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The effect of prolonged glucose infusion on resting-state fMRI signal fluctuations at 7 T 长时间葡萄糖输注对7 T静息状态fMRI信号波动的影响。
IF 2 4区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2026-01-09 DOI: 10.1016/j.mri.2026.110611
N. Ahmadian , Evita C. Wiegers , Wybe van der Kemp , Ellen van Hulst , Corin Miller , Sarah Hsieh , An Bautmans , Kristien Van Dyck , Shawn Kim , Ilias Triantafyllou , Pieter van Eijsden , Dennis W. Klomp , Natalia Petridou , Alex A. Bhogal
The aim of this study was to examine the effect of 2-h glucose infusion after an overnight fast on relative resting-state fMRI signal fluctuations. Our hypothesis was that neuronal glucose metabolism would be affected, and that this would lead to changes in signal power at specific frequency bands. Resting state fMRI (rsfMRI) scans were acquired in 9 subjects pre- and post-glucose ∼2 h infusion. Fourier spectral analysis was performed using signals localized in the prefrontal cortex. Power spectra were calculated and statistical analysis was performed targeting the full spectral range using both a cluster-based and Wilcoxon signed rank test. For both tests, post-infusion signal power was significantly higher between the 0.015–0.1 Hz range. Moreover we observed differences at higher frequencies, normally attributed to cardiac or respiratory related signals. Our findings suggest that prolonged glucose infusion post-fasting may significantly modulate rsfMRI signal fluctuations in the prefrontal cortex that may be related to metabolic responses to glucose infusion. Future studies should investigate the dynamic effects of sustained glucose infusion using continuous fMRI, exploring implications for brain function and metabolic disorders like diabetes.
本研究的目的是研究禁食后2小时葡萄糖输注对相对静息状态fMRI信号波动的影响。我们的假设是神经元葡萄糖代谢将受到影响,这将导致特定频段信号功率的变化。对9例受试者进行静息状态fMRI (rsfMRI)扫描,观察葡萄糖~2 h输注前后。傅里叶谱分析使用定位于前额皮质的信号。计算功率谱,并使用基于聚类和Wilcoxon符号秩检验对全光谱范围进行统计分析。在0.015 ~ 0.1 Hz范围内,两组注射后信号功率均显著增高。此外,我们观察到更高频率的差异,通常归因于心脏或呼吸相关信号。我们的研究结果表明,禁食后长时间的葡萄糖输注可能会显著调节前额皮质的rsfMRI信号波动,这可能与葡萄糖输注的代谢反应有关。未来的研究应利用连续功能磁共振成像(fMRI)研究持续葡萄糖输注的动态影响,探索其对脑功能和糖尿病等代谢紊乱的影响。
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引用次数: 0
Assessment of a truncation-based R2* fitting technique for quantifying high liver iron concentration (LIC) 评估基于截断的R2*拟合技术定量高肝铁浓度(LIC)。
IF 2 4区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2026-01-03 DOI: 10.1016/j.mri.2026.110609
Marshall S. Sussman , Bryan Buckley , Stephan A.R. Kannengiesser , Kartik S. Jhaveri

Background

R2*-based MRI liver iron concentration (LIC) quantification has several advantages. However, lower accuracies can impact utility in high iron overload states.

Purpose

To develop and characterize an R2* fitting technique based on truncation. Unlike other truncation methods, this approach maximizes the accuracy of LIC estimates at the possible cost of precision, rather than the converse. The hypothesis of this study is that the truncation-based method can provide accurate LIC estimates over the full range of LICs characterized by FerriScan.

Study type: Retrospective subjects

170 patients undergoing chelation treatment for iron overload had undergone FerriScan and R2* MRI during the same exam.

Field strength/sequence

Field strength was 1.5 T. Pulse sequences included 2D multi-slice spin-echo for FerriScan, and 3D 5-echo gradient echo for R2* mapping.

Assessment

LIC was calculated for both non- and truncated R2* fits using a previously-derived calibration curve. The resulting LIC values were compared to those from the reference FerriScan technique. Precision was also assessed for LIC estimates.

Statistical tests

LIC values were compared using a Wilcoxon signed rank test. Statistical significance was set at the 95 % confidence level.

Results

LIC estimates from truncated R2* fits were equal to FerriScan at all LIC values, while those from non-truncated fits deviated for LIC > 28 mg Fe / g dw liver. The precision of the truncated fits was better than the non-truncated fits.

