Novel application of T1-weighted BLADE sequences with fat suppression compared to TSE in contrast-enhanced T1-weighted imaging of the neck: Cutting-edge images?

Finkenzeller, Thomas and Zorger, Niels and Kuehnel, Thomas and Paetzel, Christian and Schuierer, Gerhard and Stroszczynski, Christian and Fellner, Claudia (2013) Novel application of T1-weighted BLADE sequences with fat suppression compared to TSE in contrast-enhanced T1-weighted imaging of the neck: Cutting-edge images? JOURNAL OF MAGNETIC RESONANCE IMAGING, 37 (3). pp. 660-668. ISSN 1053-1807, 1522-2586

Full text not available from this repository. (Request a copy)

Abstract

Purpose: To evaluate if the use of BLADE sequences might overcome some limitations of magnetic resonance imaging (MRI) in the extracranial head and neck, which is a diagnostically challenging area with a variety of artifacts and a broad spectrum of potential lesions. Materials and Methods: After informed consent and Institutional Review Board approval, two different BLADE sequences with (BLADE IR) and without inversion pulse (BLADE) were compared to turbo-spin echo (TSE) with fat saturation for coronal T1-weighted postcontrast imaging of the extracranial head and neck region in 40 individuals of a routine patient collective. Visual evaluation of image sharpness, motion artifacts, vessel pulsation, contrast of anatomic structures, contrast of pathologies to surrounding tissue as well as BLADE-specific artifacts was performed by two experienced, independent readers. Statistical evaluation was done by using the Wilcoxon test. Results: Both BLADE and BLADE IR were significantly superior to TSE regarding pulsation artifacts and delineation of thoracic structures. TSE provided better results concerning contrast muscle/fat tissue and contrast lymph nodes/fat. More important, it showed significantly better contrast of several lesions, facilitating the detection of patient pathology. Conclusion: T1-weighted coronal imaging of the extracranial head and neck region is demanding. T1-weighted BLADE sequences still have drawbacks in anatomical contrast and lesion detection but offer possibilities to achieve reasonable image quality in difficult cases with a variety of artifacts. J. Magn. Reson. Imaging 2013;37:660668. (c) 2012 Wiley Periodicals, Inc.

Item Type: Article
Uncontrolled Keywords: RECONSTRUCTION PROPELLER BLADE; OVERLAPPING PARALLEL LINES; MOTION CORRECTION; MRI; QUALITY; TESLA; HEAD; FLAIR; MRI; neck; BLADE; artifacts; PROPELLER
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Hals-Nasen-Ohren-Heilkunde
Medicine > Lehrstuhl für Röntgendiagnostik
Depositing User: Dr. Gernot Deinzer
Date Deposited: 24 Apr 2020 05:33
Last Modified: 24 Apr 2020 05:33
URI: https://pred.uni-regensburg.de/id/eprint/17093

Actions (login required)

View Item View Item