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ZHANG Jia, TAO Haibo, DING Yingying, LI Mei, SUN Shiyun, LI Manzhu, LI Kun. Diagnostic Value of mDIXON Quant MRI for Vertebral Metastasis[J]. Cancer Research on Prevention and Treatment, 2021, 48(9): 888-892. DOI: 10.3971/j.issn.1000-8578.2021.21.0193
Citation: ZHANG Jia, TAO Haibo, DING Yingying, LI Mei, SUN Shiyun, LI Manzhu, LI Kun. Diagnostic Value of mDIXON Quant MRI for Vertebral Metastasis[J]. Cancer Research on Prevention and Treatment, 2021, 48(9): 888-892. DOI: 10.3971/j.issn.1000-8578.2021.21.0193

Diagnostic Value of mDIXON Quant MRI for Vertebral Metastasis

Funding: 

The Joint Special Funds for the Department of Science and Technology of Yunnan Province-Kunming Medical University 202001AC070426

Yunnan Digitalization, Development and Application of Biotic Resource 202002AA100007

More Information
  • Corresponding author:

    LI Kun, E-mail: 353142503@qq.com

  • Received Date: February 22, 2021
  • Revised Date: May 07, 2021
  • Available Online: January 12, 2024
  • Objective 

    To evaluate the diagnostic efficacy of mDIXON Quant for vertebral metastasis.

    Methods 

    We retrospectively analyzed MRI images of 152 patients with clinically diagnosed malignant tumors and vertebral metastases. Scanning sequence included T1WI, STIR, mDIXON Quant and enhanced T1WI. We compared the diagnostic efficiency between T1WI and FF images for vertebral metastases. FF values between normal vertebral body and vertebral metastases were quantitatively compared, and the diagnostic efficacy of FF value was evaluated by ROC curve.

    Results 

    The sensitivity, false positive rate, false negative rate, negative predictive value and accuracy of FF images in the diagnosis of vertebral metastases were all higher than those of T1WI images. The FF value of vertebral metastasis was significantly lower than that of normal vertebral body (Z=-21.792, P < 0.05), and the area under ROC curve was 0.987 and the cutoff value was 9.87%. The diagnostic sensitivity and specificity of vertebral metastasis were 99.6% and 92.0%.

    Conclusion 

    mDIXON Quant can quantitatively determine the fat content of vertebral metastasis and has a high diagnostic efficiency for vertebral metastases.

  • Competing interests: The authors declare that they have no competing interests.

  • [1]
    Schmeel FC, Luetkens JA, Wagenhäuser PJ, et al. Proton density fat fraction (PDFF) MRI for differentiation of benign and malignant vertebral lesions[J]. Eur Radiol, 2018, 28(6): 2397-2405. doi: 10.1007/s00330-017-5241-x
    [2]
    Gee CS, Nguyen JT, Marquez CJ, et al. Validation of bone marrow fat quantification in the presence of trabecular bone using MRI[J]. J Magn Reson Imaging, 2015, 42(2): 539-544. doi: 10.1002/jmri.24795
    [3]
    王明瑶, 华佳. 乳腺癌骨转移瘤疗效评估的影像学进展[J]. 放射学实践, 2017, 32(11): 1200-1204. https://www.cnki.com.cn/Article/CJFDTOTAL-FSXS201711027.htm

    Wang MY, Hua J. Imaging progress in the evaluation of curative effect of breast cancer with bone metastases[J]. Fang She Xue Shi Jian, 2017, 32(11): 1200-1204. https://www.cnki.com.cn/Article/CJFDTOTAL-FSXS201711027.htm
    [4]
    Baum T, Yap SP, Dieckmeyer M, et al. Assessment of whole spine vertebral bone marrow fat using chemical shift-encoding based water-fat MRI[J]. J Magn Reson Imaging, 2015, 42(4): 1018-1023. doi: 10.1002/jmri.24854
    [5]
    Alyas F, Saifuddin A, Connell D. MR imaging evaluation of the bone marrow and marrow infiltrative disorders of the lumbar spine[J]. Magn Reson Imaging Clin N Am, 2007, 15(2): 199-219. doi: 10.1016/j.mric.2007.03.002
    [6]
    张甫政, 刘利. CT、MRI对脊柱转移瘤的诊断价值[J]. 实用医学影像杂志, 2011, 12(4): 235-237. doi: 10.3969/j.issn.1009-6817.2011.04.011

    Zhang FZ, Liu L. The value of CT and MRI in the diagnosis of spinal metastases[J]. Shi Yong Yi Xue Ying Xiang Za Zhi, 2011, 12(4): 235-237. doi: 10.3969/j.issn.1009-6817.2011.04.011
    [7]
    陈慧莹, 袁慧书. 磁共振脂肪定量技术在骨骼疾病中的应用与展望[J]. 磁共振成像, 2014, 5(2): 150-155. https://www.cnki.com.cn/Article/CJFDTOTAL-CGZC201402020.htm

