磁共振GRE电影序列评价恒河猴心功能的重复性及有效性研究

朱 桐1,龚 立2,陈榆舒1,张 钰1,梁志刚2,孙家瑜1,程 巍1,王 磊1,伍 兵1,郑 捷3,曾 文2,郜发宝1

中国临床医学影像杂志 ›› 2017, Vol. 28 ›› Issue (10) : 727-730.

中国临床医学影像杂志 ›› 2017, Vol. 28 ›› Issue (10) : 727-730.
心脏、血管影像学

磁共振GRE电影序列评价恒河猴心功能的重复性及有效性研究

  • 朱  桐1,龚  立2,陈榆舒1,张  钰1,梁志刚2,孙家瑜1,程  巍1,王  磊1,伍  兵1,郑  捷3,曾  文2,郜发宝1
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Validity and repeatability of CMR GRE for evaluating the heart function of rhesus monkey

  • ZHU Tong1, GONG Li2, CHEN Yu-shu1, ZHANG Yu1, LIANG Zhi-gang2, SUN Jia-yu1, #br# CHENG Wei1, WANG Lei1, WU Bing1, ZHENG Jie3, ZENG Wen2, GAO Fa-bao1
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摘要

目的:对心脏磁共振梯度回波电影序列(Spoiled gradient echo,GRE)评估恒河猴心功能的有效性与重复性进行评价,为开展恒河猴疾病动物模型磁共振研究提供准确、最优的心功能评估策略。方法:正常恒河猴8只,均行超声心动图检查、心脏磁共振GRE电影序列扫描。采用心功能分析软件(cvi42)对GRE电影图像进行分析获取左室舒张末容积(EDV)、左室收缩末容积(ESV)、每搏量(SV)、射血分数(EF)、心输出量(CO)、舒张期左室质量(Myo Mass(Diast))以及收缩期左室质量(Myo Mass(Syst))等心功能相关参数值。进行磁共振扫描的复测实验,采用组内相关系数及Bland-Altman分析评价GRE各心功能参数的重复性,以超声心功能结果为相对的标准效度评价GRE各心功能参数的有效性,并对超声和GRE结果进行比较。结果:GRE重复性评价结果显示,各心功能参数的组内相关系数(ICC)值均在0.75~0.97之间,且显著性均小于0.01,重复性评价结果较好,Bland-Altman分析显示复测实验中各指标测量的一致性较高;有效性评价结果显示,除CO外,其余心功能参数的Pearson相关系数(r)值在0.80~0.92之间,具有统计学意义;同时发现GRE获取的EF、CO以及Myo Mass(Diast)要小于超声的测定值,差异具有统计学意义。结论:心脏磁共振GRE电影序列评价正常恒河猴心功能的结果具有较好的有效性与重复性,能有效、稳定地对恒河猴的心功能予以评价。

Abstract

Objective: To evaluate the validity and repeatability of GRE cine sequence when it was used to evaluate the heart function of rhesus monkey, and to provide an accurate and optimal cardiac function assessment strategy for the study of rhesus monkey cardiac disease models. Methods: Eight healthy rhesus monkeys underwent conventional echocardiography and CMR GRE cine sequence scanning to assess cardiac function and got left ventricular end-diastolic volume(EDV), left ventricular end-systolic volume(ESV), stroke volume(SV), ejection fraction(EF), cardiac output(CO), left ventricular end-diastolic mass (Myo Mass(Diast)) and left ventricular end-systolic mass(Myo Mass(Syst)). The repeatability of GRE was evaluated by the test-retest analysis. The validity of the GRE was evaluated by criterion-related validity by comparing the results of ultrasound and GRE. Results: The results of test-retest analysis showed that correlation coefficient(ICC) values of all function parameters were within 0.75~0.97, the P value was less than 0.01, and the results of repeated evaluation were better. The results of criterion-related validity showed that except for CO, the Pearson correlation coefficient(r) values of the other function parameters were 0.80~0.92, and the difference was statistically significant. It was found that EF, CO and Myo Mass(Diast) acquired by GRE were smaller than those measured by ultrasound, and the difference was statistically significant. Conclusion: There are good validity and repeatability using the CMR GRE cine sequence to evaluate the cardiac function of normal rhesus monkey.

关键词

心脏功能试验 / 恒河猴 / 磁共振成像

Key words

Heart function tests / Macaca mulatta / Magnetic resonance imaging

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朱 桐1,龚 立2,陈榆舒1,张 钰1,梁志刚2,孙家瑜1,程 巍1,王 磊1,伍 兵1,郑 捷3,曾 文2,郜发宝1. 磁共振GRE电影序列评价恒河猴心功能的重复性及有效性研究[J]. 中国临床医学影像杂志. 2017, 28(10): 727-730
ZHU Tong1, GONG Li2, CHEN Yu-shu1, ZHANG Yu1, LIANG Zhi-gang2, SUN Jia-yu1, CHENG Wei1, WANG Lei1, WU Bing1, ZHENG Jie3, ZENG Wen2, GAO Fa-bao1. Validity and repeatability of CMR GRE for evaluating the heart function of rhesus monkey[J]. Journal of China Clinic Medical Imaging. 2017, 28(10): 727-730
中图分类号: R331.31    R445.2   

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基金

国家自然科学基金(81520108014,81528009);重大科技计划973计划(2014CB541600);
四川省科技厅国际合作项目(2017HH0045)。

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