Summary of the invention
The technical problem that the application will solve is for the deficiencies in the prior art, and a kind of Magnetic Resonance Angiography method that can overcome blood flow rate and aspect effect is provided.
Another technical problem that the application will solve is to provide a kind of Magnetic Resonance Angiography system.
The technical problem that the application will solve is solved by the following technical programs:
A kind of Magnetic Resonance Angiography method comprises:
Within the vasoconstriction phase, apply the loose phase gradient of Flow sensitive magnetic field reading direction and/or phase-encoding direction and/or a choosing layer direction, at the gradient magnetic of the loose remaining magnetic moment of the after-applied removing in phase gradient magnetic field of described Flow sensitive;
Gather the blood-stream image in the vasoconstriction phase;
Gather the blood-stream image in the vasodilation phase;
Blood-stream image in described systole and the blood-stream image in relaxing period are subtracted shadow acquisition blood-stream image.
Described within the vasoconstriction phase, apply the loose phase gradient of Flow sensitive magnetic field reading direction and/or phase-encoding direction and/or a choosing layer direction, the gradient magnetic at the loose remaining magnetic moment of the after-applied removing in phase gradient magnetic field of described Flow sensitive comprises:
In the paradoxical expansion that ecg-gating triggers, reading direction and/or phase-encoding direction and/or selecting a layer direction to apply 90 °
x-180 °
y-90 °
-xRf pulse sequence and asymmetrical load are at 180 °
yThe loose phase gradient of the Flow sensitive on pulse both sides magnetic field applies in described pulse train back the gradient magnetic of removing remaining magnetic moment.
The first moment m in the loose phase gradient of described Flow sensitive magnetic field
1Satisfy
Minimum, wherein φ is the resultant spin phase place, γ is the gyromagnetic ratio constant,
It is the flowing velocity of i spin.
Blood-stream image in the described collection vasoconstriction phase comprises:
Balance steady state free precession technology gathers the blood-stream image in the vasoconstriction phase.
Blood-stream image in the described collection vasodilation phase comprises:
In the diastole that ecg-gating triggers, apply 90 °
x-180 °
y-90 °
-xRf pulse sequence;
Balance steady state free precession technology gathers the blood-stream image in the vasodilation phase.
A kind of Magnetic Resonance Angiography system comprises systole image capture module, relaxing period image capture module and subtracts the shadow module,
Described systole image capture module was used within the vasoconstriction phase, apply the loose phase gradient of Flow sensitive magnetic field reading direction and/or phase-encoding direction and/or a choosing layer direction, at the gradient magnetic of the loose remaining magnetic moment of the after-applied removing in phase gradient magnetic field of described Flow sensitive, gather the blood-stream image in the vasoconstriction phase;
Described relaxing period image capture module is used for gathering the blood-stream image in the vasodilation phase;
The described shadow module that subtracts is used for the blood-stream image in described systole and the blood-stream image in relaxing period are subtracted shadow acquisition blood-stream image.
Described systole image capture module comprises the FSD preparatory unit, is used in the paradoxical expansion that ecg-gating triggers, and is reading direction and/or phase-encoding direction and/or is selecting a layer direction to apply 90 °
x-180 °
y-90 °
-xRf pulse sequence and asymmetrical load are at 180 °
yThe loose phase gradient of the Flow sensitive on pulse both sides magnetic field applies in described pulse train back the gradient magnetic of removing remaining magnetic moment.
The first moment m in the loose phase gradient of described Flow sensitive magnetic field
1Satisfy
Minimum, wherein φ is the resultant spin phase place, γ is the gyromagnetic ratio constant,
It is the flowing velocity of i spin.
Described systole image capture module also is used for balance steady state free precession technology and gathers interior blood-stream image of vasoconstriction phase.
Described relaxing period image capture module also is used for applying 90 ° in the diastole that ecg-gating triggers
x-180 °
y-90 °
-xRf pulse sequence; Balance steady state free precession technology gathers the blood-stream image in the vasodilation phase.