Data conclusion

The truncation R2*-fitting method developed in this study permits accurate characterization of LIC over the full range of LICs characterized by FerriScan.
背景:基于R2*的MRI肝铁浓度(LIC)定量有几个优点。然而,较低的精度会影响高铁过载状态下的效用。目的:发展和表征基于截断的R2*拟合技术。与其他截断方法不同,这种方法以可能的精度代价最大化LIC估计的准确性,而不是相反。本研究的假设是,基于截断的方法可以在FerriScan表征的全范围内提供准确的LIC估计。研究类型:回顾性研究对象:170例接受铁超载螯合治疗的患者在同一检查期间进行了FerriScan和R2* MRI检查。场强/序列:场强为1.5 T。脉冲序列包括FerriScan的二维多层自旋回波和R2*映射的三维5回波梯度回波。评估:使用先前导出的校准曲线计算非R2*拟合和截断R2*拟合的LIC。将所得LIC值与参考FerriScan技术的LIC值进行比较。还评估了LIC估计值的精度。统计检验:使用Wilcoxon符号秩检验比较LIC值。统计学显著性设置为95% %置信水平。结果:截断R2*拟合的LIC估计值与FerriScan在所有LIC值上相等,而非截断拟合的LIC估计值偏离了 > 28 mg Fe / g dw肝脏。截断拟合的精度优于非截断拟合。数据结论:本研究开发的截断R2*拟合方法可以在FerriScan表征的全范围内准确表征LIC。
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引用次数: 0
Imaging evidence of diabetic pancreatopathy: An exploratory IVIM MRI study 糖尿病性胰腺病变的影像学证据:一项探索性IVIM MRI研究。
IF 2 4区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2026-01-02 DOI: 10.1016/j.mri.2026.110610
Boyu Liu , Feng Huang , Peng Liu , Xi Wu , Dandan Zhou , Siyou Yi , Qianbiao Gu

Background

To investigate pancreatic microstructural alterations in type 2 diabetes mellitus (T2DM) using intravoxel incoherent motion (IVIM) MRI.

Methods

This cross-sectional study enrolled 152 participants (72 T2DM, 80 controls). IVIM-derived parameters (perfusion fraction F, diffusion coefficient D) were quantified in pancreatic head, body, and tail. Group comparisons utilized multivariable logistic regression adjusted for confounders; disease duration correlation was assessed via Pearson's test.

Results

T2DM patients exhibited significantly elevated perfusion fraction F in the pancreatic head (adjusted OR = 1.06, P = 0.015). Conversely, the pancreatic tail demonstrated a nominally reduced pure diffusion coefficient (Dp) across models (adjusted OR = 0.99, P = 0.028), indicating microstructural damage. Longitudinal analysis revealed that tail F positively correlated with T2DM duration (r = 0.39, P < 0.01), while tail Dp negatively correlated (r = −0.25, P = 0.05), suggesting progressive tail-specific pathology.

Conclusion

This exploratory IVIM MRI study suggests a spatial heterogeneity in diabetic pancreatopathy, characterized by compensatory perfusion changes in the pancreatic head alongside progressive microstructural alterations in the tail. Pancreatic-tail IVIM parameters, particularly perfusion fraction F which correlated with disease duration, may represent candidate imaging biomarkers for diabetic pancreatic injury, warranting further validation in larger cohorts.
背景:利用体素内非相干运动(IVIM) MRI研究2型糖尿病(T2DM)胰腺微结构改变。方法:这项横断面研究纳入了152名参与者(72名T2DM患者,80名对照组)。在胰头、体和尾分别量化ivim衍生参数(灌注分数F、扩散系数D)。组间比较采用经混杂因素校正的多变量逻辑回归;通过Pearson检验评估病程相关性。结果:T2DM患者胰头灌注分数F明显升高(调整后OR = 1.06,P = 0.015)。相反,胰腺尾部的纯扩散系数(Dp)在各模型间名义上降低(调整后的OR = 0.99,P = 0.028),表明微结构损伤。纵向分析显示,尾部F与T2DM病程呈正相关(r = 0.39,P P负相关(r = -0.25,P = 0.05),提示尾部特异性病理进展。结论:这项探索性IVIM MRI研究表明,糖尿病性胰腺炎具有空间异质性,其特征是胰腺头部代偿性灌注改变和尾部进行性微结构改变。胰尾IVIM参数,特别是与病程相关的灌注分数F,可能是糖尿病胰腺损伤的候选成像生物标志物,需要在更大的队列中进一步验证。
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引用次数: 0
Lenz effect in conductive nonmagnetic objects moved in MRI environments 在MRI环境中移动的导电非磁性物体的伦茨效应
IF 2 4区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-12-30 DOI: 10.1016/j.mri.2025.110605
Alessandro Arduino , Oriano Bottauscio , Michael Steckner , Umberto Zanovello , Luca Zilberti

