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<title>Chinese Journal of Magnetic Resonance Imaging RSS feed</title>
<link>http://med-sci.cn/cgzcx/en/contents_list.asp?issue=202104</link>
<language>zh-cn</language>
<copyright>An RSS feed for Chinese Journal of Magnetic Resonance Imaging</copyright>
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<title><![CDATA[Quantitative investigation of global volumetry and relaxometry of the brain in Parkinson<sup><sup>,</sup></sup>s disease patients using synthetic MRI]]></title>
<link>http://med-sci.cn/cgzcx/en/en_articlexml.asp?doi=10.12015/issn.1674-8034.2021.04.001</link>
<description><![CDATA[Objective: To evaluate the feasibility of global brain volumetric and relaxometry in differentiating Parkinson<sup><sup>,</sup></sup>s disease patients from healthy controls using the synthetic MRI technique. Materials and Methods: Twenty-eight PD patients (age: 67± 11 years) and the same number of healthy controls (age: 68±9 years) were enrolled in this study. All participants underwent synthetic MRI (MAGnetic resonance imaging compilation, MAGiC) acquisition on a 3.0 T MRI scanner (Signa Pioneer, GE Healthcare). Volumetric characteristics including white matter volume (WMV), gray matter volume (GMV), cerebral spinal fluid volume (CSFV), myelin volume (MYV), brain parenchymal volume (BPV), intracranial volume (ICV), white matter fraction (WMF=WMV/BPV), gray matter fraction (GMF=GMV/BPV), myelin fraction (MYF=MYV/BPV) and cerebral spinal fluid fraction (CSFF=CSF/ICV) were acquired. The average relaxometric characteristics including T1, T2 and proton density (PrD) values in WM, GM and CSF were calculated from voxels with partial volume exceeding 95% of the corresponding tissue. Independent-samples t-test was used to assess the difference of the age, volumetric and relaxometric characteristics between two groups. Chi-square test was used to assess the gender difference between two groups. Results: No difference was observed in age (P=0.587) and gender (P=0.181) between these two groups. For volumetry, WMV (515.514±71.213 vs. 461.800±64.816 P=0.005), WMF (43.621±3.788 vs. 40.660±2.844, P=0.002), MYV (162.257±24.928 vs. 144.611±22.575, P=0.008) and MYF (13.707±1.284 vs. 12.711±1.094, P=0.003) were significantly higher while GMF (52.868±3.234 vs. 56.011±2.550, P=0.000) were significantly lower in PD patients. No difference was observed in GMV, BPV, ICV, CSFV and CSFF. For relaxometry, GM T1 value (1604.872±56.038 vs. 1570.553±55.992, P=0.026), WM T1 value (749.786±21.935 vs. 761.379±20.651, P=0.047) were significantly higher while CSF PrD value (101.149±1.327 vs. 101.842±0.972, P=0.030) were significantly lower in PD patients. No difference was observed in CSF T1 value, CSF T2 value, WM T2 value, and WM PrD value. Conclusions: Volumetry and relaxometry simultaneously obtained from synthetic MRI may have potential to be used as quantitative markers for clinic to differentiate Parkinson<sup><sup>,</sup></sup>s disease patients among the healthy.]]></description>
<pubDate>Tue,20 Apr 2021 00:00:00  GMT</pubDate>
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<title><![CDATA[Functional network connectivity analysis in sensorimotor area of Parkinson<sup><sup>,</sup></sup>s disease]]></title>
<link>http://med-sci.cn/cgzcx/en/en_articlexml.asp?doi=10.12015/issn.1674-8034.2021.04.002</link>
<description><![CDATA[Objective: To investigate the connectivity intensity differences of whole-brain network and the sensorimotor network between Parkinson<sup><sup>,</sup></sup>s disease patients (PD) and healthy control subjects (HC) by using independent component analysis (ICA) and functional network connectivity (FNC) analysis. Materials and Methods: We recruited 30 primary Parkinson<sup><sup>,</sup></sup>s disease patients who have enrolled in the department of neurology, the affiliated Hospital of Yangzhou University, and 30 healthy control subjects from January to December 2019, and performed resting state functional imaging scans. The whole brain was divided into 53 independent components (IC) and classified into seven brain networks by GIFT software package. Functional networks of the whole brain were compared by two-sample t-test. The sensorimotor network was divided into 18 IC and classified into six subregions. Functional subregions of the sensorimotor network were compared by two-sample t-test. Ultimately, we evaluated the connectivity intensity and Parkinson<sup><sup>,</sup></sup>s Disease Rating Scale (UPDRS-Ⅲ) Scores in PD patients. Results: Compared with HC group, it was found that the connectivity intensity between sensorimotor network and high-level visual network, as well as attention network was decreased in PD group. Within the sensorimotor network, the connectivity intensity between left precentral gyrus and right precentral gyrus, as well as paracentral lobule was decreased, but the connectivity intensity was increased between left precentral gyrus and left postcentral gyrus. Correlation analysis showed that the connectivity intensity between paracentral lobule and left precentral gyrus and left postcentral gyrus was negatively correlated with UPDRS-Ⅲ Score. Conclusions: Compared with the healthy control group, there are connectivity differences between the functional networks of whole brain, and between the subregions of sensorimotor network in Parkinson<sup><sup>,</sup></sup>s disease patients. And most of the connectivity intensity in PD patients were weaker than HC. It was suggested that abnormal brain functional connections may be the cause of motor dysfunction in Parkinson<sup><sup>,</sup></sup>s disease patients, such as resting tremor, myotonia, bradykinesia and so on.]]></description>
<pubDate>Tue,20 Apr 2021 00:00:00  GMT</pubDate>
