ANALYSIS OF IMAGE INFORMATION WHEN EMPLOYING THE DIFFUSION WEIGHTED IMAGING (DWI) SEQUENCES WITH ‘B’ VALUE VARIATION FOR INTRACRANIAL TUMOR CASE

Maizza Nadia Putri, Lydia Purna W.S.K, Siti Masrochah
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Abstract

Background: One variation of pulse sequence used in MRI Brain examination is Diffusion Weighted Image (DWI). In the DWI sequence, the value of 'b' which the operator must choose when setting the parameters, affects the signal intensity. In radiology installations, radiographers often use a 'b' value of 1000 s/mm2 with various pathologies. The purpose of this study was to determine the effect of setting the value of 'b' (1000.1500.2000 s/mm2) on image information and to determine the best setting of the three selected 'b' values in generating DWI signals for cases of intracranial tumors.Methods: This research is experimental study. This research uses MR GE 1.5 Tesla. 6 radiographic images were created with three 'b' value settings. Three radiologists then assessed areas of white matter, gray matter, proc. coronoid, basal ganglia and tumor lesions. The results were then analyzed using the Friedman statistical test.Results: The results showed that there were differences in signal intensity and image quality between the three setting values of 'b' with p value 0.005. The mean rank indicates that the best setting 'b' value in producing high signal intensity in Basal ganglia, Proc. coronoid and tumor lesions is 1500 s/mm2 (Mean rank: 2.75 and 2.42). then for white matter and gray matter the best 'b' value setting is 1000 s/mm2 (average rating: 2.50).Conclusion: There is a significant difference in MRI Brain image information with variations in the "b" values of 1000 s/mm2, 1500 s/mm2 and 2000 s/mm2 with pulse sequence Diffusion Weighted Imaging (DWI) using GE 1.5 Tesla MRI modality in patients with intracranial tumors (p 0.05). Keyword : DWI , ‘b’ value,  Brain, Tumor, image information
b值变化的弥散加权成像(dwi)序列在颅内肿瘤病例中的图像信息分析
背景:脑MRI检查中使用的脉冲序列的一种变化是扩散加权图像(DWI)。在DWI序列中,操作员在设置参数时必须选择的“b”值会影响信号强度。在放射学装置中,放射技师经常使用1000s /mm2的“b”值来诊断各种病理。本研究的目的是确定设置“b”值(1000.1500.2000 s/mm2)对图像信息的影响,并确定所选的三个“b”值在颅内肿瘤病例DWI信号生成中的最佳设置。方法:本研究为实验研究。本研究使用MR GE 1.5 Tesla,用三个“b”值设置创建了6张射线图像。然后三名放射科医生评估了白质、灰质、前冠状核、基底神经节和肿瘤病变区域。然后使用弗里德曼统计检验对结果进行分析。结果:结果表明,“b”的三个设定值在信号强度和图像质量上存在差异,p值为0.005。平均秩表明基底节区、前冠状区和肿瘤病灶产生高信号强度的最佳设置“b”值为1500 s/mm2(平均秩分别为2.75和2.42)。那么对于白质和灰质,最佳的“b”值设置是1000秒/平方毫米(平均评级:2.50)。结论:颅内肿瘤患者采用GE 1.5特斯拉磁共振成像方式进行脉冲序列弥散加权成像(DWI),其1000 s/mm2、1500 s/mm2、2000 s/mm2的“b”值变化具有显著性差异(p < 0.05)。关键词:DWI, b值,脑,肿瘤,图像信息
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