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Pelvic Floor Relaxation 盆底放松
Pub Date : 2003-05-01 DOI: 10.1002/0471142719.mia2003s08
Julia R. Fielding
Pelvic floor relaxation–abnormal descent of the bladder (cystocele), uterus and/or vagina (uterine or vaginal vault prolapse), small bowel (enterocele), or rectum (rectocele), is a significant women’s health issue affecting primarily parous women >50 years of age. Up to 50% of such women have some degree of genital prolapse. Symptoms are present in 10% to 20% of this group and most commonly include pelvic pressure, protrusion of tissue through the pelvic floor and urinary incontinence. In addition to age, risk factors include multiparity, menopause, and obesity. The purpose of this work is to describe a technique for production and review of MR images that can be used to quickly and accurately identify significant pelvic floor defects as an aid to treatment planning (Gold et al., 1999; Fielding et al., 2000).
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引用次数: 2
Cardiac Function Evaluation with Cine MRI of the Heart 心脏磁共振成像技术评价心脏功能
Pub Date : 2003-05-01 DOI: 10.1002/0471142719.mia1104s08
Arthur E. Stillman, Michael Jerosch-Herold
This unit describes how to determine hemodynamic parameters of cardiac function such as ejection fraction (EF), end diastolic volume (EDV), end systolic volume (ESV), stroke volume (SV), and cardiac mass, based on experience using a Siemens 1.5 T Sonata scanner. Briefly, cine loops are acquired over several heartbeats, synchronized with the heart cycle by gating of the encoding steps with the patients electrocardiogram (ECG). Recently, it has become feasible to acquire cine loops in real time, although the temporal resolution is not optimal. Options discussed in this unit include breath hold versus free breathing, prospective triggering versus retrospective gating, and volumetric data sets versus biplanar approaches. Patient parameters such as heart rate or rhythm, degree of functional impairment, the presence of valvular disease, and the need to assess for jets from shunts or valve dysfunction are also treated. Keywords: cardiac function; cine loop; hemodynamic parameters
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引用次数: 0
Abnormalities of the Osseous Structures of the Hip and Peri-Articular Soft Tissues 髋关节和关节周围软组织的骨结构异常
Pub Date : 2003-05-01 DOI: 10.1002/0471142719.mia2601s08
J. Bruce Kneeland, Carolyn Kaut Roth, James Garrison, Anthony Testa

This unit presents a basic protocol for detection and assessment of a large number of disorders arising in the bones of the hip or the surrounding soft tissues, including osteonecrosis, transient osteopenia, fractures, soft tissue injuries, and tumors. All of these disorders can be readily assessed without the use of a contrast agent. The evaluation of intra-articular structures, in particular the acetabular labrum, however, is probably best accomplished with the use of the direct injection of a Gd-chelate contrast agent into the hip joint. The protocol is presented for a 1.5-Tesla system for evaluation of disease in the region of the hip. Modifications for low-field (0.23 to 0.3 T) systems are also discussed.