Purpose:

To model and predict the dynamics of conductive nonmagnetic objects moved within the MRI room under the influence of Lenz effect. High frequency motions, like vibrations induced by gradient eddy currents are not taken into account.

Methods:

The dynamics are described by an ordinary differential equation and the Lenz effect approximated under the assumption of negligible skin effect. This allows to separate the Lenz effect dependency on the object position and velocity, leading to a simple numerical procedure for objects of any shape.

Results:

The proposed model and numerical procedure were validated with experimental data recording the rotation of an aluminium plate falling inside a 1.5 T MRI scanner. The model was also applied for studying the translation of an aluminium plate pushed with constant force towards the MRI bore through the fringe field.

Conclusion:

The collected results showed that it is possible to obtain accurate predictions of motion in the presence of Lenz effect by neglecting the skin effect while determining the motional eddy currents induced in the metallic object.
目的:模拟和预测在伦兹效应的影响下,在核磁共振室内移动的导电非磁性物体的动力学。高频运动,如由梯度涡流引起的振动没有被考虑在内。方法:用常微分方程描述动力学,并在可忽略集肤效应的假设下近似地描述Lenz效应。这允许分离依赖于物体位置和速度的伦茨效应,导致任何形状的物体的一个简单的数值过程。结果:所提出的模型和数值过程通过记录铝板落在1.5 T MRI扫描仪内的旋转的实验数据得到验证。该模型还应用于研究铝板在恒力作用下通过边缘场向核磁共振成像孔的平移。结论:收集到的结果表明,在确定金属物体中产生的运动涡流时,忽略集肤效应可以获得存在Lenz效应时的准确运动预测。
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引用次数: 0
Microscopic Propagator Imaging with diffusion MRI 扩散MRI显微传播体成像。
IF 2 4区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-12-29 DOI: 10.1016/j.mri.2025.110607
Tommaso Zajac , Gloria Menegaz , Marco Pizzolato
Microscopic Propagator Imaging (MPI) is a novel diffusion MRI technique that estimates properties, referred to as indices, of the microscopic propagator. This is the probability distribution of water displacements within tissue microstructures. Unlike conventional mean apparent propagator methods, MPI is designed to minimize the sensitivity of indices to mesoscopic confounds such as axonal orientation dispersion, yielding diagnostic maps that more directly reflect presence, integrity, and shape of microstructures rather than their directional arrangement within the voxel. The method is implemented as a machine learning framework that exploits zonal relationships among spherical harmonic coefficients of multi-shell diffusion data to map such data to the microscopic propagator indices. Applied to human brain data, MPI yields reliable voxelwise estimates, with resulting maps exhibiting expected spatial patterns and systematic differences relative to the corresponding mean apparent propagator indices. These findings suggest that MPI provides microscopic-specific and complementary information beyond classical propagator methods, with potential to improve the characterization of brain tissue microstructure.
显微传播体成像(MPI)是一种新型的扩散MRI技术,用于估计微观传播体的属性,即指数。这是水在组织微观结构中位移的概率分布。与传统的平均表观传播子方法不同,MPI旨在最大限度地降低指标对介观混淆(如轴突方向分散)的敏感性,从而产生更直接反映微观结构的存在、完整性和形状的诊断图,而不是它们在体素内的方向排列。该方法作为一个机器学习框架实现,利用多壳扩散数据的球面调和系数之间的纬向关系将这些数据映射到微观传播子指标。将MPI应用于人类大脑数据,可以产生可靠的体素估计,所得到的地图显示了预期的空间模式和相对于相应的平均表观传播因子指数的系统差异。这些发现表明,MPI提供了超越经典传播体方法的微观特异性和互补信息,具有改善脑组织微观结构表征的潜力。
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引用次数: 0
Development and validation of a prognostic prediction nomogram incorporating MRI and clinicopathological features in breast cancer patients after neoadjuvant chemotherapy 结合MRI和临床病理特征的乳腺癌患者新辅助化疗后预后预测图的开发和验证。
IF 2 4区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-12-29 DOI: 10.1016/j.mri.2025.110606
Shuluan Chen , Shunan Che , Mengying Yang , Yufei Chen , Yuan Tian , Kun Ma , Sicong Wang , Jing Li

Objectives

This study aimed to develop and validate a prognostic nomogram integrating baseline MRI and clinicopathological features to predict disease-free survival (DFS) in breast cancer patients undergoing neoadjuvant chemotherapy (NAC).

