乳腺MR检查的常见伪影及解决方案

目的:分析乳腺MR检查中的常见伪影,探讨合理的解决方案,以提高乳腺MR图像质量及诊断准确性。方法:随机抽取我院100例行乳腺MR检查的图像资料,观察图像中出现的各种伪影及其表现,分析其产生的原因和影响因素。结果:乳腺MR图像的影像细节显示能力较强,图像质量与扫描技术关系密切,影响图像质量的常见伪影有:硬件相关伪影、图像处理相关伪影、运动相关伪影。结论:加强MR设备的使用管理,选择合理的扫描序列及参数,做好乳腺MR扫描的检查前准备及扫描,有助于提高乳腺病变的检出率。     

日立835─50型氨基酸分析仪故障排除六例

给出日立８３５－５０型氨基酸分析仪使用过程中出现的六种故障现象及判断排除方法     

日立835─50型氨基酸分析仪故障排除六例

给出日立８３５－５０型氨基酸分析仪使用过程中出现的六种故障现象及判断排除方法     

湖南德夯河谷特殊生境典型植物群落特征研究

对德夯河谷特殊生境区典型植物群落的研究表明:1)不同群落物种的组成、结构和多样性均存在较大差异,常绿落叶阔叶混交林的物种最多,达74种;常绿落叶阔叶林的乔木种类最为丰富,有20种;次生竹林的物种多样性指数最高,Shannon-Wiener指数和均匀度分别为6.70、3.83;2)科层次上,各群落内热带分布科数量明显高于温带分布科;属层次上,温带分布成分进一步发展,各个群落内均以温带性质为主.除自然生境条件的差异外,人类不同强度的干扰可能是造成各群落特征变化的主要原因.     

典型船用柴油机的故障实例模拟及分析

本文以MAN B&W6S50MC-C大型低速二冲程直流扫气柴油机为研究对象,建立了柴油机燃烧过程的数学模型,通过对故障进行实例模拟,从而在现实中对柴油机的设计制造和操作维护管理具有重要的指导意义。     

DSA图像中运动伪影的消除方法

由于病人存在着各种运动(如呼吸、肌肉运动、心脏运动、设备噪声),在成像过程中常会造成图像上出现伪影,干扰医生的正常诊断,为消除这种伪影,本文提出一种基于图像配准思想的全自动消除伪影的方法,该方法能够自动消除DSA图像中的大部分运动伪影,使DSA图像得到较好的增强,并为后面的血管分割和三维重建提供便利,是一种快速有效的方法。     

胰腺神经内分泌肿瘤的不典型CT、MRI征象分析

目的:分析4例胰腺神经内分泌肿瘤(P-NENs)的不典型CT、MRI影像学特征,以提高对其诊断水平.方法:对4例经手术病理证实的P-NENs的不典型CT和(或)MRI表现进行回顾性分析.结果:4例胰腺神经内分泌肿瘤患者均进行CT平扫及增强检查,平扫病变相对于正常胰腺呈等密度1例,稍低密度3例,其中1例瘤内见钙化;CT增强扫描4例均为轻～中度增强,静脉期较动脉期增强幅度稍减低,所有患者各期增强幅度均未超过胰腺实质,其中1例可见延迟期不完整包膜强化,包膜密度略高于周围胰腺.3例患者行MRI平扫、DWI及增强检查,2例肿瘤相对正常胰腺呈长T1、稍长T2信号,较均匀,1例T1WI呈不均匀稍低信号,T2WI呈较高与稍低混杂信号,CT所显示之病变内钙化T1、T2均呈较低信号.DWI序列3例病变均呈较明显高信号.增强扫描3例病变均呈轻到中度强化,2例强化较均匀,1例强化不均匀,强化幅度均未超过正常胰腺.2例MRI可见有部分包膜环形强化,略高于周围胰腺实质.结论:明显增强以及包膜强化被认为是P-NENs的典型影像学表现,但其影像学表现多样,认识其多样性及不典型影像学征象,可以提高对其诊断准确率.     