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<title><![CDATA[Differential diagnosis of atypical meningiomas and anaplastic meningiomas by MRI basic signs and DWI parameters]]></title>
<link>http://med-sci.cn/cgzcx/en/en_articlexml.asp?doi=10.12015/issn.1674-8034.2021.04.003</link>
<description><![CDATA[Objective: To improve the accuracy of preoperative diagnosis of atypical meningioma (AM) and anaplastic meningioma (AAM), by MRI basic signs combined with diffusion-weighted imaging (DWI) parameters. Materials and Methods: The preoperative clinical, imaging and postoperative pathological data of 44 patients with AM and 16 patients with AAM confirmed by pathology were analyzed retrospectively. The MRI signs and apparent diffusion coefficient (ADC) were compared. The diagnostic efficacy of each parameter in differentiating the two groups of tumors was evaluated by the receiver working characteristic (ROC) curve. Results: Between AM group and AAM group, lobulation sign (32%/62.5%, χ2=4.602), cystic degeneration (54.5%/93.75%, χ2=6.297), fuzzy tumor-brain interface (9%/62.5%, χ2=15.843), moderate-severe peritumoral edema (50%/57.5%, χ2=5.401), and uniform tumor enhancement (47.7%/0%) were statistically significant (P＜0.05). The ADCmean (ADCmin and rADC) of AAM and AM were (0.742± 0.083)×10−3 mm2/s and (0.890±0.076)×10−3 mm2/s [(0.700±0.099)×10−3 mm2/s and (0.842±0.079)×10−3 mm2/s, (1.07±0.10) and (1.17±0.10)], P＜0.001, respectively. When the ADCmean threshold is 0.822×10−3 mm2/s, the sensitivity and specificity of distinguishing them are 84.1% and 87.5%; when the ADCmin threshold is 0.800×10−3 mm2/s, the sensitivity and specificity of distinguishing them are 75% and 87.5%, when the rADC threshold is 1.005, the sensitivity and specificity of distinguishing them are 95.5% and 43.7%respectively. Conclusions: The five MRI signs of blurred brain interface, peritumoral edema, lobulation sign, cystic degeneration and homogeneity of enhancement are helpful to differentiate AM from AAM. Combined with DWI quantitative parameters (ADCmean, ADCmin and rADC) can effectively improve the preoperative diagnosis of AAM and AM, which has a certain clinical application value.]]></description>
<pubDate>Tue,20 Apr 2021 00:00:00  GMT</pubDate>
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<title><![CDATA[The value of preoperative multi-parametric MR features using surface coil exclusive designed for thyroid gland in predicting the metastatic status of regional lymph nodes in thyroid cancer]]></title>
<link>http://med-sci.cn/cgzcx/en/en_articlexml.asp?doi=10.12015/issn.1674-8034.2021.04.004</link>
<description><![CDATA[Objective: To investigate the value of preoperative multi-parametric magnetic resonance imaging (MRI) features using surface coil exclusively designed for thyroid gland in predicting the metastatic status of regional lymph nodes in thyroid cancer. Materials and Methods: In this retrospective analysis, 51 patients with pathologically confirmed thyroid cancer was enrolled. All patients had undertaken thyroid lesion resection with radical neck dissection and preoperative 3.0 T contrast enhanced MRI scan. With pathology as reference, MR findings of non-metastatic and metastatic lymph nodes had been analyzed to construct a predicting model for diagnosing the metastatic status of each lymph node. The quantitative data were compared by Mann-Whitney U test or t test, while the categorical data were compared by χ2 test. Multivariate logistic regression was used to construct a combined model for predicting the metastatic status of each lymph node, with diagnostic performance evaluated using receiver operating characteristic curve. Results: In total, we analyzed 135 lymph nodes in 51 patients, including 74 metastatic lymph nodes and 61 non-metastatic lymph nodes. There was statistically significant difference between metastatic and non-metastatic lymph nodes in size, ADC value, signal intensity on T1-wighted and fat-suppression T2-weighted imaging, shape, margin, presence of cystic degeneration, the degree of enhancement (all P<0.05). Furthermore, heterogeneous signal intensity on fat-suppression T2-weighted imaging, marked enhancement, and low ADC value (<0.91×10-3 mm2/s) were identified as three independent predictive factors of metastatic lymph nodes. A model combining these independent factors yielded the diagnostic performance with an area under the curve of 0.93, a sensitivity of 82.4% and a specificity of 88.5%. The size including long and short-axis diameter of non-metastatic level VI lymph nodes in cases of thyroid cancer complicated with Hashimoto<sup><sup>,</sup></sup>s thyroiditis were larger than that of thyroid cancer cases without Hashimoto<sup><sup>,</sup></sup>s thyroiditis. Conclusions: The preoperative multi-parametric MR features have shown satisfactory diagnostic performance in predicting the status of regional lymph nodes in thyroid cancer. In particular, metastatic lymph nodes tend to have heterogeneous signal intensity on fat-suppression T2-weighted imaging, marked enhancement and lower ADC value, which could provide valuable evidence in assisting preoperatively clinical decision-making.]]></description>
<pubDate>Tue,20 Apr 2021 00:00:00  GMT</pubDate>
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<title><![CDATA[The performance of pretreatment MRI based nomogram in neoadjuvant chemotherapy response prediction in nasopharyngeal carcinoma: A primary study]]></title>
<link>http://med-sci.cn/cgzcx/en/en_articlexml.asp?doi=10.12015/issn.1674-8034.2021.04.005</link>
