자궁근종에 대한 MR하이푸 치료대상 환자에서의 MRI의 T2신호강도와 관류정도의 연관성에 대한 연구
- 주저자 : Kim YS, Lee JW, Choi CH, Kim BK, Bae DS, Rhim H, Lim HK - 영문 제목 : Uterine Fibroids: Correlations of T2 Signal Intensity with Semiquantitative Perfusion MR Parameters in Candidates for MR-guided High Intensity Focused Ultrasound Ablation - 한글 제목 : 자궁근종에 대한 MR하이푸 치료대상 환자에서의 MRI의 T2신호강도와 관류정도의 연관성에 대한 연구 - 저널 : Radiology - 연도 : 2016 - 권 / 쪽 : 278 / 925-935 - 초록
PURPOSE: To evaluate the relationships between T2 signal intensity and semiquantitative perfusion magnetic resonance (MR) parameters of uterine fibroids in patients who were screened for MR-guided high-intensity focused ultrasound (HIFU) ablation.
MATERIALS AND METHODS: Institutional review board approval was granted, and informed consents were waived. One hundred seventy most symptom-relevant, nondegenerated uterine fibroids (mean diameter, 7.3 cm; range, 3.0-17.2 cm) in 170 women (mean age, 43.5 years; range, 24-56 years) undergoing screening MR examinations for MR-guided HIFU ablation from October 2009 to April 2014 were retrospectively analyzed. Fibroid signal intensity was assessed as the ratio of the fibroid T2 signal intensity to that of skeletal muscle. Parameters of semiquantitative perfusion MR imaging obtained during screening MR examination (peak enhancement, percentage of relative peak enhancement, time to peak [in seconds], wash-in rate [per seconds], and washout rate [per seconds]) were investigated to assess their relationships with T2 signal ratio by using multiple linear regression analysis. Correlations between T2 signal intensity and independently significant perfusion parameters were then evaluated according to fibroid type by using Spearman correlation test.
RESULTS: Multiple linear regression analysis revealed that relative peak enhancement showed an independently significant correlation with T2 signal ratio (Β = 0.004, P < .001). Submucosal intracavitary (n = 20, ρ = 0.275, P = .240) and type III (n = 18, ρ = 0.082, P = .748) fibroids failed to show significant correlations between perfusion and T2 signal intensity, while significant correlations were found for all other fibroid types (ρ = 0.411-0.629, P < .05).
CONCLUSION: In possible candidates for MR-guided HIFU ablation, the T2 signal intensity of nondegenerated uterine fibroids showed an independently significant positive correlation with relative peak enhancement in most cases, except those of submucosal intracavitary or type III fibroids.