腰椎零回波成像中采样点数对图像质量影响的探讨
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1.南京医科大学第一附属医院放射科;2.通用电气医疗

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Exploration on the impact of the number of readout points on image quality in zero echo time imaging of the lumbar spine
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Department of Radiology, the First Affiliated Hospital of Nanjing Medical University

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    摘要:

    目的:探讨不同采样点数(number of readout points, Nread)对腰椎零回波时间(zero echo time, ZTE)成像图像质量的影响,并确定最优的采样点数。方法:招募16名健康志愿者,分别采用128、144和160三种采样点数进行腰椎冠状位ZTE扫描,获得Nread-128、Nread-144和Nread-160三组图像。在各组图像中分别测量皮质骨、肌肉及松质骨区域的信号强度,并以皮下脂肪标准差作为噪声,计算信噪比(signal to noise ratio, SNR)和对比噪声比(contrast to noise ratio, CNR)。由2名观察者采用4分法,从皮质骨描绘、解剖结构清晰度、感知图像噪声及总体图像质量四个方面对三组图像进行主观评价,并采用加权Kappa检验评估观察者间评分的一致性。SNR和CNR的比较采用重复测量方差分析,图像质量主观评分的比较采用Friedman检验,事后分析均采用Bonferroni法。结果:在所有测量区域(皮质骨、肌肉、松质骨)的SNR及组织间(皮质-肌肉、皮质-松质)CNR方面,均有Nread-160 > Nread-144 > Nread-128(P 均< 0.001)。在主观评价方面,Nread-160组明显高于Nread-128组(P < 0.001),而与Nread-144组间差异无统计学意义(P > 0.05)。结论:在腰椎ZTE成像中,增加Nread有助于提升图像质量。Nread-144在提供较高SNR与CNR的同时,其主观图像质量评分与Nread-160相当。综合考虑扫描时间与图像质量,推荐将144作为腰椎ZTE成像中的最优采样点数。

    Abstract:

    Objective: To investigate the impact of different numbers of readout points (Nread) on image quality in zero echo time (ZTE) imaging of the lumbar spine, and to determine the optimal Nread. Methods: Sixteen healthy volunteers were recruited and underwent coronal ZTE scans of the lumbar spine with three different Nread (128, 144, and 160), to obtain three sets of images (Nread-128, Nread-144, and Nread-160). The signal intensity of the cortical bone, muscle, and cancellous bone was measured in each set, and the standard deviation of subcutaneous fat was defined as noise to calculate the signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR). Two observers subjectively evaluated the three sets of images using a 4-point scale across four aspects: cortical bone depiction, anatomical structure clarity, perceived image noise, and overall image quality. Inter-observer agreement was assessed using weighted Kappa statistics. Repeated-measures ANOVA was used to compare SNR and CNR, and the Friedman test was used to compare subjective image quality scores, with Bonferroni correction applied for post-hoc analyses. Results: For the SNR in all measured regions (cortical bone, muscle, and cancellous bone) and the CNR between tissues (cortical bone-muscle, cortical-cancellous bone), the results consistently showed Nread-160 > Nread-144 > Nread-128 (P < 0.001). In terms of subjective evaluation, the scores for the Nread-160 set were significantly higher than those for the Nread-128 set (P < 0.001), while the difference between the Nread-160 set and the Nread-144 set was not statistically significant. (P > 0.05). Conclusion: In ZTE scanning of the lumbar spine, increasing Nread helps improve image quality. Nread-144 provides high SNR and CNR, and its subjective image quality scores are comparable to those of Nread-160. Considering both scanning time and image quality, 144 is recommended as the optimal Nread for ZTE imaging of the lumbar spine.

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  • 收稿日期:2025-10-31
  • 最后修改日期:2026-01-06
  • 录用日期:2026-01-22
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