<description><![CDATA[Objective: To investigate a pretreatment MRI based nomogram in predicting neoadjuvant chemotherapy (NAC) response in nasopharyngeal carcinoma (NPC). Materials and Methods: Totally 191 patients with NPC were retrospectively enrolled. The volume of interest of every primary nasopharyngeal tumor was contoured on T2WI_FS and T1WI_CE by two experienced doctors and imaging features were extracted. Age, sex, pathologic type, TNM staging and morphologic size of lesions were collected as clinical factors. maximum relevance minimum redundancy (mRMR) and least absolute shrinkage and selection operator (LASSO) were sequentially implied to reduce redundancy of imaging features from T2WI_FS and T1WI_CE before radscore calculation. Afterwards, an MRI based nomograms consolidating imaging features and clinical factors were developed based on multivariate logistic regression respectively. ROC curves analysis was performed to assess and compare the performance of three different models; then calibration curve from Hosmer-Lemeshow test and decision curve were acquired. Results: A total of 101 NPC patients was categorized as responders after two NAC cycles treatment. Chi-square test demonstrated that T stage was statistical significance between responder and non-responder group (P=0.046). Both the overall performance of nomogram and radiomics model to distinguish responder from non-responders group were moderate. The AUC of nomogram and radiomics model stood at 0.72 [95% CI: 0.63—0.81] for training cohort. And the corresponding AUC in validate cohort were 0.72 (95% CI: 0.59—0.85) and 0.77 (95% CI: 0.74—0.89) for nomogram and radiomics respectively. The accuracy of nomogram for NAC response assessment in NPC was higher than clinics model (0.687 vs. 0.604). It was also suggested mild improvement in nomogram compared to radiomics (0.687 vs. 0.679). Conclusions: Pretreatment MRI based nomogram could predict NAC response in NPC, its accuracy was better than clinics model.]]></description>
<pubDate>Tue,20 Apr 2021 00:00:00  GMT</pubDate>
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<title><![CDATA[Clinical value of MRI in the diagnosis of multilocular cystic renal cell carcinoma and cystic nephroma]]></title>
<link>http://med-sci.cn/cgzcx/en/en_articlexml.asp?doi=10.12015/issn.1674-8034.2021.04.006</link>
<description><![CDATA[Objective: To analyze the clinical and MRI imaging features of multilocular cystic renal cell carcinoma (MCRCC) and cystic nephroma (CN) according to Bosniak classification version 2019, and to evaluate the diagnostic value. Materials and Methods: MRI images of 24 MCRCC and 16 CN which were confirmed by pathologic examination from January 2015 to December 2020 were retrospectively reviewed. We performed χ2 test or independent t-test on the two groups of samples, used ROC curve to analyze their image characteristics, and graded the lesions according to Bosniak classification. Results: Most cases of MCRCC showed protruding growth pattern and irregular thickening of cyst wall and septum, with thickness averaged (3.87±1.41) mm. Mural nodules were found in 12 cases with diameter averaged (8.47±1.31) mm. Obvious enhancement were found in cortical phase. The thickness of cyst wall and septum in CN lesions were thin and uniform, with the average of (2.17±0.63) mm. Mural nodule was seen in 3 case. We detected significant statistical differences between MCRCC and CN in the age, protruding growth pattern, septal and wall thickness and the sizes of mural nodules (P＜0.05). When the thickness of cyst wall and septum was more than 3.25 mm and the diameter of mural nodules was larger than 3.7 mm, they could be used as the best critical value for the diagnosis of MCRCC. Conclusions: MRI is certain value in the diagnosis of MCRCC and CN. Especially the septal and wall thickness and the size of mural nodules are helpful to distinguish between MCRCC and CN.]]></description>
<pubDate>Tue,20 Apr 2021 00:00:00  GMT</pubDate>
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<title><![CDATA[Characteristics of endometrial fibrosis on MRI]]></title>
<link>http://med-sci.cn/cgzcx/en/en_articlexml.asp?doi=10.12015/issn.1674-8034.2021.04.007</link>
<description><![CDATA[Objective: To explore the structural changes of uterus caused by endometrial fibrosis on magnetic resonance imaging (MRI). Materials and Methods: This study prospectively enrolled fifty-three infertility patients with endometrial fibrosis confirmed by hysteroscopic and thirty-four healthy women with childbearing age. All participants received conventional MRI during periovulation phase. Uterine anatomical parameters including endometrial thickness (EMT), length of uterine cavity (LUC) and junctional zone thickness (JZT) were measured and statistically analyzed. A multivariable model using the binary logistic regression analysis was built to predict endometrial fibrosis with indicators that were statistically significant for univariate analysis. AUCs of parameters were compared using Z ‐ test. Results: EMT of patients (7.46±1.14 mm) was significantly thinner than that of healthy women (11.09±2.26 mm) (P＜0.01). LUC of patients (30.79±4.15 mm) was significantly shorter than that of healthy women (36.50±3.25 mm) (P＜0.01). JZT of patients (6.39±1.80 mm) was significantly thicker than that of healthy women (3.98±1.16 mm) (P＜0.01). EMT, LUC, JZT and the multivariable model revealed good performance in diagnosing endometrial fibrosis with AUCs of 0.917, 0.853, 0.883 and 0.974. The AUC of the multivariate model was significantly higher than that of EMT, LUC and JZT, respectively (all P＜0.05). Conclusions: MRI can show the structural changes of uterus for patients with endometrial fibrosis visually and dynamically, which makes it a suitable method for clinical follow-up and helping clinicians to grasp the changes of endometrial fibrosis.]]></description>
<pubDate>Tue,20 Apr 2021 00:00:00  GMT</pubDate>
