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Electronic Journal of Emerging Infectious Diseases ›› 2021, Vol. 6 ›› Issue (1): 49-53.doi: 10.19871/j.cnki.xfcrbzz.2021.01.011

• Original Articles • Previous Articles     Next Articles

Correlation between computed tomographic and 3T magnetic resonance imaging findings of parenchymal lung diseases

Yan Qinqin1, Shen Jie1, Lu Shuihua2, Shan Fei1, Shi Yuxin1   

  1. 1. Department of Radiology, Shanghai Public Health Clinical Center, Fudan University, Shanghai 201508, China;
    2. Department of Tuberculosis, Shanghai Public Health Clinical Center, Fudan University, Shanghai 201508, China
  • Received:2021-01-06 Online:2021-02-28 Published:2021-03-03

Abstract: Objective To optimize the pulmonary 3T magnetic resonance sequences and evaluate the diagnostic performance of parenchymal lung diseases. Methods 178 patients underwent chest 3T-MRI including star-volumetric interpolated breath-hold(Star-VIBE), VIBE, fast BLADE turbo spin echo(fBLADE TSE) and three-dimension sampling perfection with application optimized contrasts using different flip angle evolution(3D-SPACE). Image quality and detection rate of four sequences from random 60 patients were compared. And CT as reference was used for evaluation of detection. Results SNR of Star-VIBE was statistically higher than VIBE. Comparisons of CNR and 5-point scores had no difference. SNR and 5-point scores of fBLADE TSE was statistically higher than 3D-SPACE. The CNR of fBLADE TSE was lower than 3D-SPACE. Detection rate between Star-VIBE and VIBE, fBLADE TSE and 3D-SPACE had no difference. The sensitivity of nodules <6mm, 6-8mm, 8-10mm and ≥10mm was 90.5%, 95.6%, 100% and 100%. 3T-MRI sensitivity of calcified nodules was 80.3%. 3T-MRI was comparable to CT in detecting consolidation, ground-glass opacities, cavity, lobulation, spiculation, stripe, pleural reaction, tree-in-bud sign, miliary nodules, satellite lesions. 3T-MRI was inferior to CT in detection of pleural indention and bronchiectasis. 3T-MRI was superior to present caseous necrosis, liquefaction, mucus plug and obstructive pneumonia. Conclusions free-breathing Star-VIBE and fBLADE TSE can provide high-quality images. And 3T-MRI is comparable to CT for pulmonary parenchyma lesions and has advantages of identifying caseous necrosis, liquefaction, mucus plug and obstructive pneumonia.

Key words: Pulmonary magnetic resonance imaging, X-ray computer, tomography, Image quality, Detection