Owing to having adopted above technical scheme, the beneficial effect that the present invention possesses is:
⑴ in the application's the specific embodiment, owing to adopting the loose phase of Flow sensitive in the systole imaging, make the loose phase of intra-arterial spin and cause arterial blood signal decrease, thereby can reduce blood flow rate and direction to the impact of imaging, obtain high-quality peripheral arterial image, improved the Clinical practicability of non-Contrast-enhanced MR angiography technology.
⑵ in the application's the specific embodiment, owing to applying the loose phase gradient of Flow sensitive magnetic field reading direction and/or phase-encoding direction and/or a choosing layer direction, can carry out one dimension, two dimension or the three-dimensional loose phase of Flow sensitive according to actual needs, further improve the adaptability that uses.
⑶ in the application's the specific embodiment, after applying the loose phase gradient of Flow sensitive magnetic field, apply again and remove remaining magnetic moment magnetic field gradient, the blood flow spin that has guaranteed the loose phase of last direction can be by the loose phase of gathering partially or completely mutually of a rear direction, thereby guaranteed that all directions press down the independence of blood effect, have further improved the effect of loose phase.
⑷ in the blood flow imaging of systole and relaxing period, adopt balance steady state free precession technology to carry out imaging in the application's the specific embodiment, and image taking speed is fast, signal to noise ratio is high, visual field reaches greatly and is not subjected to blood flow rate and aspect effect.
⑸ in the application's the specific embodiment, adopt the loose phase of Flow sensitive and balance steady state free precession technology, because its image taking speed is very fast, can be in same cardiac cycle, complete the blood flow imaging of systole and relaxing period, can reduce vessel position and change the registration mistake that causes, thereby improve picture quality.
The specific embodiment
By reference to the accompanying drawings the present invention is described in further detail below by the specific embodiment.
In present non-Enhanced MRA technology, Fresh blood imaging technology (fresh blood imaging, FBI) basic sequence that adopts is the 3-dimensional fast spin echo of half fourier transform, under electrocardiograms, gathers respectively artery of lower extremity at diastole and Syst image.Tremulous pulse at relaxing period because blood flow rate presents high signal (the bright blood image of tremulous pulse) slowly, because blood flow rate presents low signal (tremulous pulse is deceived the blood image) soon, and vein slowly all shows as the high signal of strength similarity at relaxing period and systole because of blood flow rate at systole.Relaxing period and Syst image are subtracted shadow, namely obtain only having the blood-vessel image of artery of lower extremity.The advantage of the method is the entrance effect that blood flow signal does not rely on blood, thereby can be used for the long artery of lower extremity of stroke.Its shortcoming is that the tremulous pulse caliber is larger at relaxing period and Syst variation, may cause because of the registration mistake edge blurry of tremulous pulse image when subtracting shadow.Secondly, the loss of signal easily occurs when too fast or blood flow direction is disorderly in blood flow rate in spin echo, causes over-evaluating the angiostenosis degree.In addition, long imaging time has also limited the method application clinically.
The basic sequence that adopts based on the non-Enhanced MRA method of NATIVE-SPACE sequence is also spin echo, but it adopts the variable flip angle technology, before be enhanced on scanning speed and spatial resolution, at present the method does not have the imaging effect in the patient of remarkable pathological changes ideal at healthy volunteer or lower limb vascular, but artery of lower extremity there are the patient of Serious Stenosis and the tremulous pulse of hand and foot, its picture quality is still limited, and core reasons are that NATIVE-SPACE is more responsive to blood flow rate and direction ratio.
The radiography Enhanced MRA is not suitable for the patient of renal insufficiency, and produces easily that vein pollutes and image spatial resolution is low.And the non-Enhanced MRA technology of existing FBI and Native-SPACE all is based on spin echo, and is more responsive to blood flow rate and direction ratio, and dropout in the time of can causing the too fast or blood flow rate of blood flow rate disorderly causes over-evaluating the angiostenosis degree.The application proposes based on steady state free precession (steady-state free precession based on this defective, SSFP) with loose (the Flow-Sensitive Dephasing mutually of Flow sensitive, FSD) the non-Enhanced MRA method of technology, to obtain high-quality peripheral arterial image, improve the Clinical practicability of non-Enhanced MRA technology.