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<title><![CDATA[Quantitative evaluation of sacroiliac arthritis activity in SpA based on DCE-MRI microvascular permeability parameters]]></title>
<link>http://med-sci.cn/cgzcx/en/en_articlexml.asp?doi=10.12015/issn.1674-8034.2021.04.008</link>
<description><![CDATA[Objective: The study explored the feasibility of using dynamic contrast-enhanced MRI (DCE-MRI) microvascular permeability parameters to quantitatively evaluate changes of sacroiliac joint in axial spondyloarthritis (SpA), in order to provide a quantitative index for the evaluation of sacroiliac joint inflammatory activity in SpA. Materials and Methods: A total of 65 patients with clinically diagnosed SpA were included as the case group and 18 normal subjects excluded from the diagnosis of SpA were taken as the control group. The case group was divided into active group and inactive group according to ankylosing spondylitis disease activity score (ASDAS). All subjects were scanned by routine MRI and DCE-MRI of sacroiliac joint. The quantitative osmotic parameters, quantitative perfusion parameters and semi-quantitative parameters of sacroiliac joint were measured by Omni-Kinetics post-processing software. The differences of different parameters between case group and control group, and active group and inactive group were compared to find quantitative indexes with statistical significance. Results: ①The values of quantitative parameters Ktrans, Kep, Ve and semi-quantitative parameter TTP in the case group were 0.1315, 1.7467, 0.0887 and 1.9744 respectively, which were significantly higher than those in the control group (0.0281, 0.8559, 0.0469, 1.2204) (all P＜0.05). ②The values of quantitative parameters Ktrans, Kep, Ve and semi-quantitative parameters TTP in active group were 0.1574, 1.8710, 0.0960 and 2.1790, respectively, which were significantly higher than those in inactive group (0.0892, 1.1987, 0.0744, 1.8412) (all P＜0.05). ③Ktrans was highly correlated with ASDAS-CRP (r=0.663), which was better than that of Kep (r=0.286) and Ve (r=0.441). Conclusions: Dynamic enhancement of SpA microvascular permeability parameters can directly reflect the microcirculation perfusion state of sacroiliac joint and provide an effective quantitative index for the evaluation of inflammatory activity in sacroiliac joint.]]></description>
<pubDate>Tue,20 Apr 2021 00:00:00  GMT</pubDate>
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<title><![CDATA[Functional connectivity between prefrontal lobe and thalamus and its relationship with individual<sup><sup>,</sup></sup>s craving for internet game: A rs-fMRI study]]></title>
<link>http://med-sci.cn/cgzcx/en/en_articlexml.asp?doi=10.12015/issn.1674-8034.2021.04.009</link>
<description><![CDATA[Objective: By using functional magnetic resonance imaging (fMRI) technique, the current study aimed to investigate the difference in resting-state functional connectivity (rsFC) between Internet gaming disorder (IGD) group and healthy control (HC) group, and the relationship between this rsFC and the individual<sup><sup>,</sup></sup>s craving for Internet game. Materials andMethods: Participants were classified into two groups according to the Internet game application questionnaire and the Internet game addiction diagnostic scale, a total of 32 participants for IGD group and 33 participants for HC group were recruited. All participants filled out the Internet game craving scale and underwent a resting-state scan in the MRI scanner to obtain accurate brain data. We chose the right superior frontal gyrus (SFG) as the region of interest (ROI), and calculated the rsFC between the right SFG and other brain regions. Then, we compared the differences in the rsFC between IGD group and HC group, and found the brain regions which were significantly different between two groups. After that we analyzed the correlation between the scores of Internet game craving scale and those brain regions of which the rsFC were significant different between the two groups. Results: Compared with HC group, IGD group showed significantly higher levels of craving for Internet game, and IGD group also showed significantly increased rsFC between the SFG and thalamus. In HC group, the rsFC between the SFG and thalamus was positively correlated with the scores of Internet game craving scale (r=0.365, P＜0.05), while this correlation was not found in IGD group (r=-0.286, P=0.119). Conclusions: IGD group maintained a high degree of craving for Internet game. Moreover, the rsFC between the SFG and thalamus was abnormal in IGD group, which means the rsFC was significantly enhanced in IGD group while compared with HC group. In addition, the rsFC between the SFG and thalamus was related to the degree of craving for Internet game in HC group.]]></description>
<pubDate>Tue,20 Apr 2021 00:00:00  GMT</pubDate>
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<title><![CDATA[3D mDixon Quant based on compressed SENSE for quantitative study of lumbar vertebral body fat content]]></title>
<link>http://med-sci.cn/cgzcx/en/en_articlexml.asp?doi=10.12015/issn.1674-8034.2021.04.010</link>