Materials and methods

A retrospective cohort of 402 invasive breast cancer patients who underwent pre-treatment MRI, NAC, and surgery between January 2014 and December 2021 was analyzed. Patients were randomly assigned to a training group (n = 280) and a validation group (n = 122). Variables were selected via univariate Cox regression and Lasso-Cox analyses, with significant factors used to construct nomogram models. The clinicopathological, baseline MRI and combined models were constructed. Model performance was assessed using the area under the curve (AUC), concordance index (C-index), and calibration curves. A risk score derived from the combined model facilitated stratification into high- and low-risk groups, with log-rank test used for survival comparison.

Results

Key predictors in the clinicopathological model included clinical T stage, pathological complete response (pCR) in primary tumor, pCR in axillary lymph nodes, and lymphovascular invasion. MRI-based predictors included multifocal or multicentric lesions, subcutaneous edema, and ipsilateral suspicious internal mammary lymph nodes. The combined model outperformed the clinicopathological (training C-index = 0.67, validation C-index = 0.754) and baseline MRI models (training C-index = 0.665, validation C-index = 0.605), achieving C-indices of 0.706 and 0.719 in the training and validation groups, respectively. A risk score cut-off of −0.35 effectively stratified patients into high- and low-risk groups.

Conclusion

This combined nomogram integrating clinicopathological and MRI features offers improved predictive accuracy for DFS in breast cancer patients after NAC, enabling enhanced risk stratification and individualized follow-up strategies.
目的:本研究旨在开发和验证一种结合基线MRI和临床病理特征的预后图,以预测接受新辅助化疗(NAC)的乳腺癌患者的无病生存(DFS)。材料与方法:回顾性分析2014年1月至2021年12月期间接受MRI、NAC和手术治疗的402例浸润性乳腺癌患者。患者被随机分配到训练组(n = 280)和验证组(n = 122)。通过单变量Cox回归和Lasso-Cox分析选择变量,显著因子构建nomogram模型。建立临床病理、基线MRI及联合模型。使用曲线下面积(AUC)、一致性指数(C-index)和校准曲线来评估模型的性能。从联合模型中得出的风险评分有助于分层为高风险组和低风险组,并使用对数秩检验进行生存比较。结果:临床病理模型的关键预测因子包括临床T分期、原发肿瘤病理完全反应(pCR)、腋窝淋巴结病理完全反应(pCR)和淋巴血管浸润。基于mri的预测因素包括多灶或多中心病变、皮下水肿和同侧可疑的乳腺内淋巴结。联合模型优于临床病理模型(训练C-index = 0.67,验证C-index = 0.754)和基线MRI模型(训练C-index = 0.665,验证C-index = 0.605),训练组和验证组的C-index分别为0.706和0.719。风险评分截止值为-0.35,有效地将患者分为高危组和低危组。结论:这种结合临床病理和MRI特征的联合nomogram方法提高了NAC后乳腺癌患者DFS的预测准确性,增强了风险分层和个性化随访策略。
{"title":"Development and validation of a prognostic prediction nomogram incorporating MRI and clinicopathological features in breast cancer patients after neoadjuvant chemotherapy","authors":"Shuluan Chen ,&nbsp;Shunan Che ,&nbsp;Mengying Yang ,&nbsp;Yufei Chen ,&nbsp;Yuan Tian ,&nbsp;Kun Ma ,&nbsp;Sicong Wang ,&nbsp;Jing Li","doi":"10.1016/j.mri.2025.110606","DOIUrl":"10.1016/j.mri.2025.110606","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to develop and validate a prognostic nomogram integrating baseline MRI and clinicopathological features to predict disease-free survival (DFS) in breast cancer patients undergoing neoadjuvant chemotherapy (NAC).</div></div><div><h3>Materials and methods</h3><div>A retrospective cohort of 402 invasive breast cancer patients who underwent pre-treatment MRI, NAC, and surgery between January 2014 and December 2021 was analyzed. Patients were randomly assigned to a training group (<em>n</em> = 280) and a validation group (<em>n</em> = 122). Variables were selected via univariate Cox regression and Lasso-Cox analyses, with significant factors used to construct nomogram models. The clinicopathological, baseline MRI and combined models were constructed. Model performance was assessed using the area under the curve (AUC), concordance index (C-index), and calibration curves. A risk score derived from the combined model facilitated stratification into high- and low-risk groups, with log-rank test used for survival comparison.