用MRI无损检测胆囊中的胆汁成

为了探索用磁共振成象方法无损伤检测胆囊中的胆汁成分的可能性,我们用0.5T的磁共振成象仪,对38例禁食期胆囊疾病患者(12例急性无并发症胆囊炎及胆结石,1例化浓性胆囊炎,2例急性出血性胆囊炎,14例慢性胆囊炎及胆结石,5例胆囊息肉,4例障碍性黄疸进行了轴向腹部胆囊部位T1-加权自旋-回波成象.结果表明:禁食或胆囊疾病患者胆汁中胆固醇(p=0.014),脂肪酸(p=0.001),和铁(p<0.001)的浓度对T₁-加权成象(TR/TE=620/25ms)的肝-胆信号强度比有明显的负影响,同时发现总蛋白质,总胆红素及Na⁺,K⁺,Cl^-,Mg⁺⁺离子的浓度对肝-胆MRI信号强度比无显著影响,由此可见,T₁-加权MRI中的肝-胆信号强度比反映了胆囊中的胆汁成分,其中影响肝-胆信号强度比的最重要因素是胆囊中胆汁所含胆固醇、脂肪酸和铁的浓度.     

电刺激诱发大鼠慢性颞叶癫痫模型的磁共振成像和波谱特征的研究

应用磁共振成像(MRI)和质子定域波谱(¹H-MRS)对强直流电刺激大鼠基树突区诱发慢性颞叶癫痫模型进行研究. MRI实验表明： 随着强直流电刺激时间的延长,在T₂加权像(T₂-MRI)中,模型大鼠的海马区腹、中侧区单侧或双侧,呈现异常高信号,扩散加权像(DWI)信号呈低信号,质子密度像无明显改变,表明T₂值和表观扩散系数(ADC) 值较大的自由水比例增大. 磁共振波谱实验发现：模型大鼠T₂-MRI中信号异常区与其对侧区的¹H-MRS相比,NAA,PCr（包括Cr）和Cho的峰面积均无显著改变,表明在慢性颞叶癫痫模型早期¹H-MRS不能检测到神经元损伤或死亡.     

猕猴桃的磁共振成象及核磁共振定域波谱研究

以猕猴桃鲜果为样品,在4.7T核磁共振成象仪上测量了质子密度象、扩散系数D的分布象、纵向弛豫时间T₁分布象和横向弛豫时间TT₂分布象,得到了鲜果不同部位的TT₁、TT₂和D的值,此外还进行了抑制水峰的定域波谱测量.所测得的定域波谱与猕猴桃果汁的¹H高分辨核磁共振(NMR)谱进行了比较和归属.无损地获得了有关猕猴桃的形态结构和物质组成的一些信息.     

基于磁共振弛豫时间实现加权像和压脂技术

磁共振成像是根据生物磁性核在磁场中表现的共振特性进行成像的新技术,其中弛豫时间是实现和控制成像的重要物理量.本文使用磁共振成像实验仪,对相关样品的纵向弛豫时间T₁、横向弛豫时间T₂进行测量,并且基于不同弛豫时间采用自旋回波序列实现T₁、T₂加权像,用反转恢复成像序列实现磁共振成像对脂肪的抑制.     

用核磁共振成象研究大白鼠的光化学反应脑缺血模型

用不同权重的核磁共振T₂加权成象数据在采样过程中完成叠加,所得到的核磁共振T₂加权图象清晰地显示出大白鼠大脑中缺血损伤区域的位置和大小.用该方法研究大白鼠的光化学反应局部脑缺血模型,在大白鼠脑缺血发生后大约一小时即可以用T₂加权的MRI图象发现缺血区,证明该种方法有很大的应用潜力.     