<description><![CDATA[Objective: To investigate the effects of different acceleration factors (AF) on lumbar vertebra fat quantification using 3D mDixon Quant sequence accelerated by sensitivity coding (SENSE) and compressed SENSE (CS-SENSE), and analyze the relationship among lumbar body fat fraction (FF), age, sex and body mass index (BMI). Materials and Methods: From January to July 2020, 96 healthy volunteers were recruited, including 45 males and 51 females, from 16 to 79 years old, with an average age of 43.85±17.98 years. Volunteers were divided into three groups according to age: young group (＜40 years old), middle-aged group (40—60 years old), and elderly group (＞60 years old). All volunteers were imaged at Philips Ingenia CX 3.0 T MRI with a fat quantification sequence (3D mDixon Quant) for the entire lumbar spine, and the sequence was accelerated at different folds with either SENSE (acceleration factor S= 2, 4) or CS-SENSE (acceleration factor CS=2, 3, 4, 5, 6, 7, 8). FF, signal-noise-ratio (SNR), and contrast-noise-ration (CNR) were measured for the L1—L5 vertebra by two radiologists independently with a double-blind method, measurement carried out on a IntelliSpace Portal workstation (ISP version 7.0; Philips Healthcare, Best, the Netherlands). The measured parameters were compared among different AFs.Results: The measurement results of the two observers showed good agreement (ICC value＞0.75). There was no statistically significant difference in the FF values measured by 3D mDixon Quant sequence with different AF (P=0.653), but there were statistically significant differences in SNR and CNR with different AF (P=0.001, 0.006). Among them, there were statistically significant differences in SNR and CNR between CS3 and CS7 groups, CS4 and CS7 groups, and CS4 and CS8 groups (P＜0.05). The scanning time of CS6 was 60.66% shorter than that of SENSE 2, but there were no statistically significant differences in FF values, SNR and CNR values compared with those of other groups (S2, S4, CS2, CS3, CS4 and CS5) (P＞0.05). FF values were significantly different between the three age groups (F=20.876, P＜0.01). Among them, FF of the young group was significantly lower (P＜0.01) than that of the middle-aged and the elderly groups, while the difference between the middle-aged and the elderly groups was not statistically significant (P=0.086). In the young group, the lumbar vertebra FF of the male was higher than that of the female (P＜0.05), while in the middle-aged group and the elderly group, the FF of the male was slightly lower than that of the female, albeit not significantly (P＞0.05). The lumbar vertebrae FF in men was moderately positively correlated with BMI (r=0.634, P＜0.01), while in females such correlation was not observed (r=0.207, P=0.146). Conclusions: The 3D mDixon Quant sequence combined with CS technology is reliable for assessing the lumbar vertebral body fat content. When the maximum AF of CS was selected to 6, the image quality and the measurement accuracy were maintained while the imaging time dramatically reduced. Age, gender, and BMI are all factors that may affect the lumbar vertebra fat content. These factors should be considered in the analysis and evaluation of lumbar vertebra fat content in different individuals.]]></description>
<pubDate>Tue,20 Apr 2021 00:00:00  GMT</pubDate>
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<title><![CDATA[A meta-analysis of diagnostic efficacy of four-dimensional magnetic resonance angiography in arteriovenous malformations]]></title>
<link>http://med-sci.cn/cgzcx/en/en_articlexml.asp?doi=10.12015/issn.1674-8034.2021.04.011</link>
<description><![CDATA[Objective: The objective of this study is to explore what effects does the four dimensional magnetic resonance angiography (4D-MRA) have in arteriovenous malformation (AVM) and the Spetzler-Martin grade of arteriovenous malformations by means of a meta-analysis. Materials and Methods: In order to collect the relevant literatures and extract some relevant clinical data concerning the theme of the study, some database are utilized in this paper, like Searching PubMed, Embase, MEDLINE, OVID and CNKI, FMRS, Wanfang database or search platform. The time span was from January 2000 to November 2020. By drawing receiver operator characteristic (ROC) curve, the area under the curve (AUC) can be calculated so as to judge its diagnostic effect. Results: A total of 9 studies were included, including 192 patients. The results showed that, taking digital subtraction angiography (DSA) as the gold standard, the AUC that 4D-MRA diagnoses AVM and the Spetzler-Martin grade of AVM was 0.927 and 0.920 respectively. Conclusions: 4D-MRA has a significant diagnostic efficiency in the diagnosis of AVM and the Spetzler-Martin grade of AVM. As an important medical imaging examination technology and evaluating method, 4D-MRA can achieve the diagnostic efficiency in DSA in a great level, which can be used as a substitute for DSA to diagnose AVM in some cases.]]></description>
<pubDate>Tue,20 Apr 2021 00:00:00  GMT</pubDate>
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<title><![CDATA[Quantitative analysis of tibiotalar articular cartilage changes by T2-mapping sequence after long-term physical training]]></title>
<link>http://med-sci.cn/cgzcx/en/en_articlexml.asp?doi=10.12015/issn.1674-8034.2021.04.012</link>
<description><![CDATA[Objective: To investigate the changes of T2 value of tibial talar joint cartilage after physical training in recent half a year. Materials and Methods: Thirty young soldiers aged from 20 to 25 years were selected as the experimental group and healthy young volunteers as the control group. Under the same condition, T2 mapping sequence scanning was performed. The tibiotalar joint was divided into three regions: medial, middle and lateral, and each region was divided into three regions: the front, the middle and the rear, 9 areas in total. The changes of T2 values in each region of the experimental group and the control group were compared, and the differences of T2 values in each region of the experimental group were analyzed. Results: The experimental data of 23 male subjects in the experimental group and the control group were collected for statistical analysis. The average age of the experimental group was (22.00±1.86) years old and the average weight was (67.04±5.31) kg. The average age of the control group was (21.87±1.22) years old and the average weight was (58.43±8.28) kg. The average value of T2 in each region of the experimental group was higher than that of the corresponding region of the control group (P＜0.05). There was significant difference in T2 value between the posterior articular cartilage and the anterior articular cartilage in the experimental group (P＜0.05). Conclusions: MR T2 mapping sequence can be used to quantitatively analyze the early changes of cartilage composition in the tibiotalar joint after long-term physical training, and the cartilage microstructure of posterior tibiotalar joint is more prone to change. It has a certain reference value for the formulation of scientific training plan.]]></description>