CT、常规MRI序列和SWI诊断弥漫性轴索脑损伤比较

目的：探讨弥漫性轴索损伤（DAI）的CT、常规MRI序列和磁敏感加权成像（SWI）表现与诊断价值。方法：回顾分析42例DAI患者的影像资料,分析、比较CT、MRI和SWI的信号特征及脑内病灶显示率。结果：SWI显示病灶最多、最敏感;脑CT扫描次之;常规MRI序列敏感性差,只有部分病灶显示。结论：CT、MRI和SWI对DAI早期诊断、治疗及评价预后具有重要参考价值,SWI是诊断DAI最有效的首选影像学检查方法。     

不同干扰对黄土区典型草原物种多样性和生物量的影响

对黄土区典型草原进行封育+施肥(EF)、封育+火烧(EB)、封育(E)和放牧(G)处理,实地调查分析群落盖度、高度、密度、地上现存量和物种多样性,以研究不同干扰对黄土区典型草原群落物种多样性和生物量的影响.结果表明:在4种干扰类型中,施肥+封育草地群落盖度和地上生物量最高,且优势度指数最高,这与禾本科草占优势地位有关,群落均匀度指数和多样性指数最低,符合“生态位理论”;放牧地群落高度、盖度、密度和地上现存量最低,群落丰富度指数和多样性指数最高,支持“中度干扰理论”;封育地密度和均匀度指数最高;具体表现为:4种干扰类型地上生物量的变化趋势为封育+施肥＞封育+火烧＞封育＞放牧;说明长时间的封育对草地是一种严重干扰.群落丰富度指数(R和Ma)的排列顺序为放牧＞封育+施肥＞封育+火烧＞封育,群落物种多样性指数(H'和D)的排列顺序为放牧＞封育＞封育+火烧＞封育+施肥,优势度指数与多样性指数相反,群落均匀度指数(Jsw和Ea)的排列顺序为封育＞放牧＞封育+火烧＞封育+施肥.不同干扰样地群落生产力与Shannon-Wiener和Simpson 多样性指数间呈负相关关系,这个结论可以用地上/地下竞争的相互作用来解释.     

C T、常规MRI 序列和SWI 诊断弥漫性轴索脑损伤比较

目的:探讨弥漫性轴索损伤(DAI)的CT、常规MRI序列和磁敏感加权成像(SWI)表现与诊断价值。方法:回顾分析42例DAI患者的影像资料,分析、比较CT、MRI和SWI的信号特征及脑内病灶显示率。结果:SWI显示病灶最多、最敏感;脑CT扫描次之;常规MRI序列敏感性差,只有部分病灶显示。结论:CT、MRI和SWI对DAI早期诊断、治疗及评价预后具有重要参考价值,SWI是诊断DAI最有效的首选影像学检查方法。     

Unsupervised clustering of fMRI and MRI time series

Unsupervised clustering represents a powerful technique for self-organized segmentation of biomedical image time series data describing groups of pixels exhibiting similar properties of local signal dynamics. The theoretical background is presented in the beginning, followed by several medical applications demonstrating the flexibility and conceptual power of these techniques. These applications range from functional MRI data analysis to dynamic contrast-enhanced perfusion MRI and breast MRI. For fMRI, these methods can be employed to identify and separate time courses of interest, along with their associated spatial patterns. When applied to dynamic perfusion MRI, they identify groups of voxels associated with time courses that are clinically informative and straightforward to interpret. In breast MRI, a segmentation of the lesion is achieved and in addition a subclassification is obtained within the lesion with regard to regions characterized by different MRI signal time courses. In the present paper, we conclude that unsupervised clustering techniques provide a robust method for blind analysis of time series image data in the important and current field of functional and dynamic MRI.     

MRI strain imaging of the carotid artery: Present limitations and future challenges

Rupture of atherosclerotic plaques in the carotid artery is a main cause of stroke. Current diagnostics are not sufficient to identify all rupture-prone plaques, and studies have shown that biomechanical factors improve current plaque risk assessment. Strain imaging may be a valuable contribution to this risk assessment. MRI is a versatile imaging technique that offers various methods that are capable of measuring tissue strain. In this review, MR imaging techniques with displacement (DENSE), velocity (PC MRI), or strain (SENC) encoding protocols are discussed, together with post-processing techniques based on time-resolved MRI data. Although several MRI techniques are being developed to improve time-resolved MR imaging, current technical limitations related to spatial and temporal resolutions render MRI strain imaging currently unfit for carotid plaque strain evaluation.     

