腰椎零回波时间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,江苏 南京 210029 ;2. 通用电气医疗,北京 100176

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R445.2

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Exploration on the impact of the number of readout points on image quality in zeroecho time imaging of the lumbar spine
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1. Department of Radiology, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029 ;2. GE Healthcare, Beijing 100176 , China

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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)成像质量的影响,并确定最优的Nread。方法:招募16例健康志愿者,分别采用128、144和160 3种Nread进行腰椎冠状位ZTE扫描,获得Nread-128、Nread-144和Nread-160 3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4个方面对3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,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Nread

    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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孙仪,徐露露,吴仆射,邹月芬.腰椎零回波时间成像中采样点数对图像质量影响的探讨[J].南京医科大学学报(自然科学版),2026,(2):241-246,261

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  • 在线发布日期: 2026-02-15
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