<pubDate>Tue,20 Apr 2021 00:00:00  GMT</pubDate>
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<title><![CDATA[Comparative analysis of bilateral ischiofemoral space in patients with unilateral femoral head necrosis in different ARCO stages by MRI]]></title>
<link>http://med-sci.cn/cgzcx/en/en_articlexml.asp?doi=10.12015/issn.1674-8034.2021.04.013</link>
<description><![CDATA[Objective: To investigate the changes of ischiofemoral space of bilateral hip joints in patients with unilateral osteonecrosis of the femoral head (ONFH) in different ARCO stages. Materials and Methods: All the bilateral hip joints MR images of 57 patients with unilateral ONFH (experimental group) and 25 voulanters (control group) were retrospectively analyzed. Staging all ONFH patients according to ARCO standards. The ischiofemoral space (IFS), quadratus femoris space (QFS) and cervico diaphyseal angle (CCD) of all hip joints were measured on MRI. The difference of IFS, QFS and CCD between control group, normal joints of experimental group and necrotic joints of experimental group were compared by Kruskal-Wallis one-way test, the difference of IFS, QFS and CCD between bilateral hip joints in each ARCO stage of experimental group were compared by paired t test respectively. Results: IFS [(21.16±7.09) mm], QFS [(12.36±6.82) mm] of normal side in the experimental group was smaller than those of the control group [IFS: (26.04±6.15) mm, QFS:(20.01±7.09) mm] and the necrotic side [IFS: (25.18±5.50) mm, QFS: (19.52±5.31) mm], CCD [(137.74±3.88) °] of normal side in the experimental group was bigger than those of the control group (131.02±5.01) ° and the necrotic side [(132.40±7.05) °], the difference was statistically significant; there was no difference of IFS, QFS and CCD between necrostic hip in experimental group and control group. Of 57 patients with unilateral ONFH, 10 were in ARCO Ⅰ 17 in Ⅱ, 18 in Ⅲ and 12 in Ⅳ. In ARCO Ⅲ and Ⅳ, IFS [Ⅲ (19.76±7.97) mm, Ⅳ (23.17±6.86) mm] and QFS [Ⅲ (14.93±6.78) mm, Ⅳ (17.11±7.33) mm] of normal hip joint were smaller than those of necrotic hip joint [IFS Ⅲ (24.47±6.26) mm, Ⅳ (28.57±5.23) mm, QFS Ⅲ (19.64±5.29) mm, Ⅳ (22.88±6.24) mm], P＜0.05; CCD [Ⅲ (135.76± 5.70) °, Ⅳ (137.63±7.62) °] of normal hip joint were bigger than those of necrotic hip joint [CCD Ⅲ (129.64±2.42) °, Ⅳ (132.76±6.05) °], P＜0.05. In ARCO Ⅰ and Ⅱ, IFS [Ⅰ (17.49±6.33) mm, Ⅱ (24.24±7.29) mm] , QFS [Ⅰ (12.46±6.42) mm, Ⅱ (14.93±6.78) mm] and CCD [Ⅰ (134.56±6.06) °, Ⅱ (131.94±9.08) °] of normal hip joint were not different from those of necrotic hip joint [IFS Ⅰ (22.34±5.31) mm, Ⅱ (25.32±7.25) mm, QFS Ⅰ (16.04±5.21) mm, Ⅱ (19.64±5.29) mm, CCD Ⅰ (135.16±7.62) °, Ⅱ (132.06±5.88) °], P＞0.05. Conclusions: The IFS and QFS of normal hip joint in patients with unilateral ARCO Ⅲ, Ⅳ ONFH may decreased, thus the risk of IFI could be higher.]]></description>
<pubDate>Tue,20 Apr 2021 00:00:00  GMT</pubDate>
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<title><![CDATA[Clinical application and controversy of imaging for myocardial viability-the interpretation of a consensus statement of the American Heart Association]]></title>
<link>http://med-sci.cn/cgzcx/en/en_articlexml.asp?doi=10.12015/issn.1674-8034.2021.04.016</link>
<description><![CDATA[There are a large amount of patients with ischemic left ventricular dysfunction who get poor prognosis, but appropriate revascularization can significantly improve the survival rate and the quality of life of these patients. Using different indicators reflecting myocardial activity, there are numerous available imaging technologies for viable myocardial detection. Most previous retrospective analyses thought that there was a clear correlation between viable myocardium and the benefits of revascularization, but recent large-scale prospective clinical trials have failed to prove that, making the clinical application of imaging for myocardial viability faces new challenges. Based on the latest consensus statement of the American Heart Association on imaging for myocardial viability in 2020, this article summarizes the commonly used imaging techniques for myocardial viability detection and clinical application protocol, and further analyzes the controversy arising from recent clinical trials and future research directions.]]></description>
<pubDate>Tue,20 Apr 2021 00:00:00  GMT</pubDate>
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<title><![CDATA[Research progress and application of multimodal functional magnetic resonance imaging in vestibular migraine]]></title>
<link>http://med-sci.cn/cgzcx/en/en_articlexml.asp?doi=10.12015/issn.1674-8034.2021.04.021</link>
