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Assessment of The Accuracy of The MR Abdominal Adipose Tissue Volumetry using 3D Gradient Dual Echo 2-Point DIXON Technique using CT as Reference

  • Kang, Sung-Jin (Dept. of Radiology, Soonchunhyang University Bucheon Hospital)
  • 투고 : 2016.10.20
  • 심사 : 2016.12.12
  • 발행 : 2016.12.31

초록

In this study, in order to determine the validity and accuracy of MR imaging of 3D gradient dual echo 2-point DIXON technique for measuring abdominal adipose tissue volume and distribution, the measurements obtained by CT were set as a reference for comparison and their correlations were evaluated. CT and MRI scans were performed on each subject (17 healthy male volunteers who were fully informed about this study) to measure abdominal adipose tissue volume. Two skilled investigators individually observed the images acquired by CT and MRI in an independent environment, and directly separated the total volume using region-based thresholding segmentation method, and based on this, the total adipose tissue volume, subcutaneous adipose tissue volume and visceral adipose tissue volume were respectively measured. The correlation of the adipose tissue volume measurements with respect to the observer was examined using the Spearman test and the inter-observer agreement was evaluated using the intra-class correlation test. The correlation of the adipose tissue volume measurements by CT and MRI imaging methods was examined by simple regression analysis. In addition, using the Bland-Altman plot, the degree of agreement between the two imaging methods was evaluated. All of the statistical analysis results showed highly statistically significant correlation (p<0.05) respectively from the results of each adipose tissue volume measurements. In conclusion, MR abdominal adipose volumetry using the technique of 3D gradient dual echo 2-point DIXON showed a very high level of concordance even when compared with the adipose tissue measuring method using CT as reference.

