白若冰,郭启勇,杨京川,石喻,孙宝海.儿童肝脏门静脉血流灌注对MR表观弥散系数的影响[J].中国医学影像技术,2010,26(5):889~892
儿童肝脏门静脉血流灌注对MR表观弥散系数的影响
Influence of portal blood flow in the liver of children on MR apparent diffusion coefficient
投稿时间:2010-01-11  修订日期:2010-02-04
DOI:
中文关键词:  灌注成像  儿童  磁共振成像
英文关键词:Perfusion imaging  Child  Magnetic resonance imaging
基金项目:
作者单位E-mail
白若冰 中国医科大学附属盛京医院放射科, 辽宁 沈阳 110004  
郭启勇 中国医科大学附属盛京医院放射科, 辽宁 沈阳 110004 guoqy@sj-hospital.org 
杨京川 Philip公司大中华区培训部,上海 200233  
石喻 中国医科大学附属盛京医院放射科, 辽宁 沈阳 110004  
孙宝海 中国医科大学附属盛京医院放射科, 辽宁 沈阳 110004  
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中文摘要:
       目的 观察门静脉血流量变化对正常儿童肝脏表观弥散系数(ADC)值的影响。方法 对15名健康儿童,在空腹及餐后60 min时,用1.5T磁共振扫描仪重复进行肝脏扫描,对扫描后处理得到的肝右前叶及右后叶的ADC图进行ROI分析。对受试儿童在空腹状态及餐后的门静脉流量值及其在不同b值下空腹状态、餐后的肝脏各相应ROI平均ADC值,分别进行比较分析。结果 餐后门静脉血流量显著增加,平均增加102.27%。b=750 s/mm2时,空腹状态、餐后肝右叶的ADC值差异无统计学意义,而b=250 s/mm2 时差异有统计学意义;b=500 s/mm2 时,空腹状态、餐后肝右后叶的ADC值差异无统计学意义,而右前叶差异有统计学意义。结论 选择较高b值有可能减轻血流灌注对儿童肝脏ADC值的影响。
英文摘要:
      Objective To investigate the influence of portal blood flow in the liver of children on MR apparent diffusion coefficient (ADC). Methods Fifteen healthy children underwent 1.5T MR at fasting state and 60 min after standard diets. The regions of interest (ROI) of ADC map was analyzed. The average value of ADC and portal blood flow of the liver were compared between fasting state and after feeding. Results Portal blood flow significantly increased after meal, and the mean increasing rate was 102.27%. No significent difference was found in ADC values of between fasting state and 60 min after standard diets when b=750 s/mm2, whereas there was significant difference when b=250 s/mm2. When b=500 s/mm2, there was significant difference in anterior right lobe, but no significant difference was detected in posterior right lobe. Conclusion A higher b value may minimize the influence of perfusion changes in diffusion-weighted MR study on liver in children.
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