Amide proton transfer imaging for differentiating benign ovarian cystic lesions: Potential of first time right

Amide proton transfer imaging for differentiating benign ovarian cystic lesions: Potential of first time right
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DOI:
10.1016/j.ejrad.2019.108656
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发表时间:
2019-11-01
影响因子:
3.3
通讯作者:
Honda, Hiroshi
Honda, Hiroshi
中科院分区:
医学3区
文献类型:
--
作者:
Ishimatsu, Keisuke;Nishie, Akihiro;Honda, Hiroshi

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目的:探讨酰胺质子转移(APT)成像是否有助于鉴别良性卵巢囊性病变。材料和方法:本前瞻性研究共纳入19个病变18例良性卵巢囊性病变:浆液性囊腺瘤(SCA),n = 4;粘液性囊腺瘤(MCA),n = 9;或功能性囊肿(FC),n = 6。采用三种不同的预饱和脉冲持续时间:0.5、1.0和2.0 s进行APT成像。APT信号被定义为在3.5ppm处的磁化传递比不对称。在T1和T2加权像上计算的囊肿与肌肉的SI比值被定义为T1和T2比值。还生成表观扩散系数(ADC)图。结果:当使用2.0 s预饱和时,SCA、MCA和FC的APT信号分别为1.41 ± 0.71%、5.15 ± 1.92%和8.52 ± 1.17%。SCA和MCA之间存在显著差异(p
Purpose: To investigate whether amide proton transfer (APT) imaging is useful to differentiate benign ovarian cystic lesions.Materials and methods: This prospective study enrolled a total of 19 lesions in 18 patients with benign ovarian cystic lesion: serous cystadenoma (SCA), n = 4; mucinous cystadenoma (MCA), n = 9; or functional cyst (FC), n = 6. APT imaging was performed with three different presaturation pulse durations: 0.5, 1.0 and 2.0 s. APT signal was defined as magnetization transfer ratio asymmetry at 3.5 ppm. The SI ratios of cyst to muscle calculated on T1- and T2-weighted images were defined as T1- and T2-ratios. Apparent diffusion coefficient (ADC) maps were also generated. We compared the three cystic lesion groups' APT signals, T1-ratio, T2-ratio, and ADC.Results: When using 2.0 s of presaturation, the APT signals were 1.41 +/- 0.71% in SCA, 5.15 +/- 1.92% in MCA and 8.52 +/- 1.17% in FC. Significant differences were observed between SCA and MCA (p