小白鼠肌肉组织的NMR质子自旋交换分析

本文在Zimmerman-Brittin两相质子交换核磁共振弛豫模型基础上,分析了NMR弛豫实验中检测信号与各相表现和本征弛豫多数的关系,编写了自动化处理实验数据的计算机程序,这一技术可用于复相系统中不同成分的NMR表现和本征弛豫特性研究中,本文中的样品是选用健康新鲜的小白鼠肌肉,没加任何处理,用h-h,s-h,s-s脉冲序列,反转恢复法(π-τ-π/2)在强场下(0.92T)做T₁、T₂测定实验,分析结果表明本征弛豫参数T₁=1050ms,T₂=4500μs的成分是由肌肉中的"自由水"引起的,其质子相对含量为69%;本征弛豫参数T₁=530ms,T₂=26μs的成分是由肌肉中的"束附水"引起的,其质子相对含量为9%,本征弛豫多数T₁=530ms,T₂=1250μs的成分是由肌肉中的各种大分子和有机物引起的,其质子相对含量为9%,本征弛豫参数T₁=470ms,T₂=1250μs的成分由样品中的脂肪引起的,其质子相对含量为13%,在肌肉组织中的质子与水中质子之间有强烈的交换作用,其交换率k=1000s^-1.在脂肪中的质子与其它成分之间没有交换作用。     

癸基萘磺酸钠胶束中分子动态的质子核磁共振研究

在298、303和313 K下对浓度为0.82 和2.59 mmol/L的癸基萘磺酸钠的重水溶液中质子的自旋-自旋弛豫（T₂）时间进行了测量. 浓度为0.82 mmol/L 的溶液(临界胶束浓度CMC以下)中的所有质子的T₂值均随温度上升而增长，说明整个分子运动变的更自由. 然而，浓度在CMC以上(2.59 mmol/L)时，分子中一部分参与形成栅栏层的质子的T₂值却表现出相反的效应，它们的运动随温度上升而变慢，说明在高温下为防止水分子进入疏水胶束壳内，这些栅栏层的质子堆积的更紧密. 同时分子中其他质子的T₂值随温度上升而增长，表现出正常的分子运动的温度效应.     

固体高分辨NMR研究PPU/PMAs,AB-交联聚合物中的分子运动和相容性

本文使用固体高分辨NMR测量了PPU/PMAs,AB-交联聚合物中PPU的侧甲基的¹³C自旋-晶格弛豫时间(T₁)。使用内旋转运动的平均谱密度函数分析了PPU侧甲基的内旋转和PMA的侧基的多重内旋转运动。结果表明PMA中的侧基距主链越远,其旋转速度越快并且PPU侧甲基的内旋转速度随ABCP中PMA侧链长度增加而变快。还使用质子的T_1ρ和T₂及自旋扩散研究了体系的相容性和相行为。得到了有关相应尺度下的每相的组成和软相微区尺度的信息。     

表面活性剂CTAB水溶液中的T2弛豫分散研究

用CPMG脉冲序列测定了表面活性剂十六烷基三甲基溴化铵（CTAB）分子中的氮甲基(N-CH₃)质子的横向弛豫时间（T₂表观）,并发现测得的T₂表观\}与序列中的重聚脉冲间隔时间的一半τ _cp有关,说明存在横向弛豫分散现象. 当在τ_cp≤1 ms时,T₂表观与τ²_cp}呈线性关系;而当τ_cp≥4.6 ms时,T₂表观变得与τ_cp无关. 利用Luz-Meiboom两体化学交换模型计算了不同浓度的CTAB溶液中的N-CH₃质子的本征横向弛豫时间（T₂本征）和化学交换速率k_ex,发现k_ex与T₂本征和自扩散系数D一样,在临界胶束浓度（CMC）附近发生突变. 这个突变反映了CTAB分子在从单体到胶束的转变过程中其动力学特性发生了改变.      

