钆基造影剂对正常脑区 1H 磁共振波谱的影响:初步研究。

IF 1.1 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Nam Anh Ton That, Thi Tuong Van Nguyen, Thao Nguyen Thanh
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引用次数: 0

摘要

背景:在进行 1H-磁共振波谱(MRS)检查前使用造影剂可提高病变定位的精确度。目的:验证钆基造影剂(GBCA)对正常白质 MRS 的影响:共有 34 名患者转诊接受了使用钆基造影剂的脑磁共振成像(MRI)检查,并在使用造影剂前后接受了单容积 MRS 检查。这些患者的 MRS 像元位于右额叶正常白质,在所有检查中均保持一致。在所有检查中都测量了天冬氨酸乙酰胆碱(NAA)、胆碱(Cho)、肌酸(Cr 和 Cr2)和肌醇(Ins)的积分:静脉注射 GBCA 后,NAA(P = 0.0313)和 Cho(P = 0.0094)的积分显著下降。Cr、Cr2和Ins在对比MRS研究前后无明显差异:结论:静脉注射 GBCA 可改变正常白质中的 NAA 和 Cho 积分。因此,应在静脉注射 GBCA 之前进行脑 1H-MRS 研究,以避免造影剂对峰值积分的潜在影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The impact of gadolinium-based contrast agents on 1H-magnetic resonance spectroscopy in normal brain area: a preliminary study.

Background: Giving contrast material before 1H-magnetic resonance spectroscopy (MRS) could enhance the precision of locating the lesion of interest. However, evidence indicates that contrast material might influence the outcomes of MRS.

Purpose: To verify the effect of gadolinium-based contrast agent (GBCA) on MRS in normal white matter.

Material and methods: A total of 34 patients were referred for brain magnetic resonance imaging (MRI) with GBCAs, and they underwent single-volume MRS before and after administering contrast material. Those patients had the MRS voxel placed at the right frontal normal white matter, which remained consistent across all examinations. Measurements were taken for the integral concerning N-acetyl aspartate (NAA), choline (Cho), creatine (Cr and Cr2), and myo-inositol (Ins) in all examinations.

Results: NAA (P = 0.0313) and Cho (P = 0.0094) had a significant decrease in their integral after intravenous GBCA administration. No significant differences were found between the pre- and post-contrast MRS studies for Cr, Cr2, and Ins.

Conclusion: Intravenous GBCA can alter NAA and Cho integrals in normal white matter. Therefore, brain 1H-MRS should precede intravenous GBCA administration to avoid the potential impact of contrast material on peak integrals.

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来源期刊
Acta radiologica
Acta radiologica 医学-核医学
CiteScore
2.70
自引率
0.00%
发文量
170
审稿时长
3-8 weeks
期刊介绍: Acta Radiologica publishes articles on all aspects of radiology, from clinical radiology to experimental work. It is known for articles based on experimental work and contrast media research, giving priority to scientific original papers. The distinguished international editorial board also invite review articles, short communications and technical and instrumental notes.
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