Journal of radiological science and technology (대한방사선기술학회지:방사선기술과학)

Korean Society of Radiological Science (대한방사선과학회)
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Improved Focal Liver Lesion Detection by Increasing Flip Angle During Gadoxetic Acid-Enhancement in MRI

Gadoxetic acid 조영증강 자기공명영상에서 숙임각 변화에 따른 국소 간종양 검출능 비교

  • Lee, SeJy (Department of Medical science Graduate school, Chonnam National University) ;
  • Kim, Young-Keun (Dept. of Radiotechnology, Gwang-ju Health university)
  • Received : 2015.04.29
  • Accepted : 2015.06.09
  • Published : 2015.06.30
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Abstract

To study the differences of focal liver lesion image detection at 3 minute, 10 minute and 15 minute time points on gadoxetic acid (GA)'s enhanced MR imaging with a flip angle (FA) of $30^{\circ}$ compared with a $11^{\circ}$. The subjects were 69 patients evaluated with GA enhanced MR imaging with 3.0T MR scanner. The patients are total 35(23 men and 7 women at the mean age of 60.4 years), hepatocellular carcinoma(23) and metastsis(12) except for normal, cyst and hemangioma. After GA was injected, FA $11^{\circ}$ and $30^{\circ}$ images were obtained at 3 minute, 10 minute and 15 minute time points respectively. After quantitative and qualitative assessment of each image was done, statistical analysis was performed by using the independent sample T-test. From both quantitative and qualitative assessment of 3 minute and 10 minute MR images after the injection of GA, FA $30^{\circ}$ images was found to be superior than FA $11^{\circ}$, but there were no statistical significance. However, at 15 minute time point, Statistically significant FA $30^{\circ}$ image(p<0.05) was better than FA $11^{\circ}$ therefore, the FA $30^{\circ}$ improves the focal liver lesion detection. FA $30^{\circ}$ of MR image can detect liver lesion more sensitively than the existing $FA11^{\circ}$ image after GA contrast enhancement at 15 minute time point.

Gadoxetic acid (GA) 조영증강 자기공명(MR) 영상에서 일반적으로 많이 이용되는 숙임각(flip angle, FA) $11^{\circ}$와 비교하여 FA $30^{\circ}$를 이용한 3분, 10분 및 15분 영상에서 국소성 간 병변 검출 차이를 알아보고자 하였다. 대상 및 방법 : 3.0T MR 기기로 GA 조영증강지연기 MR영상을 시행 받은 69명의 환자를 대상으로 하였다. 대상 환자는 간세포암 23명과 전이암 12명으로 총 35명(남성 23, 여성12, 평균연령 60.4세)이었다. GA 주입 후 3분, 10분, 15분의 영상에서 각각 FA $11^{\circ}$와 $30^{\circ}$ 영상을 획득하였다. 각각의 영상에서 정량적평가와 정성적평가를 한 뒤 독립표본 T검정을 이용하여 통계적 분석을 하였다. 정량적 평가와 정성적 평가 모두 조영제 주입 후 3분과 10분 영상에서 FA $30^{\circ}$ 영상이 FA $11^{\circ}$ 영상보다 약간 우수하였으나 통계적 유의성은 없었다. 그러나 15분 영상에서는 FA $30^{\circ}$ 영상이 FA $11^{\circ}$ 영상보다 통계적으로 유의하게 우수하였다(p<0.05). GA 조영증강 후 15분 MR영상에서 FA $30^{\circ}$ 영상은 기존의 FA $11^{\circ}$ 영상보다 간 병변을 민감하게 검출해낼 수 있다.

Keywords

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