Optimizing MRI sequences and images for MRI-based stereotactic radiosurgery treatment planning

AimDevelopment of MRI sequences and processing methods for the production of images appropriate for direct use in stereotactic radiosurgery (SRS) treatment planning.BackgroundMRI is useful in SRS treatment planning, especially for patients with brain lesions or anatomical targets that are poorly distinguished by CT, but its use requires further refinement. This methodology seeks to optimize MRI sequences to generate distortion-free and clinically relevant MR images for MRI-only SRS treatment planning.Materials and methodsWe used commercially available SRS MRI-guided radiotherapy phantoms and eight patients to optimize sequences for patient imaging. Workflow involved the choice of correct MRI sequence(s), optimization of the sequence parameters, evaluation of image quality (artifact free and clinically relevant), measurement of geometrical distortion, and evaluation of the accuracy of our offline correction algorithm.ResultsCT images showed a maximum deviation of 1.3 mm and minimum deviation of 0.4 mm from true fiducial position for SRS coordinate definition. Interestingly, uncorrected MR images showed maximum deviation of 1.2 mm and minimum of 0.4 mm, comparable to CT images used for SRS coordinate definition. After geometrical correction, we observed a maximum deviation of 1.1 mm and minimum deviation of only 0.3 mm.ConclusionOur optimized MRI pulse sequences and image correction technique show promising results; MR images produced under these conditions are appropriate for direct use in SRS treatment planning.     

MRI and cardiac implantable electronic devices; current status and required safety conditions

Magnetic resonance imaging (MRI) has evolved into an essential diagnostic modality for the evaluation of all patient categories. This gain in popularity coincided with an increase in the number of implanted cardiac implantable electronic devices (CIEDs). Therefore, questions arose with regard to the MRI compatibility of these devices. Various investigators have reported the harmless performance of MRI in patients with conventional (non-MRI conditional) devices. The recently published European Society of Cardiology (ESC) guidelines on cardiac pacing and cardiac resynchronisation therapy (CRT) indicate that MRI can be safely performed in patients with an implanted pacemaker or ICD (MRI conditional or not), as long as strict safety conditions are met. This is a major modification of the former general opinion that patients with a pacemaker or ICD were not eligible to undergo MRI. This review paper attempts to elucidate the current situation for practising cardiologists by providing a clear overview of the potential life-threatening interactions and discuss safety measures to be taken prior to and during scanning. An overview of all available MRI conditional devices and their individual restrictions is given. In addition, an up-to-date safety protocol is provided that can be used to ensure patient safety before, during and after the scan.Key points• Historically, MRI examination of patients with a CIED has been considered hazardous.• Ongoing advances in technology and increasing usage of MRI in clinical practice have led to the introduction of MRI conditional CIEDs and to more lenient regulations on the examination of patients with non-conditional CIEDs.• MRI investigations can be performed safely in selected patients when adhering to a standardised up-to-date safety protocol.     

使用Radon变换进行二维MRI图像配准

使用了一种基于Radon变换的技术来进行二维的MRI图像配准。MRI的图像配准一般使用灰度配准,而Radon变换一般用于CT图像的重建,虽然现已经存在使用Radon变换进行图像配准,但是比较繁琐,我们对这一配准算法进行了简化。     

Kinetics of MRI Contrast Agents with a Size Ranging Between Gd-DTPA and Albumin-Gd-Dtpa Use of CASCADE-Gd-DTPA-24 Polymer

A unified kinetic theory describing the dynamic properties of magnetic resonance imaging (MRI) contrast agents with a size ranging between that of Gd-DTPA and albumin-(Gd-DTPA)₃₀ was developed and tested in disease models of cancer and myocardial reperfusion injury. Specifically, a two-compartment kinetic model was solved analytically, and a range of special cases of the model was studied. MRI was performed with strongly T₁-weighted sequences before and dynamically after administration of albumin-(Gd-DTPA)₃₀, a prototype macromolecular contrast medium (MMCM) designed for blood-pool enhancement; a new MMCM: Gd-DTPA-cascade polymer (Schering AG, Berlin, Germany, MW < 30 kDa); or Gd-DTPA, representing small paramagnetic extracellular agents. The greatest dynamic range of contrast-agent sensitivity to disease was found for albumin-(Gd-DTPA)₃₀.     

Gadonanotubes as new high-performance MRI contrast agents

Gadolinium-based carbon nanostructures are poised to make a significant impact as advanced contrast agents (CAs) for magnetic resonance imaging (MRI) in medicine. This paper reviews and forecasts gadonanotubes as synthons for the design of high-performance MRI CA probes with efficacies up to 100 times greater than current clinical CAs. This level of performance is vital for achieving the goal of cellular and molecular imaging with MRI. These new materials will be useful for in vivo MRI applications as circulating drug nanocapsules because of their low toxicities, extremely high relaxivities, and potential for cellular targeting and induced cell death by magnetic hyperthermia.     