</div></div><div><h3>Results</h3><div>Key predictors in the clinicopathological model included clinical T stage, pathological complete response (pCR) in primary tumor, pCR in axillary lymph nodes, and lymphovascular invasion. MRI-based predictors included multifocal or multicentric lesions, subcutaneous edema, and ipsilateral suspicious internal mammary lymph nodes. The combined model outperformed the clinicopathological (training C-index = 0.67, validation C-index = 0.754) and baseline MRI models (training C-index = 0.665, validation C-index = 0.605), achieving C-indices of 0.706 and 0.719 in the training and validation groups, respectively. A risk score cut-off of −0.35 effectively stratified patients into high- and low-risk groups.</div></div><div><h3>Conclusion</h3><div>This combined nomogram integrating clinicopathological and MRI features offers improved predictive accuracy for DFS in breast cancer patients after NAC, enabling enhanced risk stratification and individualized follow-up strategies.</div></div>","PeriodicalId":18165,"journal":{"name":"Magnetic resonance imaging","volume":"127 ","pages":"Article 110606"},"PeriodicalIF":2.0,"publicationDate":"2025-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145878664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
NLMap-ATVR: A novel combination of nonlinear mapping network and adaptive total variation regularization for MRI denoising NLMap-ATVR:一种非线性映射网络与自适应全变分正则化相结合的MRI去噪方法。
IF 2 4区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-12-29 DOI: 10.1016/j.mri.2025.110608
Yu Weng , Jufeng Zhao , Christakis Damianou , Kun Luo , Guangmang Cui
Magnetic resonance imaging (MRI) is an advanced imaging technique that is used to aid in medical diagnosis. However, common noises such as Gaussian and Rician noise can blur details and structures, affect contrast and reduce signal-to-noise ratio (SNR), so MRI denoising technique becomes an critical step to get noise-free MRI images. Traditional methods still have limitations in effectively balancing noise removal and the preservation of image details and structural information. To address the challenge, this paper proposes an MRI image denoising model that combines Nonlinear Mapping Network (NLMap) and Attention Mechanism-guided Adaptive Total Variation Regularization (ATVR). The model includes a NLMap-ATVR network, a crafted joint loss function and a Bayesian optimization framework. Firstly, the network uses an encoder-decoder architecture, combined with ATVR to ensure noise removal. Secondly, the joint loss function includes mean square error (MSE) loss, perceptual loss and ATVR loss, which are used to consider pixel-level and feature-level spatial structural errors to preserve details and structures. Thirdly, a Bayesian optimization framework is applied to automatically tune the hyperparameters to obtain optimal parameters. Compared with State-of-the-art methods, both subjective and objective evaluations based on experimental results demonstrate that the proposed method not only effectively removes noise but also significantly preserves details and structural information, which greatly improves SNR.
磁共振成像(MRI)是一种先进的成像技术,用于帮助医学诊断。然而,常见的高斯噪声和利氏噪声会模糊细节和结构,影响对比度,降低信噪比,因此MRI去噪技术成为获得无噪MRI图像的关键步骤。传统的方法在有效地平衡去噪和保留图像细节和结构信息方面仍然存在局限性。为了解决这一问题,本文提出了一种结合非线性映射网络(NLMap)和注意机制引导的自适应全变分正则化(ATVR)的MRI图像去噪模型。该模型包括一个NLMap-ATVR网络、一个精心设计的联合损失函数和一个贝叶斯优化框架。首先,该网络采用编码器-解码器结构,结合ATVR来保证噪声的去除。其次,联合损失函数包括均方误差(MSE)损失、感知损失和ATVR损失,分别考虑像素级和特征级空间结构误差,以保留细节和结构;第三,采用贝叶斯优化框架对超参数进行自动调优,得到最优参数。实验结果表明,与现有方法相比,该方法不仅能有效地去除噪声,而且能很好地保留细节和结构信息,大大提高了信噪比。
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引用次数: 0
Time-dependent diffusion-weighted MRI discriminates hepatocellular carcinoma from intrahepatic cholangiocarcinoma: A prospective animal model study 时间依赖性弥散加权MRI鉴别肝细胞癌和肝内胆管癌:一项前瞻性动物模型研究。
IF 2 4区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-12-27 DOI: 10.1016/j.mri.2025.110601
Yong-Mei Huang , Yu-Chen Wei , Xing-Qing Qin , Meng-Na Lan , Jin-Yuan Liao