    Chen HY, Yuan HS. Marrow fat quantification by magnetic resonance technology: the aplication and prospect in bone diseases[J]. Ci Gong Zhen Cheng Xiang, 2014, 5(2): 150-155. https://www.cnki.com.cn/Article/CJFDTOTAL-CGZC201402020.htm
    [8]
    Yoo HJ, Hong SH, Kim DH, et al. Measurement of fat content in vertebral marrow using a modified dixon sequence to differentiate benign from malignant processes[J]. J Magn Reson Imaging, 2017, 45(5): 1534-1544. doi: 10.1002/jmri.25496
    [9]
    Maeder Y, Dunet V, Richard R, et al. Bone Marrow Metastases: T2-weighted Dixon Spin-Echo Fat Images Can Replace T1-weighted Spin-Echo Images[J]. Radiology, 2018, 286(3): 948-959. doi: 10.1148/radiol.2017170325
    [10]
    Zhang Y, Zhou Z, Wang C, et al. Reliability of measuring the fat content of the lumbar vertebral marrow and paraspinal muscles using MRI mDIXON-Quant sequence[J]. Diagn Interv Radiol, 2018, 24(5): 302-307. doi: 10.5152/dir.2018.17323
    [11]
    Zhao Y, Huang M, Ding J, et al. Prediction of Abnormal Bone Density and Osteoporosis From Lumbar Spine MR Using Modified Dixon Quant in 257 Subjects With Quantitative Computed Tomography as Reference[J]. J Magn Reson Imaging, 2019, 49(2): 390-399. doi: 10.1002/jmri.26233
    [12]
    樊秋菊, 于楠, 胡延静, 等. 3.0 T MRI水-脂分离Dixon技术鉴别良恶性椎体压缩性骨折的价值[J]. 中国中西医结合影像学杂志, 2019, 17(1): 6-9, 12. doi: 10.3969/j.issn.1672-0512.2019.01.002

    Fan QJ, Yu N, Hu YJ, et al. Value of 3.0 T MRI fat-water separation Dixon technique in the differential diagnosis of benign and malignant verte-bral compression fracture[J]. Zhongguo Zhong Xi Yi Jie He Ying Xiang Xue Za Zhi, 2019, 17(1): 6-9, 12. doi: 10.3969/j.issn.1672-0512.2019.01.002
    [13]
    Carmona R, Pritz J, Bydder M, et al. Fat Composition Changes in Bone Marrow During Chemotherapy and Radiation Therapy[J]. Int J Radiat Oncol Biol Phys, 2014, 90(1): 155-163. doi: 10.1016/j.ijrobp.2014.05.041
    [14]
    Kim DH, Yoo HJ, Hong SH, et al. Differentiation of Acute Osteoporotic and Malignant Vertebral Fractures by Quantification of Fat Fraction With a Dixon MRI Sequence[J]. AJR Am J Roentgenol, 2017, 209(6): 1331-1339. doi: 10.2214/AJR.17.18168
    [15]
    王兵, 董越, 郑邵微, 等. CT能谱成像鉴别诊断肺癌成骨性转移瘤与骨岛的价值[J]. 中国医学影像技术, 2014, 30(10): 1552-1556. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYXX201410041.htm

    Wang B, Dong Y, Zhen SW, et al. Spectral CT imaging in differential diagnosis of osteoblastic metastases and bone islands in patients with lung cancer[J]. Zhongguo Yi Xue Ying Xiang Ji Shu, 2014, 30(10): 1552-1556. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYXX201410041.htm
    [16]
    魏铃, 王丰哲, 殷国良, 等. PDFF和OP/IP对胸、腰椎多发性骨髓瘤骨病的诊断价值[J]. 肿瘤防治研究, 2020, 47(2): 115-118. doi: 10.3971/j.issn.1000-8578.2020.19.0906

    Wei L, Wang FZ, Yin GL, et al. Diagnostic Value of PDFF and OP/IP for Multiple Myeloma Bone Disease of Thoracic and Lumbar Spine[J]. Zhong Liu Fang Zhi Yan Jiu, 2020, 47(2): 115-118. doi: 10.3971/j.issn.1000-8578.2020.19.0906
    [17]
    张银霞. 磁共振IDEAL-IQ序列对椎体溶骨性转移瘤与血管瘤鉴别诊断价值的初步研究[D]. 沈阳: 中国医科大学, 2019.

    Zhang YX. Preliminary Study on the differential diagnosis of vertebral osteolytic Metastases and Hemangiomas by magnetic resonance Ideal -IQ sequence[D]. Shenyang: China Medical University, 2019.
    [18]
    Schmeel FC, Luetkens JA, Enkirch SJ, et al. Proton density fat fraction (PDFF) MR imaging for differentiation of acute benign and neoplastic compression fractures of the spine[J]. Eur Radiol, 2018, 28(12): 5001-5009. doi: 10.1007/s00330-018-5513-0
    [19]
    张勇, 程晓光, 于爱红, 等. 腰椎椎体骨髓脂肪含量与骨密度、年龄关系的定量影像评估[J]. 中华放射学杂志, 2017, 51(10): 771-776. doi: 10.3760/j.issn.1005-1201.2017.10.010

    Zhang Y, Cheng XG, Yu AH, et al. Quantitative radiological evaluation of interaction of lumbar vertebral bone marrow fat, bone mineral density and age[J]. Zhonghua Fang She Xue Za Zhi, 2017, 51(10): 771-776. doi: 10.3760/j.issn.1005-1201.2017.10.010
    [20]
    Li GW, Xu Z, Chang QW, et al. Quantitative evaluation of vertebral marrow adipose tissue in postmenopausal female using MRI chemical shift-based water-fat separation[J]. Clin Radiol, 2014, 69(3): 254-262. doi: 10.1016/j.crad.2013.10.005
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    Corresponding author: LI Kun, 353142503@qq.com

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