoulder trauma and suspected acromioclavicular joint injury were prospectively included. Conventional 2D magnetic resonance sequence and 3D CS-SPACE sequence scanning based on compressed sensing were performed on the patients. Signal SI and standard deviation SD of long head tendon of biceps and bone marrow cavity of humerus were measured on two sets of images, and SNR and CNR were calculated. Three doctors assessed the injuries of the acromioclavicular joint through two sets of images and gave their diagnostic confidence rating. The SNR, CNR of bone marrow cavity and biceps long tendonand and diagnostic confidence ratings were compared between the two groups. The diagnostic consistency of the three doctors in conventional 2D images and CS-SPACE images was analyzed respectively, and the diagnostic consistency between the two sets of images was evaluated. Results: In the objective evaluation of image quality, SNR and CNR of CS-SPACE image were obviously better than that of conventional 2D image. For the two groups of images, two doctors' ratings of CS-SPACE images were significantly higher than those of conventional 2D images, and one doctor's ratings had no significant difference; The three doctors demonstrated a strong agreement in the evaluation of acromioclavicular joint injury on both conventional 2D images and CS-SPACE images (k>0.6), and there was a high consistency in the evaluation of acromioclavicular joint injury between the two groups of images (k>0.6). Conclusion: For the diagnosis of acromioclavicular joint injury, CS-SPACE sequence images has high consistency with conventional 2D images, and CS-SPACE sequence can shorten the scanning time and obtain better image quality.

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  • 收稿日期:2024-05-08
  • 最后修改日期:2024-06-14
  • 录用日期:2024-08-19
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