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참고문헌

  1. H. K. Choi and E. S. Ford, Am. J. Med. 120, 442 (2007). https://doi.org/10.1016/j.amjmed.2006.06.040
  2. S. M. Grundy, J. Am. Coll. Cardiol. 47, 1093 (2006). https://doi.org/10.1016/j.jacc.2005.11.046
  3. N. Abate, Diabetes Care. 19, 292 (1996). https://doi.org/10.2337/diacare.19.3.292
  4. S. Fujioka, Y. Matsuzawa, K. Tokunaga, and S. Tarui, Metabolism. 36, 54 (1987). https://doi.org/10.1016/0026-0495(87)90063-1
  5. D. Blair, J. P. Habicht, E. A. Sims, D. Sylwester, and S. Abraham, Am. J. Epidemiol. 119, 526 (1984). https://doi.org/10.1093/oxfordjournals.aje.a113770
  6. A. H. Kissebah, N. Vydelingum, R. Murray, D. J. Evanse, R. K. Kalkhoff, and P. W. Adams, J. Clin. Endocrinol. Metab. 54, 254 (1982). https://doi.org/10.1210/jcem-54-2-254
  7. I. Janssen, S. B. Heymsfield, D. B. Allison, D. P. Kotler, and R. Ross, Am. J. Clin. Nutr. 75, 683 (2002). https://doi.org/10.1093/ajcn/75.4.683
  8. M. C. Pouliot, J. P. Despres, S. Lemieux, S. Moorjani, C. Bouchard, A. Tremblay, A. Nadeau, and P. J. Lupien, Am. J. Cardiol. 73, 460 (1994). https://doi.org/10.1016/0002-9149(94)90676-9
  9. S. H. Han, S. Y. Lee, K. N. Kim, and S. M. Yoo, Korean J. Obes. 15, 213 (2006).
  10. E. Bertin, C. Marcus, J. C. Ruiz, J. P. Eschard, and M. Leutenegger, Int. J. Obes. Relat. Metab. Disord. 24, 263 (2000). https://doi.org/10.1038/sj.ijo.0801121
  11. T. Nakamura and T. Yoshizumi, Nippon Rinsho. 64(Suppl. 9), 476 (2006).
  12. S. Rossner, W. J. Bo, E. Hiltbrandt, W. Hinson, N. Karstaedt, P. Santago, W. T. Sobol, and J. R. Crouse, Int. J. Obes. 14, 893 (1990).
  13. Y. L. Chan, S. S. Leung, W. W. Lam, X. H. Peng, and C. Metreweli, J. Pediatr. Child. Health. 34, 22 (1998). https://doi.org/10.1046/j.1440-1754.1998.00147.x
  14. C. M. de Ridder, R. W. de Boer, J. C. Seidell, C. M. Nieuwenhoff, J. A. Jeneson, C. J. Bakker, M. L. Zonderland, and W. B. Erich, Int. J. Obes. 16, 443 (1992).
  15. T. Yoshizumi, T. Nakamura, M. Yamane, A. H. Islam, M. Menju, K. Yamasaki, T. Arai, K. Kotani, T. Funahashi, S. Yamashita, and Y. Matsuzawa, Radiology 211, 283 (1999). https://doi.org/10.1148/radiology.211.1.r99ap15283
  16. K. Tokunaga, Y. Matsuzawa, K. Ishikawa, and S. Tarui, Int. J. Obes. 7, 437 (1983).
  17. D. Y. Yoon, J. H. Moon, H. K. Kim, C. S. Choi, S. K. Chang, E. J. Yun, and Y. L. Seo, Acad Radiol. 15, 62 (2008). https://doi.org/10.1016/j.acra.2007.07.013
  18. J. G. Terry, W. H. Hinson, G. W. Evans, P. J. Schreiner, and A. P. Hagaman, Crouse JR 3rd, Am. J. Clin. Nutr. 62, 297 (1995). https://doi.org/10.1093/ajcn/62.2.297
  19. P. J. Schreiner, J. G. Terry, G. W. Evans, and W. H. Hinson, Crouse JR 3rd, G. Heiss, Am. J. Epidemiol. 144, 335 (1996). https://doi.org/10.1093/oxfordjournals.aje.a008934
  20. R. Ross, K. D. Shaw, J. Rissanen, Y. Martel, J. D. Guise, and L. Avruch, Am. J. Clin. Nutr. 59, 1277 (1994). https://doi.org/10.1093/ajcn/59.6.1277
  21. K. Kotani, K. Tokunga, S. Fujioka, T. Kobatake, Y. Keno, S. Yoshida, I. Shimomura, S. Tarui, and Y. Matsuzawa, Int. J. Obes. Relat. Metab. Disord. 18, 207 (1994).
  22. R. S. Schwartz, W. P. Shuman, V. L. Bradbury, K. C. Cain, G. W. Fellingham, J. C. Beard, S. E. Kahn, J. R. Stratton, M. D. Cerqueira, and I. B. Abrass, J. Gerontol. 45, 181 (1990).
  23. S. Mito, K. Ishizaka, M. Nakanishi, H. Sugimori, H. Hamaguchi, and T. Tsuzuki, Nihon Hoshasen Gijutsu Gakkai Zasshi. 67, 654 (2011). https://doi.org/10.6009/jjrt.67.654
  24. K. Ishizaka, N. Oyama, S. Mito, H. Sugimori, M. Nakanishi, T. Okuaki, H. Shirato, and S. Terae, Magn. Reson. Med. Sci. 10, 41 (2011). https://doi.org/10.2463/mrms.10.41
  25. J. Machann, J. Magn. Reson. Imaging. 28, 543 (2008). https://doi.org/10.1002/jmri.21492
  26. J. Machann, Magn. Reson. Med. 52, 415 (2004). https://doi.org/10.1002/mrm.20146
  27. K. T. Bae, F. Zhu, A. B. Chapman, V. E. Torres, J. J. Grantham, L. M. Guay-Woodford, D. A. Baumgarten, B. F. King Jr, L. H. Wetzel, P. J. Kenney, M. E. Brummer, W. M. Bennett, S. Klahr, C. M. Meyers, X. Zhang, P. A. Thompson, and J. P. Miller, Clin. J. Am. Soc. Nephrol. 1, 64 (2006).