小脑齿状核MRI功能成象研究

通过测量齿状核T₁弛豫时间,设计出齿状核功能成象破坏稳态梯度回波序列的成象参数,并用此序列在一正常志愿者,在静止和刺激时交替扫描3次,进行齿状核功能成象,刺激时齿状核信号平均强度是静止时的1.2倍.静止和刺激时齿状核信号强度没有重叠     

Renal-related perinephric fluid collections: MRI findings

We retrospectively reviewed MR studies on 10 patients with renal-related perinephric fluid collections who underwent MRI in three institutions between January 2001 and August 2004. All patients underwent MRI of the abdomen and T1-weighted, T2-weighted and serial contrast-enhanced images, including delayed-phase contrast-enhanced images 10-12 min after contrast injection, were obtained. Perinephric fluid collections in 5 patients revealed MRI findings of simple fluid content (i.e., hypointense on T1-weighted images and hyperintense on T2-weighted images). In another 5 patients, a complex perinephric fluid content (i.e., mixed hyper/hypointense on T1-weighted images and mixed hypo/hyperintense on T2-weighted images compatible with blood breakdown products and pus) was observed. In 5 patients, contrast extravasation on late-phase images that was compatible with urine leak was demonstrated. Our results suggest that MRI may determine the content of perinephric fluid collections on noncontrast T1-weighted and T2-weighted images and that contrast extravasation on late-phase images is associated with urine extravasation from renal collecting systems.     

Small hyperintense hepatic lesions on T1-weighted images in patients with cirrhosis: evaluation with serial MRI and imaging features for clinical benignity

PURPOSE: The aim of this study was to evaluate the frequency and magnetic resonance imaging (MRI) features of clinically benign, small (<2 cm) hyperintense hepatic lesions in the cirrhotic liver on T1-weighted MR images seen at serial MRI. MATERIALS AND METHODS: This study included 189 patients with cirrhosis, who underwent hepatic MRI more than twice with an interval of at least 12 months. The initial MR images were reviewed for the presence of small hyperintense lesions on T1-weighted images. The size, location and signal intensity on T2-weighted images as well as enhancement patterns of the corresponding lesions were recorded. RESULTS: On the initial T1-weighted MR images, 43 small hyperintense hepatic lesions were detected in 23 (12%) of 189 patients. Twelve (28%) of 43 lesions showed early enhancement and were pathologically diagnosed as hepatocellular carcinoma (HCC) during the follow-up period. Thirty-one (72%) of 43 lesions showed no early enhancement with various signal intensity on T2-weighted images (hyperintensity=4, isointensity=20, hypointensity=7). Among these 31 lesions, 12 showed no interval change, while 11 disappeared (n=10) or decreased in size (n=1). In the remaining eight lesions, seven were diagnosed as HCC on the basis of pathologic confirmation or the interval growth. CONCLUSION: Small hyperintense hepatic lesions on T1-weighted magnetic resonance (MR) images without early enhancement on the arterial-phase contrast-enhanced dynamic studies in patients with cirrhosis usually showed no interval growth or disappeared during the serial MRI. These lesions with additional findings of iso- or hypointensity on the T2-weighted MR images without "washout effect" on the contrast-enhanced equilibrium-phase images may more frequently be clinically benign or hyperplastic nodules than HCCs.     

Hepatic alveolar echinococcosis: MRI findings

The purpose of this study was to describe the magnetic resonance imaging (MRI) appearance of hepatic alveolar echinococcosis (HAE) on T(1)-weighted, T(2)-weighted and postgadolinium images. A total of 13 lesions were demonstrated in 13 patients. All patients underwent MR examination at 1 T imager. MR examinations included precontrast T(1)-weighted breathing averaged spin echo (SE), breath-hold spoiled gradient echo, T(2)-weighted TSE sequences with and without fat suppression, and T(1)-weighted breath-hold spoiled gradient echo (SGE) sequence following i.v. after gadolinium administration. All lesions were confirmed with histopathology. HAE hepatic lesions revealed geographic patterns of variable signal intensities on noncontrast T(1)- and T(2)-weighted images. Slightly hyperintense, iso- and hypointense signal on T(1)-weighted images corresponded to calcified regions, which appeared hypo-isointense signal on T(2)-weighted images. Necrotic areas were hypointense signal on T(1)-weighted and hyperintense signal on T(2)-weighted images. On postgadolinium images, lesions did not reveal enhancement. Dilatation of intrahepatic bile ducts distal to HAE abscesses were observed in five patients and portal vein invasion or compression was observed in four patients, lobar atrophy of the liver was coexistent finding in cases with portal vein compression. The MRI appearance of HAE abscesses included large irregularly marginated masses with heterogenous signal on T(1)- and T(2)-weighted images and lack of enhancement with gadolinium.     

