Performance of spiral UTE-MRI of the lung in post-COVID patients.

Performance of spiral UTE-MRI of the lung in post-COVID patients.
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DOI:
10.1016/j.mri.2022.12.002
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发表时间:
2023-02
影响因子:
2.5
通讯作者:
Feng, Li
Feng, Li
中科院分区:
医学4区
文献类型:
--
作者:
Fauveau, Valentin;Jacobi, Adam;Bernheim, Adam;Chung, Michael;Benkert, Thomas;Fayad, Zahi A.;Feng, Li

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从 COVID-19 中康复的患者可能会在肺部出现长期的 COVID 症状。对于这一患者群体(新冠肺炎后患者),他们可能受益于纵向、无辐射肺部 MRI 检查,以监测肺部病变的发展和进展。本研究的目的是调查一组新冠肺炎后患者中螺旋超短回波时间 MRI 序列 (Spiral-VIBE-UTE) 与 CT 的性能比较,并比较使用不同螺旋 MRI 采集协议获得的图像质量。对 36 名新冠肺炎后患者进行了肺部 MRI 扫描,采用不同的采集方案,包括不同的螺旋采样重新排序方案(分区中的线或线中的分区)和不同的屏气位置(吸气或呼气)。三名经验丰富的胸部放射科医生独立对不同肺部结构的所有 MR 图像进行评分。还将来自螺旋采集协议的获得最高图像质量分数的肺部 MR 图像与 27 名患者的相应 CT 图像进行比较,以评估诊断图像质量和病变识别。与其他图像质量分数(分数范围 = 1.7–3.29)相比,在吸气屏气位置采用分区重排序方案中的线采集的 Spiral-VIBE-UTE MRI 获得了最高的图像质量分数(分数范围 = 2.17–3.69)。与相应的胸部 CT 图像相比,三位读者发现 81.5%(27 幅中的 22 幅)、81.5%(27 幅中的 22 幅)和 37%(27 幅中的 10 幅)的 MR 图像是有用的。与此同时,他们都同意 MRI 可以识别肺部的重大病变。 Spiral-VIBE-UTE 序列可在一次屏气中快速对肺部进行成像。它可能是一种无需辐射的肺部成像的有价值的工具,并且可以为管理不同的肺部疾病(包括评估新冠肺炎后病变)提供巨大的价值。
Patients recovered from COVID-19 may develop long-COVID symptoms in the lung. For this patient population (post-COVID patients), they may benefit from longitudinal, radiation-free lung MRI exams for monitoring lung lesion development and progression. The purpose of this study was to investigate the performance of a spiral ultrashort echo time MRI sequence (Spiral-VIBE-UTE) in a cohort of post-COVID patients in comparison with CT and to compare image quality obtained using different spiral MRI acquisition protocols. Lung MRI was performed in 36 post-COVID patients with different acquisition protocols, including different spiral sampling reordering schemes (line in partition or partition in line) and different breath-hold positions (inspiration or expiration). Three experienced chest radiologists independently scored all the MR images for different pulmonary structures. Lung MR images from spiral acquisition protocol that received the highest image quality scores were also compared against corresponding CT images in 27 patients for evaluating diagnostic image quality and lesion identification. Spiral-VIBE-UTE MRI acquired with the line in partition reordering scheme in an inspiratory breath-holding position achieved the highest image quality scores (score range = 2.17–3.69) compared to others (score range = 1.7–3.29). Compared to corresponding chest CT images, three readers found that 81.5% (22 out of 27), 81.5% (22 out of 27) and 37% (10 out of 27) of the MR images were useful, respectively. Meanwhile, they all agreed that MRI could identify significant lesions in the lungs. The Spiral-VIBE-UTE sequence allows for fast imaging of the lung in a single breath hold. It could be a valuable tool for lung imaging without radiation and could provide great value for managing different lung diseases including assessment of post-COVID lesions.
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