<description><![CDATA[Migraine are characterized by recurrent headache, especially the headaches that are more sensitive to light, sound and other sensory stimuli. Migraine are more generally accepted as a disease associated with nervousness. Vestibular symptoms are particularly common in migraines, which are not only susceptibility to motion sickness, but also some migraine patients experience vertigo or ataxia attacks different from other premonitory migraines. Therefore, the paroxysmal vestibular symptoms caused by headache are named vestibular migraine (VM). VM is the most common cause of spontaneous vertigo. The diagnosis of VM is based on the criteria defined by the expert panel. At the stage, little is known about its pathophysiology and related mechanisms. With the rapid development of advanced neuroimaging, including functional magnetic resonance imaging (fMRI) and multimodal fMRI. It has contributed to the exploration of the mechanism of disease and vestibular symptoms. This paper reviews its application in VM.]]></description>
<pubDate>Tue,20 Apr 2021 00:00:00  GMT</pubDate>
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<title><![CDATA[Advances of fMRI in human brain language]]></title>
<link>http://med-sci.cn/cgzcx/en/en_articlexml.asp?doi=10.12015/issn.1674-8034.2021.04.022</link>
<description><![CDATA[The processing mechanism of human brain language is complex and involves multiple fields such as movement, sensation and cognition, especially the emergence of multilingual system has attracted wide attention of scientists. In recent years, with the rapid development of science and technology, the technology for studying the language functions of the brain has become increasingly widespread. The technology of fMRI provides an important basis for exploring the possible mechanism of language occurrence and the relationship between bilingualism, multilingualism and neural network. The purpose of this article is to review the recent fMRI findings in the localization of human brain language functional areas, language lateralization, brain function of aphasia, bilingualism and multilingualism.]]></description>
<pubDate>Tue,20 Apr 2021 00:00:00  GMT</pubDate>
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<title><![CDATA[Imaging analysis of prognostic evaluation of cerebral venous and sinus thrombosis]]></title>
<link>http://med-sci.cn/cgzcx/en/en_articlexml.asp?doi=10.12015/issn.1674-8034.2021.04.023</link>
<description><![CDATA[Cerebral venous and sinus thrombosis (CVST) is a rare disease of the intracranial venous system. With the continuous emergence and development of new technologies such as endovascular therapy, prognostic assessment methods are urgently needed to guide clinical individualized therapy. Various imaging techniques can evaluate brain parenchymal lesions, recanalization, and collateral circulation efficiently, provide guidance for accurate treatments, thus to improve prognosis. This article reviews the treatment and imaging evaluation of the prognosis of CVST, in order to provide guidance for individualized treatment and effectively assess the prognosis of CVST.]]></description>
<pubDate>Tue,20 Apr 2021 00:00:00  GMT</pubDate>
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<title><![CDATA[Research progress on the effect of neuroimaging markers of cerebral small vessel disease on stroke]]></title>
<link>http://med-sci.cn/cgzcx/en/en_articlexml.asp?doi=10.12015/issn.1674-8034.2021.04.024</link>
<description><![CDATA[Cerebral small vessel disease (CSVD) belongs to cerebrovascular diseases which primarily affect the perforating arterioles, capillaries and venules, though they have multiple pathogenesis and etiologies, they are characterized with similar neuroimaging markers. These neuroimaging makers are not only the predictors of increased risk of stroke, they also associated with increased risk of stroke recurrence, worse clinical outcomes and poor life quality. In this paper, the neuroimaging markers of CSVD and their effects on the prognosis of stroke will be reviewed, so as to guide the clinical practice to minimize the adverse effects of CSVD on the occurrence, development, treatment and prognosis of stroke.]]></description>
<pubDate>Tue,20 Apr 2021 00:00:00  GMT</pubDate>
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<title><![CDATA[Research progress of neurite direction diffusion and density imaging for glioma classification]]></title>
<link>http://med-sci.cn/cgzcx/en/en_articlexml.asp?doi=10.12015/issn.1674-8034.2021.04.025</link>
<description><![CDATA[Glioma is the most common intracranial malignant tumor, which is highly invasive and easy to relapse. At present, the grade of glioma mainly depends on postoperative pathology, but the early detection and preoperative grade of glioma are of great significance for the choice of surgical plan and postoperative prognosis of patients. In recent years, with the development of new magnetic resonance technology, diffusion magnetic resonance imaging (dMRI) plays an increasingly important role in the grading diagnosis of glioma. This article reviews the imaging principle and characteristics of neurite orientation dispersion and density imaging (NODDI) and its application in the grading diagnosis of glioma.]]></description>
<pubDate>Tue,20 Apr 2021 00:00:00  GMT</pubDate>
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<title><![CDATA[Research progress of neurite direction dispersion and density imaging in Alzheimer<sup><sup>,</sup></sup>s disease]]></title>
<link>http://med-sci.cn/cgzcx/en/en_articlexml.asp?doi=10.12015/issn.1674-8034.2021.04.026</link>
<description><![CDATA[Neurite direction dispersion and density imaging (NODDI) is a relatively practical diffusion magnetic resonance imaging technique that can be used to quantify the microstructure of nerve dendrites and axons, so as to obtain morphological information of nerve fibers. Compared with diffusion tensor imaging (DTI), which is widely used in clinical practice, these neurite indicators are more specific for the assessment of the microstructure of brain tissue. Alzheimer<sup><sup>,</sup></sup>s disease (AD) is a degenerative disease of the central nervous system characterized by progressive cognitive dysfunction and memory loss. Therefore, NODDI technology can be used to estimate the microstructure of the nervous system of AD patients. The basic principles of NODDI technology and the research progress in AD are reviewed.]]></description>