Giant hemangioma of the liver: MR imaging characteristics in 24 patients

We retrospectively reviewed the magnetic resonance imaging (MRI) of giant hemangiomas in 24 patients. MRI studies comprised T1-weighted, T2-weighted and serial gadolinium-enhanced spoiled gradient echo (SGE) images. Morphologic features, signal characteristics and enhancement patterns were assessed. Histopathologic evaluation was obtained in nine patients. On T2-weighted images all lesions (size 5.7-24 cm) were hyperintense relative to the spleen and two dominant patterns of heterogeneity were demonstrated: a central heterogeneous area of either bright, dark, or mixed signal intensity, and a network of multiple fibrous septa of low signal intensity. Histopathologic evaluation of two lesions with a central bright area demonstrated the presence of hypocellular myxoid tissue. Central enhancement (9 lesions) and an irregular flame-shaped peripheral pattern of enhancement (12 lesions) were present in lesions with a mean diameter greater than 10 cm. Although giant hemangiomas show greater variability in their MR imaging appearance, an accurate diagnosis can be made through still characteristic features of high signal intensity on T2-weighted images and discontinuous peripheral enhancement.     

MRI of acute cholecystitis: Comparison with the normal gallbladder and other entities

Our purpose was to prospectively compare MRI findings with histopathologic findings in the evaluation of suspected acute cholecystitis. Fourteen patients with clinically suspected acute cholecystitis were entered into the study. MR sequences included T₁-weighted fat-suppression and breath-hold spoiled gradient echo (SGE) before and after intravenous gadolinium chelate administration. Percent contrast enhancement (%CE) of the gallbladder wall and gallbladder wall thickness (WT) were measured and liver enhancement patterns determined prospectively on MR images. Correlation was obtained with pathological findings at cholecytectomy in all patients. In a second phase of the study MR images on 10 additional subjects who underwent MR examination for reasons other than hepatobiliary disease were analyzed to determine normal values for %CE and gallbladder wall thickness. Mean %CE was 124.0% in patients with acute cholecystitis (10 patients), 58.0% in patients with chronic cholecystitis (2 patients), and 73.0% in patients with gallbladder malignancy (2 patients). Mean gallbladder WT was 6.1 mm in acute cholecystitis, 4.5 mm in chronic cholecystitis, and 6.0 mm in malignant disease. There was a significant difference in %CE between acute and chronic cholecystitis (p = 0.03); no other significant differences in %CE or WT were observed among the patients with gallbladder disease. Patients without biliary disease had %CE of 37.3% and WT of 2.9 mm, which were both significantly less (p < 0.001) than in patients with acute cholecystitis. Transient enhancement of pericholecystic hepatic parenchyma on immediate postgadolinium SGE images was seen in 7 of 10 patients with acute cholecystitis, and not observed in other patients. Patients with acute cholecystitis had increased %CE and WT on MR images that were significantly greater than normal and %CE that was significantly greater than in patients with chronic cholecystitis. Transient increased pericholecystic hepatic enhancement was observed in 70% of acute cholecystitis patients and in no other patient groups.     

Marrow infarction in sickle cell anemia: correlation with marrow type and distribution by MRI

Ischemic necrosis of bone is believed to occur exclusively in areas of predominantly fatty marrow. Sickle cell disease is unusual in that marrow infarction occurs in areas of active hematopoiesis. MR images of long bone obtained in ten patients with sickle cell anemia (SCA) were analyzed to correlate the distribution and appearance of marrow infarction with the type of marrow. While the hematopoietic marrow predominated in metaphyseal and diaphyseal regions of femurs and tibias, the fatty or mixed marrow was the most common pattern in epiphyses. Infarcts occurred in fatty as well as hematopoietic marrow. Marrow infarcts were isointense or minimally hyperintense on T1 weighted images with the hematopoietic marrow and therefore difficult to detect. On T2 weighted images, the infarcts showed very high signal. T2 weighted images are essential for detection of marrow infarction. Soft tissue changes seen as low signal on T1 and high signal on T2, may be secondary to intramuscular injections of analgesics or muscle ischemia occurring during sickle crisis.     