Objective

To evaluate the diagnostic potential of microstructural parameters derived from time-dependent diffusion magnetic resonance imaging (Td-dMRI) for distinguishing hepatocellular carcinoma (HCC) from intrahepatic cholangiocarcinoma (ICC).

Methods

We established nude mouse models bearing subcutaneous xenografts of HCC (MHCC97H, HepG2 cell lines) and ICC (QBC939 cell line) (n = 30). All models underwent Td-dMRI scanning. Microstructural parameters, including cell diameter (d), extracellular diffusion coefficient (Dex), intracellular volume fraction (Vin), and cellularity, were calculated based on the IMPULSED model. Intergroup differences were assessed using independent samples t-test or Mann-Whitney U test (significance threshold: P < 0.05). The diagnostic performance of each parameter was evaluated by receiver operating characteristic (ROC) curve analysis. Post-operative liver tissue specimens were subjected to β-catenin immunohistochemical staining to validate the correlation between imaging parameters and pathological findings.

Results

The ICC group exhibited significantly higher Dex values compared to the HCC group (P < 0.05), whereas d, Vin, and cellularity were significantly lower in the ICC group (P < 0.05). The areas under the ROC curve (AUCs) for differentiating HCC from ICC were 0.838 for Dex, 0.779 for d, 0.833 for Vin, and 0.733 for cellularity. The d value measured by Td-dMRI showed a significant positive correlation with pathological results (r = 0.634, P < 0.05). Notably, combining Vin and cellularity parameters enhanced the AUC to 0.95, outperforming any single parameter.
The ICC group exhibited a significantly higher extracellular diffusivity (Dex) compared to the HCC group, whereas the cell diameter (d), intracellular volume fraction (Vin), and cellularity were significantly lower (all P < 0.05). The area under the.