本单元提出了检测和评估髋骨或周围软组织中出现的大量疾病的基本方案,包括骨坏死,短暂性骨质减少,骨折,软组织损伤和肿瘤。所有这些疾病都可以在不使用造影剂的情况下进行评估。然而,评估关节内结构,特别是髋臼唇,最好的方法可能是在髋关节内直接注射gd -螯合造影剂。该方案提出了一个1.5特斯拉系统评估疾病在髋关节区域。对低场(0.23 ~ 0.3 T)系统的修正也进行了讨论。
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引用次数: 0
Cardiac Function Evaluation with Cine MRI of the Heart 心脏磁共振成像技术评价心脏功能
Pub Date : 2003-05-01 DOI: 10.1002/0471142719.mia1104s015
A. Stillman, M. Jerosch-Herold
This unit describes how to determine hemodynamic parameters of cardiac function such as ejection fraction (EF), end diastolic volume (EDV), end systolic volume (ESV), stroke volume (SV), and cardiac mass, based on experience using a Siemens 1.5 T Sonata scanner. Briefly, cine loops are acquired over several heartbeats, synchronized with the heart cycle by gating of the encoding steps with the patients electrocardiogram (ECG). Recently, it has become feasible to acquire cine loops in real time, although the temporal resolution is not optimal. Options discussed in this unit include breath hold versus free breathing, prospective triggering versus retrospective gating, and volumetric data sets versus biplanar approaches. Patient parameters such as heart rate or rhythm, degree of functional impairment, the presence of valvular disease, and the need to assess for jets from shunts or valve dysfunction are also treated.
本单元描述了如何根据使用西门子1.5 T Sonata扫描仪的经验,确定心功能的血流动力学参数,如射血分数(EF)、舒张末期容积(EDV)、收缩期末期容积(ESV)、卒中容积(SV)和心脏质量。简而言之,通过与患者心电图(ECG)的编码步骤门控,获得与心脏周期同步的几次心跳的电影循环。近年来,虽然时间分辨率不是最优的,但实时获取电影循环已经成为可能。本单元讨论的选项包括屏气与自由呼吸,前瞻性触发与回顾性门控,以及容积数据集与双平面入路。患者参数,如心率或节律,功能损害程度,瓣膜疾病的存在,以及需要评估分流或瓣膜功能障碍。
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引用次数: 0
Hip MR Arthrography for Acetabular Labral Tears 髋臼唇撕裂的髋关节MR关节造影
Pub Date : 2003-05-01 DOI: 10.1002/0471142719.mia2602s08
J. Bruce Kneeland, Carolyn Kaut Roth, James Garrison, Anthony Testa
It is the authors’ opinion that the MR assessment of labral tears should be performed as an MR arthrogram, employing an array or surface coil and using higher resolution than that employed for routine MR examinations of the hip MR. The authors also believe that these studies should not be attempted on systems with static field strength <1 Tesla, because of the considerable demands placed on these systems to evaluate the labrum, in particular, the need for high resolution and fat saturation. (Not all investigators agree with the necessity of using arthrography, however. At least one investigator maintains that intra-articular contrast is not needed if sufficiently high resolution is employed. A different group of investigators performed MR arthrograms on a group of patients using a 0.5-T system for some patients and a 1.0-T system for others. These investigators did not describe any difference in accuracy between the two systems, although, they did not directly address this issue.) Under fluoroscopic guidance, a small amount of iodinated contrast agent is injected to confirm intra-articular location of the needle. A small amount of dilute Gd-chelate in saline, bupivicaine, and betamethasone is injected into the joint. Bupivicaine, a long-acting anesthetic, is used to confirm the intra-articular origin of the pain, as well as to provide short-term relief of symptoms. Betamethasone, a long-acting steroid, is used to provide somewhat longer-term symptomatic relief. Following the acquisition of a scout sequence in the coronal plane, fat-saturated, T1-weighted, fast-spin echo sequences in the transverse, coronal, and sagittal planes are obtained. Fast spin echo (FSE) sequences are used because fat saturation, when used with short TE FSE sequences, increases the study time much less than when used with short TE conventional spin echo sequences (CSE). The authors also set the second echo of the echo train in the FSE sequence to two times the minimum TE as the effective TE because of reduced blurring compared with use of the first echo. See Kowalchuk et al. (2000) for further discussion of the rationale for using the second echo of a fast-spin echo sequence as well as demonstrating its accuracy for the assessment of knee meniscal tears. To keep this effective TE <30 msec while using the second echo of the train requires relatively strong gradients and wide bandwidth. This type of sequence cannot be performed on all systems. In particular, if the gradients are not sufficiently strong, fat-saturated, T1-weighted CSE sequences are used and more time is taken to perform the study. Other investigators have advocated the use of 3-D, T1-weighted, short TR, gradient sequences. The authors have had no experience with these sequences for this application.
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引用次数: 0
Post Surgical Spinal Evaluation 术后脊柱评估
Pub Date : 2003-05-01 DOI: 10.1002/0471142719.mia0808s08
J. Randy Jinkins, David D. Stark

One of the most challenging areas of diagnosis is to be found in acquiring and interpreting medical images in the patient who has undergone lumbosacral surgery for spinal degenerative disease. The section illustrates the features of expected and abnormal postsurgical spinal imaging. These discussions provide the background, practical information, and graphic examples necessary to enable the medical imaging physician to better approach the clinicoradiologic evaluation of the postsurgical patient.

