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Patients with Plasma Cell Disorders Examined at Whole-Body Dynamic Contrast-enhanced MR Imaging: Initial Experience

机译:全身动态对比增强MR成像检查的浆细胞异常患者:初步经验

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摘要

This study was approved by the institutional review board, and informed consent was obtained from all subjects. The authors prospectively evaluated the feasibility of multistation whole-body dynamic contrast material–enhanced magnetic resonance (MR) imaging performed in patients with plasma cell disorders to assess disease extension and the time–signal intensity curves of diffuse and focal bone marrow infiltration. Three healthy adult male volunteers (age range, 29–31 years) and 21 patients (12 men, nine women; age range, 34–79 years) underwent whole-body dynamic unenhanced (volunteers) and contrast-enhanced MR imaging, which was performed by using an 18-channel 1.5-T MR system. A five-station (three sagittal and two coronal planes) fat-saturated three-dimensional gradient-echo sequence (3.3–3.6/1.3 [repetition time msec/echo time msec], 20° flip angle, voxel size of 2 × 2.6 × [3–5] mm) was performed seven times. The temporal resolution of the five-station dynamic contrast-enhanced examination was 60 seconds with use of parallel imaging. Time–signal intensity curves for the bone marrow and the focal lesions were successfully obtained in all patients. Supplemental material: http://radiology.rsnajnls.org/cgi/content/full/250/3/905/DC1 http://radiology.rsnajnls.org/cgi/content/full/250/3/905/DC2 http://radiology.rsnajnls.org/cgi/content/full/250/3/905/DC3 © RSNA, 2009
机译:该研究得到机构审查委员会的批准,并获得所有受试者的知情同意。作者前瞻性地评估了在浆细胞疾病患者中进行多站全身动态对比材料增强磁共振(MR)成像的可行性,以评估疾病的扩展以及弥漫性和局灶性骨髓浸润的时间信号强度曲线。 3名健康的成年男性志愿者(年龄范围29-31岁)和21例患者(12位男性,9名女性;年龄范围34-79岁)接受了全身动态增强(志愿者)和对比增强MR成像,通过使用18通道1.5-T MR系统执行。五站式(三个矢状面和两个冠状面)脂肪饱和的三维梯度回波序列(3.3–3.6 / 1.3 [重复时间毫秒/回声时间毫秒],翻转角度20°,体素大小2×2.6× [3-5] mm)进行了七次。使用平行成像,五站式动态对比增强检查的时间分辨率为60秒。在所有患者中成功获得了骨髓和局灶性病变的时间信号强度曲线。补充材料:http://radiology.rsnajnls.org/cgi/content/full/250/3/905/DC1 http://radiology.rsnajnls.org/cgi/content/full/250/3/905/DC2 http ://radiology.rsnajnls.org/cgi/content/full/250/3/905/DC3©RSNA,2009

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  • 来源
    《Radiology》 |2009年第3期|p.905-915|共11页
  • 作者单位

    From the Departments of Medical Imaging (C.L., A.L., J.F.D., P.Z., F.P., H.K., A.R.), Clinical Hematology (K.B., C.H.), Clinical Research (P.M.), and Nuclear Medicine (E.I.), AP-HP, Groupe Henri-Mondor Albert-Chenevier, 51 Avenue du Malréchal de Lattre de Tassigny, 94010 Créteil, France;

    Faculty of Medicine, Université Paris 12, Créteil, France (C.L., A.L., K.B., P.M., J.F.D., F.P., E.I., H.K., C.H., A.R.);

    INSERM Unité U841, Créteil, France (A.L.);

    Siemens Medical Solutions, Saint-Denis, France (A.V.);

    and Centre National de la Recherche Scientifique, UMR7054, Créteil, France (J.F.D., H.K.). Received June 10, 2008;

    revision requested July 14;

    revision received August 1;

    accepted August 13;

    final version accepted September 15. Supported in part by the Société Française de Radiologie and the Association pour la Recherche sur le Cancer.;

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