Conclusion

Td-dMRI enables non-invasive differentiation between HCC and ICC by quantifying distinct tumor microstructural environments. The parameters derived from this technique show promise as potential imaging biomarkers for subtyping liver cancers.
目的:评价时间依赖扩散磁共振成像(Td-dMRI)显微结构参数在鉴别肝细胞癌(HCC)和肝内胆管癌(ICC)中的诊断潜力。方法:建立皮下移植肝癌(MHCC97H、HepG2细胞系)和ICC (QBC939细胞系)裸鼠模型(n = 30)。所有模型均行Td-dMRI扫描。微结构参数,包括细胞直径(d)、细胞外扩散系数(Dex)、细胞内体积分数(Vin)和细胞度,基于impulse模型计算。使用独立样本t检验或Mann-Whitney U检验评估组间差异(显著性阈值:P )结果:ICC组的Dex值显著高于HCC组(P in),而ICC组的细胞度显著低于HCC组(P ex, d为0.779,Vin为0.833,细胞度为0.733)。Td-dMRI测得的d值与病理结果呈显著正相关(r = 0.634,P in与细胞参数使AUC增强至0.95,优于任何单一参数。与HCC组相比,ICC组表现出明显更高的细胞外扩散率(Dex),而细胞直径(d),细胞内体积分数(Vin)和细胞结构明显较低(均P 结论:Td-dMRI通过量化不同的肿瘤微观结构环境,可以实现HCC和ICC之间的无创区分。从该技术中获得的参数有望成为肝癌亚型的潜在成像生物标志物。
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引用次数: 0
Nesterov accelerated spectral conjugate gradient algorithm for magnetic resonance imaging with TV regularisation 带电视正则化的磁共振成像Nesterov加速谱共轭梯度算法。
IF 2 4区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-12-26 DOI: 10.1016/j.mri.2025.110604
YueHong Ding , ZhiBin Zhu , Shuo Wang , BenXin Zhang
Magnetic Resonance Imaging (MRI) as a representative of noninvasive medical imaging, it has excellent soft tissue resolution, multi-parameter imaging capability and no radiation, thus it has been widely used in the fields of disease diagnosis, treatment and drug development. However, MRI technology still has problems such as long time consuming, sensitive to motion artefacts, and difficult to balance the imaging effect and speed. In this paper, a Nesterov accelerated spectral conjugate gradient algorithm (TV_NASCG) for MRI with TV regularisation is established from optimising reconstruction algorithms based on Total Variation (TV) regularised MRI model. The algorithm is based on a set of conjugate and spectral parameters proposed in this paper, and inspired by Nesterov acceleration technique, a set of Nesterov acceleration extrapolation step and acceleration parameter are proposed. In this paper, we also use step size acceleration technique and Powell restart strategy to further improve performance of the algorithm. In addition, we give a convergence analysis of TV_NASCG algorithm, which proves that it is sufficiently descent and globally convergent. Finally, in order to verify MRI performance of TV_NASCG algorithm, it was tested in MRI experiment and compared with other algorithms, and experimental results show that TV_NASCG algorithm can improve MRI quality and shorten imaging time.
磁共振成像(MRI)作为无创医学成像的代表,具有优异的软组织分辨率、多参数成像能力和无辐射等优点,在疾病诊断、治疗和药物开发等领域得到了广泛的应用。然而,MRI技术仍然存在耗时长、对运动伪影敏感、成像效果与速度难以平衡等问题。本文基于全变分(TV)正则化MRI模型,对重构算法进行优化,建立了一种用于TV正则化MRI的Nesterov加速谱共轭梯度算法(TV_NASCG)。该算法基于本文提出的一组共轭参数和谱参数,并受Nesterov加速度技术的启发,提出了一组Nesterov加速度外推步长和加速度参数。在本文中,我们还使用步长加速技术和Powell重启策略来进一步提高算法的性能。此外,我们还对TV_NASCG算法进行了收敛性分析,证明了该算法具有充分下降性和全局收敛性。最后,为了验证TV_NASCG算法的MRI性能,在MRI实验中对其进行了测试,并与其他算法进行了比较,实验结果表明,TV_NASCG算法可以提高MRI质量,缩短成像时间。
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引用次数: 0
Time-dependent diffusion MRI combined with enhanced MRI and clinical indicators for preoperative prediction of CK19 expression status in hepatocellular carcinoma: a prospective study 时间依赖性弥散MRI联合增强MRI及临床指标预测肝细胞癌CK19表达状态的前瞻性研究
IF 2 4区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-12-26 DOI: 10.1016/j.mri.2025.110602
Yu-chen Wei , Xing-Qing Qin , Jian-sun Li , Yuan-fang Tao , Chongze Yang , Qing ling Huang , Yan-yan Yu , Huiting Zhang , Haodong Qin , Thorsten Feiweier , Jin-yuan Liao

Objective

To explore the value of time-dependent diffusion MRI(Td-dMRI) in predicting the expression status of cytokeratin 19(CK19) in hepatocellular carcinoma(HCC) before surgery.

Materials and methods

Prospective inclusion of 72 HCC patients confirmed by surgical pathology (43 CK19-negative and 29 CK19-positive). All patients underwent time-dependent diffusion MRI (Td-dMRI) using a 3.0 T MR scanner before surgery, and quantitative parameters were calculated. Clinical data and MRI features of the patients were collected. Using univariate and multivariate logistic regression analysis to identify the risk factors for CK19 positive expression and establish a predictive model. The diagnostic performance of the model was evaluated using the area under the curve (AUC) of the receiver operating characteristic (ROC) curve, decision curve analysis (DCA), and calibration analysis.

Results

CK19-positive HCC exhibited significantly lower d and higher cellularity compared to CK19-negative HCC. CK19-positive HCC demonstrated significantly higher proportions of AFP (>200 ng/ml), CEA (>5 ng/ml), arterial phase rim enhancement, peritumoral hypointensity on hepatobiliary phase, peritumoral arterial hyperenhancement, and intratumoral necrosis/hemorrhage than CK19-negative HCC. Univariate and multivariate logistic regression analyses identified cellularity, AFP (>200 ng/ml), arterial phase rim enhancement, and peritumoral hypointensity on hepatobiliary phase as independent predictors of CK19 positivity. The combined model incorporating these four factors achieved an AUC of 0.889 (95 % CI: 0.809–0.968), with a sensitivity of 82.8 % and specificity of 86.0 %.