<pubDate>Tue,20 Apr 2021 00:00:00  GMT</pubDate>
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<title><![CDATA[Research progresses of structural and functional magnetic resonance imaging in intelligence]]></title>
<link>http://med-sci.cn/cgzcx/en/en_articlexml.asp?doi=10.12015/issn.1674-8034.2021.04.027</link>
<description><![CDATA[Intelligence is widely concerned because of its prominent position in human social behavior. Neuroimaging can provide a solution for the study of intelligence neural mechanisms and intelligence performance prediction. This article reviews the research progresses of structural and functional magnetic resonance imaging in intelligence.]]></description>
<pubDate>Tue,20 Apr 2021 00:00:00  GMT</pubDate>
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<title><![CDATA[The hippocampus multimodal MRI progress of cognitive impairment]]></title>
<link>http://med-sci.cn/cgzcx/en/en_articlexml.asp?doi=10.12015/issn.1674-8034.2021.04.028</link>
<description><![CDATA[Cognitive impairment is a disease that has not reached the level of dementia. It not only affects the patient<sup><sup>,</sup></sup>s ability of daily living, but may develop into dementia in severe cases. The hippocampus is an important brain area for cognitive function. In recent years, MRI technology has been widely used in the study of the hippocampus of patients with cognitive impairment. Therefore, this article reviews the research status of hippocampal MRI neuroimaging of cognitive impairment to understand it<sup><sup>,</sup></sup>s latest development. A large number of studies have agreed that the hippocampus is the main brain area affected by cognitive impairment, especially the hippocampal CA1 area. Its functional and structural changes may be important neuroimaging markers for cognitive impairment. Compared with structural changes, functional changes may be more sensitive to the detection of cognitive impairment.]]></description>
<pubDate>Tue,20 Apr 2021 00:00:00  GMT</pubDate>
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<title><![CDATA[Research progress of DWI-MRI and BOLD-fMRI in visual pathway diseases]]></title>
<link>http://med-sci.cn/cgzcx/en/en_articlexml.asp?doi=10.12015/issn.1674-8034.2021.04.029</link>
<description><![CDATA[Visual pathway refers to the pathway of transmission of all visual nerve impulses from retinal photoreceptors to the visual center of occipital cortex, including retina, optic nerve, optic chiasma, optic tract, optic radiation and visual cortex. Because visual signals are transmitted by nerve fibers and synaptic signals, a part of the optic pathway with problems may affect other functions of nerve anterogradely or retrogradely. Conventional MRI can only showed lesions from morphology, and can<sup><sup>,</sup></sup>t detect the change of micro-structure. The nerve ophthalmology examination also has certain limitation that it can<sup><sup>,</sup></sup>t detect the change of rear pathway and have a little subjectivity. Recently, with the development of MRI, DWI-MRI and BOLD-fMRI are becoming more and more mature. Studies of DWI-MRI and BOLD-fMRI in visual pathway diseases is increasing. This article mainly describes the study of DWI-MRI and BOLD-fMRI in visual pathway diseases.]]></description>
<pubDate>Tue,20 Apr 2021 00:00:00  GMT</pubDate>
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<title><![CDATA[Application progress of magnetic resonance imaging in diabetic kidney disease]]></title>
<link>http://med-sci.cn/cgzcx/en/en_articlexml.asp?doi=10.12015/issn.1674-8034.2021.04.030</link>
<description><![CDATA[Diabetic kidney disease is a chronic microvascular complication that is caused by diabetes and is extremely harmful to the human body. It has complex metabolic disorders and has become the main cause of end-stage renal disease. Early detection, intervention and treatment can effectively improve and delay the renal damage in patients with diabetic nephropathy. The current gold standard for diagnosing diabetic nephropathy is kidney pathological biopsy, but it is difficult to use as a routine examination method due to its self-limiting nature. In recent years, magnetic resonance imaging technology has been widely used in clinics, and has many advances and advantages in the early diagnosis and auxiliary clinical treatment of diabetic nephropathy. This article reviews it.]]></description>
<pubDate>Tue,20 Apr 2021 00:00:00  GMT</pubDate>
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<title><![CDATA[Progress of MRI in evaluating the efficacy of neoadjuvant therapy for rectal cancer]]></title>
<link>http://med-sci.cn/cgzcx/en/en_articlexml.asp?doi=10.12015/issn.1674-8034.2021.04.031</link>
<description><![CDATA[The widespread use of neoadjuvant chemoradiotherapy (nCRT) for rectal cancer has improved the prognosis of many patients, but some patients have not benefited. Magnetic resonance imaging (MRI) of rectum is a very effective imaging technique for diagnosing and comprehensively evaluating treatment of rectal cancer because of its high soft tissue resolution and better displaying of tumor invasion and changes of rectal wall. This article, from the aspect of different MRI technologies, MRI combined with laboratory examination, endoscopy and PET-CT, reviews the diagnostic value of MRI in predicting pathological response after neoadjuvant chemoradiotherapy for rectal cancer, aiming to provide a basis for clinical diagnosis and treatment.]]></description>
<pubDate>Tue,20 Apr 2021 00:00:00  GMT</pubDate>
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