b值范围对6种体部扩散模型在前列腺应用的影响评估  

Evaluation of the Impact of b-Value Ranges on Six Body Diffusion Models in Prostate Application

作　　者：周敏雄 戚轩[1] 杜兵 齐东 王海杰 杨光 蔡文梅[2] 刘孟潇 张会婷 严序 聂生东 何永胜[1] ZHOU Minxiong;QI Xuan;DU Bin;QI Dong;WANG Haijie;YANG Guang;Cai Wenmei;LIU Mengxiao;ZHANG Huiting;YAN Xu;NIE Shengdong;HE Yongsheng(Ma’anshan People’s Hospital,Ma’anshan 243099,China;Shang Hai University of Medicine&Health Sciences,Shanghai 201318,China;University of Shanghai for Science and Technology,Shanghai 200093,China;Shanghai Key Laboratory of Magnetic Resonance,East China Normal University,Shanghai 200062,China;Siemens Healthineers,Shanghai 201318,China)

机构地区：[1]马鞍山市人民医院,安徽马鞍山243099 [2]上海健康医学院,上海201318 [3]上海理工大学,上海200093 [4]上海市磁共振重点实验室华东师范大学,上海200062 [5]西门子医疗系统有限公司,上海201318

出　　处：《波谱学杂志》2024年第1期9-18,共10页Chinese Journal of Magnetic Resonance

基　　金：安徽省重点研究与开发计划项目(2022e07020065);皖南医学院教学医院科研项目(JXYY202128);上海高校教师产学研见习计划.

摘　　要：论文研究了不同b值采集范围对6种体部扩散模型定量参数计算的影响.研究涉及扩散模型包含单指数模型(Mono)、扩散峰度成像(DKI)、体素内非相干运动模型(IVIM)、扩散拉伸指数模型(SEM)、分数微积分模型(FROC)和随机游走模型(CTRW),b值范围0~2500 s/mm^(2).通过扩散模型参数之间的相关性、t检验以及前列腺病灶良恶性鉴别能力三个维度,评估了不同b值采集范围对参数计算的影响.结果显示与参考采样方案相比,随着最大b值降低,所得同一扩散参数感兴趣区域(ROI)均值的差异逐渐增大,但相关性降低不明显,且前列腺病灶良恶性的鉴别能力也保持相似水平.基于实验结果,建议在临床实践中采用b值范围为0~1500s/mm^(2)的采集方案.这一方案在具备较高采集效率的同时,一半以上参数与参考采样方案结果的相关性不低于0.98,且良恶性鉴别能力指标曲线下面积(AUC)值的差别小于0.01.此外,不同扩散模型对于b值方案的敏感性存在差异,其中SEM和CTRW模型的参数受b值范围的影响相对较小.This paper investigated the impact of different b-value acquisition ranges(from 0 to 2500 s/mm^(2))on the quantitative parameter calculation of six body diffusion models,including mono-exponential(Mono),diffusion kurtosis imaging(DKI),intravoxel incoherent motion(IVIM),stretch exponential model(SEM),fractional-order calculus model(FROC),and continuous time random walk model(CTRW).The influence of different b-value acquisition ranges on parameter calculation was evaluated through correlation between diffusion model parameters,t-test,and the ability to differentiate benign and malignant prostate lesions.The results showed that compared with that of the reference sampling scheme(0~2500 s/mm^(2)),the difference of the mean value of region of interest(ROI)with the same diffusion parameters gradually increases as the maximum b-value decreases,but the correlation decreases only slightly,and the ability to differentiate between benign and malignant prostate lesions remains at a similar level.Based on the experimental results,a b-value range of 0~1500 s/mm^(2) is recommended for clinical practice,because this scheme takes collection efficiency into account,the correlation of more than half of its parameters with those of the reference sampling scheme is not less than 0.98,and the difference in the values of area under the curve(AUC)between benign and malignant differentiation is less than 0.01.In addition,the sensitivity of different diffusion models to the b-value scheme varies,with the parameters of SEM and CTRW models being relatively less affected by the b-value range.

关 键 词：磁共振成像 数据采集方法 扩散模型 分数微积分模型 随机游走模型 

分 类 号：O482.53[理学—固体物理]