Abstract:Objective: To explore the difference of proton density fat fraction(PDFF) values measured by lumbar vertebra magnetic resonance imaging(MRI) under different field strengths of 1.5T and 3.0T. Materials and Methods: This study was approved by the institutional review board. After signing informed consent, 21 healthy volunteers were scanned within 4~6 h under 1.5T and 3.0T MRI scanners, respectively. Both conventional lumbar MRI sequences and iterative decomposition of water and fat with echo asymmetry and least-squares estimation quantitation sequence(IDEAL-IQ) were tested to provide lumbar vertebra PDFF. The volunteers ranged in age from 21 to 50, with an average age of 27.95±9.92. L1~L5 lumbar vertebral sites were analyzed using IDEAL-IQ sequence, and the fat fraction(FF) values of two groups obtained from 1.5T and 3.0T GE MR scanners were compared with each other. The FF values of vertebral bone marrows were measured on AW4.6 postprocessing workstation. Paired t-test analysis between the two groups was performed. Results: The difference of the FF values was not statistically significant. Paired sample t-test analysis showed 1.5T & 3.0T L1 vertebral body(t=1.58, P=0.13), 1.5T & 3.0T L2 vertebral body(t=-1.11, P=0.28), 1.5T & 3.0T L3 vertebral body(t=0.77, P=0.45), 1.5T & 3.0T L4 vertebral body(t=0.67, P=0.51), 1.5T & 3.0 L5 vertebral body(t=0.18, P=0.86). Conclusion: Using IDEAL-IQ sequence to estimate the lumbar vertebra fat fraction is feasible. It can provide reliable marrow fat quantification.
宋 宇,宋清伟,张 楠,刘爱连,苗延巍. 不同场强下磁共振IDEAL-IQ技术对腰椎椎体脂肪含量定量对比分析[J]. 中国临床医学影像杂志, 2019, 30(9): 656-659.
SONG Yu, SONG Qing-wei, ZHANG Nan, LIU Ai-lian, MIAO Yan-wei. Quantitative comparison and analysis of lumbar vertebral fat content by IDEAL-IQ under different field intensities. JOURNAL OF CHINA MEDICAL IMAGING, 2019, 30(9): 656-659.
[1]Geith T, Schmidt G, Biffar A, et al. Comparison of qualitative and quantitative evaluation of diffusion-weighted MRI and chemical-shift imaging in the differentiation of benign and malignant vertebral body fractures[J]. AJR, 2012, 199(5): 1083-1092.
[2]Bermeo S, Gunaratnam K, Duque G. Fat and bone interactions[J]. Current Osteoporosis Reports, 2014, 12(2): 235-242.
[3]Serai SD, Dillman JR, Trout AT. Proton Density Fat Fraction Measurements at 1.5- and 3-T Hepatic MR Imaging: Same-Day Agreement among Readers and across Two Imager Manufacturers[J]. Radiology, 2017, 284(1): 244-254.
[4]常飞霞,樊敦徽,和建伟,等. 磁共振化学位移成像评估腰椎终板炎患者骨髓脂肪含量的研究[J]. 中国CT和MRI杂志,2018,16(2):114-117.
[5]何杰,方浩,李晓娜,等. 腰椎MR扩散加权成像对骨质疏松的定量诊断价值[J]. 临床放射学杂志,2015,34(5):763-767.
[6]Xu K, Sigurdsson S, Gudnason V, et al. Reliable quantification of marrow fat content and unsaturation level using in vivo MR spectroscopy[J]. Magn Reson Med, 2018, 79(3): 1722-1729.
[7]常飞霞,黄刚,樊敦徽,等. 磁共振水-脂分离成像技术对椎体脂肪含量的测量[J]. 磁共振成像,2016,7(12):902-908.
[8]Hu L, Zha YF, Wang L, et al. Quantitative Evaluation of Vertebral Microvascular Permeability and Fat Fraction in Alloxan-induced Diabetic Rabbits[J]. Radiology, 2018, 287(1): 128-136.
[9]Aoki T, Yamaguchi S, Kinoshita S, et al. Quantification of bone marrow fat content using iterative decomposition of water and fat with echo asymmetry and least-squares estimation(IDEAL): reproducibility, site variation and correlation with age and menopause[J]. Br J Radiol, 2016, 89(1065): 20150538.
[10]代岳,王姗,徐慧婷,等. IDEAL-IQ技术对不同年龄椎体骨髓脂肪含量的定量评价[J]. 中国医学计算机成像杂志,2017,23(2):161-165.
[11]Roldan-Valadez E, Pina-Jimenez C, Favila R, et al. Gender and age groups interactions in the quantification of bone marrow fat content in lumbar spine using 3T MR spectroscopy: a multivariate analysis of covariance(Mancova)[J]. Eur J Radiol, 2013, 82(11): e697-702.
[12]Martin J, Nicholson G, Cowin G, et al. Rapid determination of vertebral fat fraction over a large range of vertebral bodies[J]. J Med Imaging Radiat Oncol, 2014, 58(2): 155-163.
[13]Heba ER, Desai A, Zand KA, et al. Accuracy and the effect of possible subject-based confounders of magnitude-based MRI for estimating hepatic proton density fat fraction in adults, using MR spectroscopy as reference[J]. J Magn Reson Imaging, 2016, 43(2): 398-406.
[14]Ruschke S, Pokorney A, Baum T, et al. Measurement of vertebral bone marrow proton density fat fraction in children using quantitative water-fat MRI[J]. MAGMA, 2017, 30(5): 449-460.