论文标题
磁共振指纹在1.5T MRI-LINAC上的技术可行性
Technical feasibility of Magnetic Resonance Fingerprinting on a 1.5T MRI-Linac
论文作者
论文摘要
混合MRI-LINAC(MRL)系统使每日多参数定量MRI评估肿瘤对放射疗法的反应。磁共振指纹(MRF)可能会提供快速多参数MRI的时间有效手段。然而,MRF的准确性依赖于对系统缺陷(例如涡流和B1+)的足够控制,与诊断系统相比,在MRL系统上不同,并且在MRL系统上没有很好的控制。在这项研究中,我们研究了1.5T MRL上梯度损坏的2D MRF的技术可行性。我们通过幻影实验显示,MRL会产生可靠的MRF信号,这些信号在白天暂时稳定,并且与Spin-Echo参考测量值有很好的一致。随后在健康志愿者中的体内MRF扫描和结直肠肝转移的患者显示出良好的图像质量,其中所选器官的定量值与文献中报道的值相对应。因此,我们得出的结论是,梯度变质的2D MRF在1.5T MRL上是可行的,其性能与诊断系统相似。参数图的精度和准确性足以进一步研究MRF在线定量MRI引导放射疗法的临床实用性。
Hybrid MRI-linac (MRL) systems enable daily multiparametric quantitative MRI to assess tumor response to radiotherapy. Magnetic Resonance Fingerprinting (MRF) may provide time efficient means of rapid multiparametric quantitative MRI. The accuracy of MRF, however, relies on adequate control over system imperfections, such as eddy currents and B1+, which are different and not as well established on MRL systems compared to diagnostic systems. In this study we investigate the technical feasibility of gradient spoiled 2D MRF on a 1.5T MRL. We show with phantom experiments that the MRL generates reliable MRF signals that are temporally stable during the day and have good agreement with spin-echo reference measurements. Subsequent in-vivo MRF scans in healthy volunteers and a patient with a colorectal liver metastasis showed good image quality, where the quantitative values of selected organs corresponded with the values reported in literature. Therefore we conclude that gradient spoiled 2D MRF is feasible on a 1.5T MRL with similar performance as on a diagnostic system. The precision and accuracy of the parametric maps are sufficient for further investigation of the clinical utility of MRF for online quantitatively MRI-guided radiotherapy.