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CLINICAL ARTICLE
The preliminary study on the parameter optimization of IVIM-DWI pulse sequence in gastric cancer patients with 3.0 T MR
ZHAI Yanhui  SUN Nannan  WANG Junxin  ZHANG Min  LI Ying  ZHOU Tao  CHEN Ying  JIA Shouqiang 

Cite this article as: Zhai YH, Sun NN, Wang JX, et al. The preliminary study on the parameter optimization of IVIM-DWI pulse sequence in gastric cancer patients with 3.0 T MR[J]. Chin J Magn Reson Imaging, 2021, 12(2): 34-37, 48. DOI:10.12015/issn.1674-8034.2021.02.008.


[Abstract] Objective To investigate the optimal selection of scan parameters in intravoxel incoherent motion diffusion weighted imaging (IVIM-DWI) gastric cancer patients with 3.0 T MR. Materials andMethods Forty patients with gastric cancer confirmed by gastroscopy pathology from December 2018 to October 2019 in our hospital were collected prospectively for preoperative MRI examination. Patients were divided into A, B two groups with the random digital table method. Group A increased the number of signal average and extended repetition time (TR) and echo time (TE) appropriately. Group B reduced the number of signal average and reduced the TR and TE. The other parameters of the two groups are the same. The scanning time of A, B two groups was 14 min and 7 min 12 s respectively. The signal-to-noise ratio (SNR), contrast noise ratio (CNR), and the ADCslow, ADCfast, f value of the lesion were measured for each patient's IVIM-DWI sequence (b values equal to 1200 t) images. The differences of SNR, CNR, ADCslow, ADCfast, f value were compared by independent sample t test, and the image quality was evaluated subjectively by double-blind method.Results The SNR values of A and B group were 56.60±34.64, 53.50±20.21. And the CNR values were 44.95±18.52, 41.38±31.72, and the ADCslow values were 0.635±0.274, 0.818±0.305, the ADCfast values were 6.100±1.075, 6.471±1.549, the f values were 0.419±0.184, 0.402±0.193. There was no significant difference in SNR, CNR, ADCslow, ADCfast, f values between A and B groups (P>0.05). The subjective scores of images between A and B groups were statistically significant (P<0.05).Conclusions Not only the scanning time is obviously shortened, but also the image quality can meet the diagnostic requirements by reducing the number of signal average and shortening the TR, TE scanning scheme appropriately. Thus improve the feasibility of MR examination for gastric cancer patients.
[Keywords] gastric cancer;magnetic resonance imaging;intravoxel incoherent motion;diffusion weighted imaging;parameter optimization;image quality

ZHAI Yanhui   SUN Nannan   WANG Junxin   ZHANG Min   LI Ying   ZHOU Tao   CHEN Ying   JIA Shouqiang*  

Department of Imaging, Ji'nan People's Hospital Affiliated to Shandong First Medical University, Ji'nan 271199, China

Jia SQ, E-mail: jshqlw@163.com

Conflicts of interest   None.

ACKNOWLEDGMENTS This work was part of Key R & D Projects in Shandong Province (No.2018GSF118077).
Received  2020-09-01
Accepted  2021-01-12
DOI: 10.12015/issn.1674-8034.2021.02.008
Cite this article as: Zhai YH, Sun NN, Wang JX, et al. The preliminary study on the parameter optimization of IVIM-DWI pulse sequence in gastric cancer patients with 3.0 T MR[J]. Chin J Magn Reson Imaging, 2021, 12(2): 34-37, 48. DOI:10.12015/issn.1674-8034.2021.02.008.

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