Conclusions

The cellularity value based on Td-dMRI was a potential quantitative biomarker for predicting CK19-positive HCC.
目的:探讨时间依赖性弥散MRI(Td-dMRI)在预测肝细胞癌(HCC)术前细胞角蛋白19(CK19)表达状况中的价值。材料和方法:前瞻性纳入手术病理证实的72例HCC患者(43例ck19阴性,29例ck19阳性)。所有患者术前均采用3.0 T MR扫描仪行时间依赖性弥散MRI (Td-dMRI)检查,并计算定量参数。收集患者的临床资料和MRI特征。采用单因素和多因素logistic回归分析,确定CK19阳性表达的危险因素,建立预测模型。采用受试者工作特征(ROC)曲线下面积(AUC)、决策曲线分析(DCA)和校准分析来评估模型的诊断性能。结果:与ck19阴性HCC相比,ck19阳性HCC表现出明显的低d和高细胞性。与ck19阴性HCC相比,ck19阳性HCC表现出AFP(>200 ng/mL)、CEA(>5 ng/mL)、动脉期边缘强化、肝胆期低密度、瘤周动脉高强化和瘤内坏死/出血的比例显著高于ck19阴性HCC。单因素和多因素logistic回归分析发现,细胞结构、AFP(>200 ng/mL)、动脉期边缘增强和肝胆期肿瘤周围低密度是CK19阳性的独立预测因素。纳入这四个因素的联合模型的AUC为0.889(95 % CI: 0.809 ~ 0.968),敏感性为82.8 %,特异性为86.0 %。结论:基于Td-dMRI的细胞度值是预测ck19阳性HCC的潜在定量生物标志物。
{"title":"Time-dependent diffusion MRI combined with enhanced MRI and clinical indicators for preoperative prediction of CK19 expression status in hepatocellular carcinoma: a prospective study","authors":"Yu-chen Wei ,&nbsp;Xing-Qing Qin ,&nbsp;Jian-sun Li ,&nbsp;Yuan-fang Tao ,&nbsp;Chongze Yang ,&nbsp;Qing ling Huang ,&nbsp;Yan-yan Yu ,&nbsp;Huiting Zhang ,&nbsp;Haodong Qin ,&nbsp;Thorsten Feiweier ,&nbsp;Jin-yuan Liao","doi":"10.1016/j.mri.2025.110602","DOIUrl":"10.1016/j.mri.2025.110602","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the value of time-dependent diffusion MRI(Td-dMRI) in predicting the expression status of cytokeratin 19(CK19) in hepatocellular carcinoma(HCC) before surgery.</div></div><div><h3>Materials and methods</h3><div>Prospective inclusion of 72 HCC patients confirmed by surgical pathology (43 CK19-negative and 29 CK19-positive). All patients underwent time-dependent diffusion MRI (Td-dMRI) using a 3.0 T MR scanner before surgery, and quantitative parameters were calculated. Clinical data and MRI features of the patients were collected. Using univariate and multivariate logistic regression analysis to identify the risk factors for CK19 positive expression and establish a predictive model. The diagnostic performance of the model was evaluated using the area under the curve (AUC) of the receiver operating characteristic (ROC) curve, decision curve analysis (DCA), and calibration analysis.</div></div><div><h3>Results</h3><div>CK19-positive HCC exhibited significantly lower d and higher cellularity compared to CK19-negative HCC. CK19-positive HCC demonstrated significantly higher proportions of AFP (&gt;200 ng/ml), CEA (&gt;5 ng/ml), arterial phase rim enhancement, peritumoral hypointensity on hepatobiliary phase, peritumoral arterial hyperenhancement, and intratumoral necrosis/hemorrhage than CK19-negative HCC. Univariate and multivariate logistic regression analyses identified cellularity, AFP (&gt;200 ng/ml), arterial phase rim enhancement, and peritumoral hypointensity on hepatobiliary phase as independent predictors of CK19 positivity. The combined model incorporating these four factors achieved an AUC of 0.889 (95 % CI: 0.809–0.968), with a sensitivity of 82.8 % and specificity of 86.0 %.</div></div><div><h3>Conclusions</h3><div>The cellularity value based on Td-dMRI was a potential quantitative biomarker for predicting CK19-positive HCC.</div></div>","PeriodicalId":18165,"journal":{"name":"Magnetic resonance imaging","volume":"127 ","pages":"Article 110602"},"PeriodicalIF":2.0,"publicationDate":"2025-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145850324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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Magnetic resonance imaging
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