计算任务男女性别差异的fMRI研究

目的:用功能磁共振(functional Magnetic Resonance Imaging,FMRI)探讨男女不同性别在计算任务时脑活动的差异。方法:对10例男性、8例女性正常年青受试者进行简单及复杂任务的功能MRI扫描,采用SPM2软件进行数据分析和脑功能区定位。结果:计算任务中男女主要激活区域均为额前区、顶叶、枕叶及小脑,男性额前区及顶叶等计算功能区激活范围较女性广,其中以复杂计算为著。结论:相同的计算任务,男性激活的脑功能区范围多于女性。     

Functional neuroimaging using ultrasonic blood-brain barrier disruption and manganese-enhanced MRI

Although mice are the dominant model system for studying the genetic and molecular underpinnings of neuroscience, functional neuroimaging in mice remains technically challenging. One approach, Activation-Induced Manganese-enhanced MRI (AIM MRI), has been used successfully to map neuronal activity in rodents. In AIM MRI, Mn(2+) acts a calcium analog and accumulates in depolarized neurons. Because Mn(2+) shortens the T1 tissue property, regions of elevated neuronal activity will enhance in MRI. Furthermore, Mn(2+) clears slowly from the activated regions; therefore, stimulation can be performed outside the magnet prior to imaging, enabling greater experimental flexibility. However, because Mn(2+) does not readily cross the blood-brain barrier (BBB), the need to open the BBB has limited the use of AIM MRI, especially in mice. One tool for opening the BBB is ultrasound. Though potentially damaging, if ultrasound is administered in combination with gas-filled microbubbles (i.e., ultrasound contrast agents), the acoustic pressure required for BBB opening is considerably lower. This combination of ultrasound and microbubbles can be used to reliably open the BBB without causing tissue damage. Here, a method is presented for performing AIM MRI by using microbubbles and ultrasound to open the BBB. After an intravenous injection of perflutren microbubbles, an unfocused pulsed ultrasound beam is applied to the shaved mouse head for 3 minutes. For simplicity, we refer to this technique of BBB Opening with Microbubbles and UltraSound as BOMUS. Using BOMUS to open the BBB throughout both cerebral hemispheres, manganese is administered to the whole mouse brain. After experimental stimulation of the lightly sedated mice, AIM MRI is used to map the neuronal response. To demonstrate this approach, herein BOMUS and AIM MRI are used to map unilateral mechanical stimulation of the vibrissae in lightly sedated mice. Because BOMUS can open the BBB throughout both hemispheres, the unstimulated side of the brain is used to control for nonspecific background stimulation. The resultant 3D activation map agrees well with published representations of the vibrissae regions of the barrel field cortex. The ultrasonic opening of the BBB is fast, noninvasive, and reversible; and thus this approach is suitable for high-throughput and/or longitudinal studies in awake mice.     

全身一体化成像技术在恒河猴动物实验中的应用

目的探讨并比较CT与核磁共振成像（magnetic resonance imaging,MRI）在恒河猴全身成像研究中的应用范围,以及全身一体化技术（total imaging Matrix,TIM）配合增强扫描对恒河猴骨骼、循环、神经系统成像,总结其影像学表现中与人相应系统解剖的差异。方法应用64层螺旋CT的表面遮盖成像重建技术（3D-SSD）对恒河猴全身骨骼系统进行全身平扫及重建,3．0TMRI的TIM技术与最大密度投影重建（MIP）对恒河猴循环系统、神经系统进行全身平扫及增强扫描并重建。结果64层螺旋CT骨骼系统成像显示恒河猴腰椎骨6块、骶椎骨8块、尾椎骨11块、真肋骨9根,数量多于人类;颈椎棘突未见分叉,与人类不同。MRI动态增强技术与一体化成像技术联用显示恒河猴的动脉系统与人类相近,端脑矢状位最长径与冠状位最长径比值比人类略低,脊髓膨大位置比人类略低。结论多层螺旋CT与MRI的TIM技术可应用于对大型实验动物进行无创性的解剖学分析,是一种无创、快速、可以在体研究并动态连续观察其结构的科学有效方法。