诊断中最具挑战性的领域之一是如何获取和解释因脊柱退行性疾病而接受腰骶部手术的患者的医学图像。本节展示了预期和异常的术后脊柱影像特征。这些讨论提供了必要的背景、实用信息和图形示例,使医学影像医师能够更好地对术后患者进行临床放射学评估。
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引用次数: 0
Magnetic Resonance Imaging Systems and Equipment Suppliers 磁共振成像系统和设备供应商
Pub Date : 2003-05-01 DOI: 10.1002/0471142719.misuppls08

This appendix lists the full contact information, including website URLs, for all auppliers mentioned in Current Protocols in Magnetic Resonance Imaging.

本附录列出了磁共振成像现行协议中提到的所有供应商的完整联系信息,包括网站url。
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引用次数: 0
Extracranial Carotid Artery Disease 颅外颈动脉疾病
Pub Date : 2003-02-01 DOI: 10.1002/0471142719.mia0103s07
E. Mark Haacke, Daniel Kido, Karen Tong

Magnetic Resonance Angiography (MRA) is a noninvasive means for studying the integrity of the vascular system. This unit presents a basic protocol describing an MRA technique for imaging the carotid arteries, time-of-flight MRA, and an Alternate Protocol for contrast-enhanced MRA. A second basic protocol based on high-resolution spin-echo scanning is also described. This protocol can be used to study the vessel wall in more detail. The parameters given here are derived from experience at 1.5 T and may need to be altered slightly depending on the field strength and the equipment manufacturer. In particular, optimal TE may vary with different field strength.

磁共振血管造影(MRA)是一种研究血管系统完整性的无创手段。本单元介绍了一种用于颈动脉成像的MRA技术的基本方案,飞行时间MRA,以及一种用于对比增强MRA的替代方案。还描述了基于高分辨率自旋回波扫描的第二种基本协议。该方案可用于更详细地研究血管壁。这里给出的参数是根据1.5 T的经验得出的,可能需要根据场强和设备制造商进行轻微修改。特别是,最佳TE可能随场强的不同而变化。
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引用次数: 1
Imaging of the Paranasal Sinuses 鼻窦成像
Pub Date : 2003-02-01 DOI: 10.1002/0471142719.mia0706s07
Daniel T. Boll, Michael Coffey, Jonathan S. Lewin

MRI in most instances, can better distinguish between soft tissues when compared with CT. The distinction of soft tissues becomes most clinically relevant when evaluating for possible sinonasal tumors and when inspecting for extension of tumor or inflammation into the orbit or intracranial spaces. It is in these areas that MRI has found its major application in sinus imaging. This unit presents MRI techniques for imaging the sinuses with and without contrast enhancement. The parameters given in this unit are derived from experience at 1.5 T and may need to be slightly altered depending on the field strength and the equipment manufacturer.

与CT相比,MRI在大多数情况下可以更好地区分软组织。当评估可能的鼻窦肿瘤和检查肿瘤或炎症是否扩展到眼眶或颅内间隙时,软组织的区分是最具临床意义的。正是在这些领域,MRI已发现其主要应用于窦成像。本单元介绍的MRI技术成像的鼻窦有和没有对比增强。本单元中给出的参数是根据1.5 T的经验得出的,可能需要根据场强和设备制造商进行轻微修改。
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引用次数: 0
MRI of the Male Pelvis 男性骨盆MRI
Pub Date : 2003-02-01 DOI: 10.1002/0471142719.mia1901s07
Richard Semelka, Laurie Fisher, Kathy Wilber

MRI provides comprehensive information on many male pelvic diseases, such as prostate cancer and bladder cancer as well as lymph nodes and bone metastases. This unit presents a protocol incorporating T1- and T2-weighted sequences including transverse and sagittal data acquisitions, and the routine use of intravenous gadolinium.

MRI提供了许多男性盆腔疾病的全面信息,如前列腺癌和膀胱癌,以及淋巴结和骨转移。本单元提出了一种结合T1和t2加权序列的方案,包括横向和矢状面数据采集,以及常规静脉注射钆。
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引用次数: 2
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Current Protocols in Magnetic Resonance Imaging
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