Fig. 1 illustrates the flow chart according to an embodiment of the application's Magnetic Resonance Angiography method, comprising:
Step 102: within the vasoconstriction phase, apply the loose phase gradient of Flow sensitive magnetic field reading direction and/or phase-encoding direction and/or a choosing layer direction, at the gradient magnetic of the loose remaining magnetic moment of the after-applied removing in phase gradient magnetic field of Flow sensitive;
Step 104: gather the blood-stream image in the vasoconstriction phase;
Step 106: gather the blood-stream image in the vasodilation phase;
Step 108: the blood-stream image in described systole and the blood-stream image in relaxing period are subtracted shadow acquisition blood-stream image.
A kind of embodiment, step 102 specifically comprises: in the paradoxical expansion that ecg-gating triggers, reading direction and/or phase-encoding direction and/or selecting a layer direction to apply 90 °
x-180 °
y-90 °
-xRf pulse sequence and asymmetrical load are at 180 °
yThe loose phase gradient of the Flow sensitive on pulse both sides magnetic field applies in the pulse train back gradient magnetic of removing remaining magnetic moment.
A kind of embodiment, the first moment m in the loose phase gradient of Flow sensitive magnetic field
1Satisfy
Minimum, wherein φ is the resultant spin phase place, γ is the gyromagnetic ratio constant,
It is the flowing velocity of i spin.
A kind of embodiment, step 104 specifically comprises:
Steps A 01: use spectral selection fat saturation technique to carry out fat suppression;
Steps A 02: use the linear preparation radio-frequency pulse that increases of 10 flip angles;
Steps A 03: balance steady state free precession technology gathers the blood-stream image in the vasoconstriction phase.
A kind of embodiment, step 106 specifically comprises:
Step B01: in the diastole that ecg-gating triggers, apply 90 °
x-180 °
y-90 °
-xRf pulse sequence;
Step B02: use spectral selection fat saturation technique to carry out fat suppression;
Step B03: use the linear preparation radio-frequency pulse that increases of 10 flip angles;
Step B04: balance steady state free precession technology gathers the blood-stream image in the vasodilation phase.
Fig. 2 is the schematic diagram according to another embodiment of the application's Magnetic Resonance Angiography method, and wherein vertical coordinate is signal intensity, and 1 is tremulous pulse, 2 is vein, A1 is diastole " bright arterial blood " collection, and A2 is that " the black arterial blood " of paradoxical expansion gathers, and S is for subtracting shadow.
Two groups of data by ecg-gating triggering collection paradoxical expansion and relaxing period.In systole, the flow velocity of artery blood flow is significantly higher than venous blood flow, uses the FSD technology to make the intra-arterial spin mutually loose and cause arterial blood signal decrease, adopt image be called " black arterial blood " image; Here, spin is loose refers to that mutually each spin in a voxel has different phase values, and when such phase difference reached enough large degree, the overall signal of this voxel (vector integration) will trend towards zero.The spin of artery blood flow is loose to be caused by the responsive gradient magnetic of blood flow (being the FSD gradient magnetic) mutually, the first moment of this gradient magnetic (first-order gradient moment[m
1]) be to weigh it to the sensitivity of blood flow or to the inhibition ability of blood flow signal.In relaxing period, arteriovenous blood flow velocity difference not quite and comparatively slow, two vascular flows all keep highlighted signal, adopt image be called " bright arterial blood " image.The image amplitude of carrying out of this twice collection is subtracted shadow namely obtains clean background, arterial blood is the blood-vessel image of highlighted signal.The non-Enhanced MRA technology of the present embodiment is due to the entrance effect that does not rely on fresh blood and can carry out the Coronal collection and be more suitable for the slow and larger peripheral arterial imaging of scope of blood flow.
In A1, tremulous pulse and vein are all highlighted signals, in A2, the FSD technology makes the loose phase of intra-arterial spin and causes arterial blood signal decrease, the venous blood signal is slow and slightly reduced due to blood flow, therefore is retained and the venous blood signal almost completely disappears at final S subtraction image arterial blood signal.