  28. J. M. Bland and D. G. Altman, Lancet. 1, 307 (1986).
  29. B. Larsson, K. Svardsudd, L. Welin, L. Wilhelmsen, P. Bjorntorp, and G. Tibblin, Br. Med. J. 288, 1401 (1984). https://doi.org/10.1136/bmj.288.6428.1401
  30. Report of a WHO consultation, World Health Organ Tech Rep Ser, 2000; 894: i-xii, 1-253.
  31. National Institute of Health, http://www.nhlbi.nih.gov/guidelines/obesity/ob_ddlns.pdf
  32. J. St-Pierre, I. Lemieux, M. C. Vohl, P. Perron, G. Tremblay, J. P. Despres, and D. Gaudet, Am. J. Cardiol. 90, 15 (2002).
  33. A. H. Kissebah, Diabetes Res. Clin. Pract. 30, 25 (1996). https://doi.org/10.1016/S0168-8227(96)80035-0
  34. J. M. Chan, E. B. Rimm, G. A. Colditz, M. J. Stamfer, and W. C. Willett, Diabetes Care. 17, 961 (1994). https://doi.org/10.2337/diacare.17.9.961
  35. P. Arner, Ann. Med. 27, 435 (1995). https://doi.org/10.3109/07853899709002451
  36. E. Ferrannini, E. J. Barrett, S. Bevilacqua, and R. A. DeFronzo, J. Clin. Invest. 72, 1737 (1983). https://doi.org/10.1172/JCI111133
  37. A. C. Perry, E. B. Applegate, M. L. Jackson, S. Deprima, R. B. Goldberg, R. Ross, L. Kempner, and B. B. Feldman, J. Appl. Physio. 89, 636 (2000). https://doi.org/10.1152/jappl.2000.89.2.636
  38. P. M. McKeigue, B. Shah, and M. G. Marmot, Lancet. 337, 382 (1991). https://doi.org/10.1016/0140-6736(91)91164-P
  39. Y. Kim, Y. Suh, and H. Choi, Obes. Res. 3, 445 (2004).
  40. G. Tornaghi, R. Raiteri, C. Pozzato, A. Rispoli, M. Bramani, M. Cipolat, and A. Craveri, Int. J. Obes. Relat. Metab. Disord. 18, 771 (1994).
  41. K. van der Kooy, R. Leenen, J. C. Seidell, P. Deurenberg, A. Droop, and C. J. Bakker, Am. J. Clin. Nutr. 57, 327 (1993). https://doi.org/10.1093/ajcn/57.3.327
  42. E. S. Kim, Y. S. Noh, K. S. Seo, S. B. Park, and H. R. Yoon, J. Biomed. Eng. Res. 31, 375 (2010).
  43. J. L. Clasey, C. Bouchard, C. D. Teates, J. E. Riblett, M. O. Thorner, M. L. Hartman, and A. Weltman, Obes. Re. 7, 256 (1999). https://doi.org/10.1002/j.1550-8528.1999.tb00404.x
  44. J. D. Yeo and B. K. Jeon, JKCA. 6, 252 (2011).
  45. J. Machann, C. Thamer, B. Schnoedt, M. Haap, H. U. Haring, C. D. Claussen, M. Stumvoll, A. Fritsche, and F. Schick, J. Magn. Reson. Imaging. 21, 455 (2005). https://doi.org/10.1002/jmri.20292
  46. R. Ross, L. Leger, R. Guardo, J. De Guise, and B. G. Pike, J. Appl. Physiol. 70, 2164 (1991). https://doi.org/10.1152/jappl.1991.70.5.2164
  47. P. Beddy, R. D. Rangarajan, M. Kataoka, P. Moyle, M. J. Graves, and E. Sala, Radiology 258, 583 (2011). https://doi.org/10.1148/radiol.10100912
  48. H. J. Kim, S. E. Taksali, S. Dufour, D. Befroy, T. R. Goodman, K. F. Petersen, G. I. Shulman, S. Caprio, and R. T. Constable, Magn. Reson. Med. 59, 525 (2008).
  49. K. J. Ellis, B. Grund, F. Visnegarwala, L. Thackeray, C. G. Miller, and C. E. Chesson, Obesity. 15, 1441 (2007). https://doi.org/10.1038/oby.2007.172
  50. J. R. Greenfield, K. Samaras, D. J. Chisholm, and L. V. Campbell, Obes. Res. 10, 260 (2002). https://doi.org/10.1038/oby.2002.35
  51. M. Warren, P. J. Schreiner, and J. G. Terry, Am. J. Epidemiol. 163, 352 (2006). https://doi.org/10.1093/aje/kwj049
  52. R. Ross, K. D. Shaw, Y. Martel, J. de Guise, and L. Avruch, Am. J. Clin. Nutr. 57, 470 (1993). https://doi.org/10.1093/ajcn/57.4.470
  53. R. Nakai, T. Azuma, T. Kishimoto, T. Hirata, O. Takizawa, S. H. Hyon, and S. Tsutsumi, J. Magnetic. Resonance Imaging 28, 520 (2010). https://doi.org/10.1016/j.mri.2009.12.019
  54. X. H. Li, J. Zhu, X. M. Zhang, Y. F. Ji, T. W. Chen, X. H. Huang, L. Yang, and N. L. Zeng, J. Magn. Reson. Imaging 40, 58 (2014). https://doi.org/10.1002/jmri.24329
  55. T. Nakamura, K. Tokunaga, I. Shimomura, and M. Nishida, Atheroscl. 107, 239 (1994). https://doi.org/10.1016/0021-9150(94)90025-6
  56. A. Vermeulen, J. Clin. Endocrinol. Metab. 73, 221 (1991). https://doi.org/10.1210/jcem-73-2-221
  57. M. Rebuffe-Scrive, L. Enk, N. Crona, P. Lonnroth, L. Abrahamsson, U. Smith, and P. Bjorntorp, J. Clin. Invest. 75, 1973 (1985). https://doi.org/10.1172/JCI111914