MR imaging findings of infectious cholangitis

The purpose of this study was to evaluate the appearance of infectious cholangitis on MRI. The MR images of 13 patients (9 women, 4 men; age range, 14-79 years) with clinically confirmed infectious cholangitis, who represent our complete 9.5 year experience with this entity, were retrospectively evaluated. All MR studies were performed at 1.5 T and included: in-phase and out-of-phase T(1)-weighted spoiled gradient echo (SGE), T(2)-weighted fat-suppressed echo train spin echo, single shot T(2)-weighted sequences, and serial postgadolinium T(1)-weighted SGE sequences without and with fat-suppression. The biliary ductal system was evaluated regarding presence of dilatation, stenosis, wall irregularities, wall thickening, and gadolinium enhancement of duct walls. The liver parenchyma was evaluated regarding focal signal abnormalities on precontrast and serial postgadolinium images. Biliary ductal dilatation was observed in 100% of patients. Mild to moderate thickening of bile duct walls combined with increased enhancement on postgadolinium images was observed in 92% of patients. The liver parenchyma showed periportal or wedge-shaped areas of hyperintense signal on T(2)-weighted images in 69% of patients. On T(1)-weighted images, 54% of patients showed areas of hypointense signal and 15% of patients showed wedge-shaped hyperintense areas. Areas with increased enhancement on immediate postgadolinium SGE were observed in 58% of patients, and in 42% of patients increased enhancement persisted on 2 min postgadolinium fat-suppressed images. Distinctive MRI findings on pre- and postgadolinium images are appreciated for infectious cholangitis.     

Nondestructive detection of internal bruise and spraing disease symptoms in potatoes using magnetic resonance imaging

Magnetic resonance imaging (MRI) was applied to detect nonvisible internal bruise and spraing symptoms and to get insight on the chemical and anatomical causes of such defects. Cultivar Saturna with internal bruise and cultivar Estima with spraing symptoms were investigated by comparison of different MR images as proton density-, T(1)- and T(2)-weighted images and T(2) maps. In all these types of MR images, it was possible to identify internal bruise and spraing spots in the potatoes, where these phenomena were present. When combining the information in the MR images, the interior of the internal bruise was characterised as being very dry (low signal in the proton-weighted image) with a small amount of highly mobile water in the shell around the bruise (high signal in T(2)-weighted image and high relaxation time in T(2) map). The spraing spots were more diffuse; however, the dry interior and highly mobile water around the spraing dots were somewhat similar to the appearance of internal bruise but resembled more the appearance of human tumour tissue than bruise disorders in, for example, fruits. In conclusion, this study demonstrated that MRI can detect nonvisible internal bruise and spraing symptoms in potatoes, which has not been published before. MRI may, therefore, be an appropriate method for detecting and for studying developmental changes of such disorders and related disorders during postharvest storage in future experiments.     

MR imaging of radiation osteitis in the sacroiliac joints

The purpose of this study was to analyze magnetic resonance (MR) images of radiation osteitis of sacroiliac joints, retrospectively. Seven patients with radiation osteitis, which was diagnosed by pelvic plain radiographs and CT images, underwent MRI. T(1)-weighted spin echo images and T(2)-weighted fast spin echo images were obtained in all patients. Four patients were examined after gadolinium injection. Major signal changes of radiation osteitis were distributed on the iliac side. T(1)-weighted images showed diffuse low intensity both in sacral and iliac sides. T(2)-weighted images showed very low intensity adjacent to sacroiliac joints, but mixed intensity was illustrated apart from joints, and high intensity in the peripheral areas. Radiation osteitis showed slight to mild, but irregular enhancement in four patients after gadolinium administration. MRI can illustrate abnormal bone change distribution and is useful for diagnosing this entity by characteristic intensity patterns on T(1)-weighted images with and without gadolinium and T(2)-weighted image. However, the diagnosis of accompanied insufficiency fractures in the area of radiation osteitis is occasionally difficult with conventional MRI.