Fig. 3 is according to the flow chart of another embodiment of the application's Magnetic Resonance Angiography method, comprising:
Step 302: ecg-gating triggers in paradoxical expansion;
Step 304:FSD prepares.FSD is used for suppressing the technology of blood flow signal in the imaging of MRI blood vessel wall, it is based on the responsive gradient of blood flow, and the phase place of moving spin in discrete fluid makes the blood flow loss signal.The remarkable characteristic of FSD is, it depends on magnetic field gradient first moment and blood flow rate to the inhibition ability of blood flow signal, as long as set the suitable m1 value of, just can utilize the difference of arteriovenous blood flow rate, when at utmost suppressing the artery blood flow signal, keep most the venous blood flow signal.FSD prepares one by 90 °
x-180 °
y-90 °
-xRf pulse sequence and asymmetrical load are at 180 °
yThe FSD gradient magnetic on pulse both sides and the gradient magnetic that is carried in the remaining magnetic moment of removing of pulse train back form, and as shown in Figure 4, wherein P represents radio-frequency pulse, G1 represents readout gradient, G2 represents phase encoding gradient, and G3 represents slice selective gradient, and S represents to remove the gradient magnetic of remaining magnetic moment.The spin of blood flow is loose to be caused by the FSD gradient magnetic mutually.At FSD gradient magnetic (vector)
Effect under, the phase place of a mobile spin, φ is determined by following formula:
Here γ is the gyromagnetic ratio constant,
It is the flowing velocity of this spin.For one with
Vertical blood flow, the phase place of each spin is 0, therefore do not have spin-spin phase difference, also just can not occur by the loose signal suppressing that causes mutually of spin, the blood flow spin is loose to be required mutually the blood flow that is applied along FSD gradient magnetic direction or has in the direction component at least.For aforementioned selected suitable m
1Value should be able to satisfy
Minimum, wherein φ is the resultant spin phase place, γ is the gyromagnetic ratio constant,
It is the flowing velocity of i spin.FSD magnetic field can be applied on 1 (for the one dimension blood flow) or 2 (for two-dimentional blood flow) or 3 (for three-dimensional blood flow) directions.People's blood vessel is different trends, the one dimension here refers to blood flow facing one direction, two dimension refers to the blood flow towards both direction, such as the blood flow that has on foot from the heel to the direction of toe of last, also has the blood flow from instep to the sole direction, three-dimensional refer to blood flow towards three directions, FSD magnetic field can tandem compound, and the FSD preparation module of each series connection is called the FSD submodule.In the present embodiment, the FSD gradient magnetic only is loaded in first submodule and reads direction, is loaded in phase-encoding direction in second submodule, be loaded in the 3rd submodule on choosing layer direction, and the submodule order can be changed.It should be appreciated by those skilled in the art that these three directions are exemplary, can be carried according to actual needs on three directions of any quadrature.Every submodule only suppresses the blood flow component signal on one of them orthogonal direction.The remaining magnetic moment magnetic field gradient of removing between submodule has guaranteed can not gathered partially or completely phase by the submodule of back by the blood flow spin of the loose phase of last submodule, thereby has guaranteed that each submodule presses down the independence of blood effect.After all submodule moved, the blood flow signal of all directions all can be effectively suppressed.
Step 306: fat suppression, use spectral selection fat saturation technique to carry out fat suppression, because the signal of fat is very high, do not suppress to disturb the contrast of blood vessel signal.
Step 308: apply the preparation radio-frequency pulse, use the linear preparation radio-frequency pulse that increases of 10 flip angles, make signal reach stable state.
Step 310: use bSSFP(balance Steady-State Free Precession: the balance steady state free precession) carry out " black arterial blood " blood-stream image collection.The SSFP sequence by propositions such as Oppelt, but due to the restriction of technical conditions at that time, can not be eliminated banding artifact as far back as 1986 effectively, and its application is restricted.In recent years, along with the gradient coil switching rate improves constantly, the application of SSFP aspect blood vessel imaging increases gradually, and because SSFP has extraordinary signal to noise ratio to blood, therefore, SSFP mainly is used in the cardiovascular imaging.Compare with traditional blood vessel imaging method (time leap, phase-contrast etc.), SSFP has that image taking speed is fast, signal to noise ratio is high, visual field is subjected to greatly and not the characteristics such as blood flow rate and aspect effect, thereby has been subject to the favor of numerous researcheres.At present, domestic and international SSFP mainly concentrates on the applied research of coronary artery and enlargement or puffiness of the chest and abdomen blood vessel imaging.As shown in Figure 5, wherein FS is fat suppression, and RF is radio frequency, and G1 is readout gradient.
Step 312: ecg-gating triggers in diastole;
Step 314:T2 prepares.T2 prepares to comprise by 90 ° of x-180 ° of rf pulse sequences that y-90 °-x forms, and the persistent period is identical with the rf pulse sequence of step 304, to guarantee having identical T2 weighted signal in vein and the stationary of systole and relaxing period collection.
Step 316: fat suppression, use spectral selection fat saturation technique to carry out fat suppression, because the signal of fat is very high, do not suppress to disturb the contrast of blood vessel signal.
Step 318: apply the preparation radio-frequency pulse, use the linear preparation radio-frequency pulse that increases of 10 flip angles, make signal reach stable state.
Step 320: use bSSFP to carry out " bright arterial blood " blood-stream image collection.As shown in Figure 6, wherein T2P is that T2 prepares, and FS is fat suppression, and RF is radio frequency, and G1 is readout gradient.
Step 322: subtract shadow and obtain final tremulous pulse image." bright blood " image and " black blood " image take FSD as preparation pulse generation of utilizing SSFP to produce both subtract each other the tremulous pulse image that just can obtain high-contrast.Because the image taking speed of SSFP and FSD is very fast, by ecg-gating, they can be placed in same cardiac cycle, reduced so to a great extent the registration mistake that causes because of the vessel position variation.In addition, SSFP is insensitive to blood flow rate, is applicable to the blood vessel imaging of the tortuous and slow blood flow of hand and foot traveling.
Fig. 7 illustrates the structural representation according to an embodiment of the application's Magnetic Resonance Angiography system, comprises systole image capture module, relaxing period image capture module and subtracts the shadow module.The systole image capture module was used within the vasoconstriction phase, apply the loose phase gradient of Flow sensitive magnetic field reading direction and/or phase-encoding direction and/or a choosing layer direction, at the gradient magnetic of the loose remaining magnetic moment of the after-applied removing in phase gradient magnetic field of Flow sensitive, gather the blood-stream image in the vasoconstriction phase.The relaxing period image capture module is used for gathering the blood-stream image in the vasodilation phase.Subtracting the shadow module is used for the blood-stream image in described systole and the blood-stream image in relaxing period are subtracted shadow acquisition blood-stream image.
A kind of embodiment, the systole image capture module comprises the FSD preparatory unit, is used in the paradoxical expansion that ecg-gating triggers, and is reading direction and/or phase-encoding direction and/or is selecting a layer direction to apply 90 °
x-180 °
y-90 °
-xRf pulse sequence and asymmetrical load are at 180 °
yThe loose phase gradient of the Flow sensitive on pulse both sides magnetic field applies in the pulse train back gradient magnetic of removing remaining magnetic moment.
A kind of embodiment, the first moment m in the loose phase gradient of Flow sensitive magnetic field
1Satisfy
Minimum, wherein φ is the resultant spin phase place, γ is the gyromagnetic ratio constant,
It is the flowing velocity of i spin.
A kind of embodiment, systole image capture module also are used for using spectral selection fat saturation technique to carry out fat suppression; Use the linear preparation radio-frequency pulse that increases of 10 flip angles; Balance steady state free precession technology gathers the blood-stream image in the vasoconstriction phase.
A kind of embodiment, relaxing period image capture module also are used for applying 90 ° in the diastole that ecg-gating triggers
x-180 °
y-90 °
-xRf pulse sequence; Use spectral selection fat saturation technique to carry out fat suppression; Use the linear preparation radio-frequency pulse that increases of 10 flip angles; Balance steady state free precession technology gathers the blood-stream image in the vasodilation phase.
Above content is the further description of the application being done in conjunction with concrete embodiment, can not assert that the application's concrete enforcement is confined to these explanations.For the application person of an ordinary skill in the technical field, under the prerequisite that does not break away from the application's design, can also make some simple deduction or replace.