BLADE in Sagittal T2-Weighted MR Imaging of the Cervical Spine

Fellner, Claudia and Menzel, C. and Fellner, F. A. and Ginthoer, C. and Zorger, N. and Schreyer, A. and Jung, E. M. and Feuerbach, S. and Finkenzeller, T. (2010) BLADE in Sagittal T2-Weighted MR Imaging of the Cervical Spine. AMERICAN JOURNAL OF NEURORADIOLOGY, 31 (4). pp. 674-681. ISSN 0195-6108, 1936-959X

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Abstract

BACKGROUND AND PURPOSE: Image quality and diagnostic reliability of T2-weighted MR images of the cervical spine are often impaired by several kinds of artifacts, even in cooperative patients. The aim of this study was to evaluate if BLADE sequences might solve these problems in a routine patient collective. MATERIALS AND METHODS: TSE and BLADE sequences were compared in 60 patients for T2-weighted sagittal imaging of the cervical spine. Image sharpness, motion artifacts, truncation artifacts, metal artifacts, CSF flow phenomena, contrast of anatomic structures (vertebral body/disk, spinal cord/CSF), and diagnostic reliability of spinal cord depiction were evaluated by 2 independent readers. Another 2 readers selected the sequence they would prefer for diagnostic purposes. Statistical evaluations were performed by using the Wilcoxon and the chi(2) test; differences with P < .05 were regarded as statistically significant. RESULTS: BLADE was significantly superior to TSE regarding image sharpness, image contrast, diagnostic reliability of spinal cord depiction, motion artifacts, CSF flow phenomena, and truncation artifacts; for metal artifacts no significant improvements were found. In 50 of 60 patients, BLADE was preferred for diagnostic purposes, and TSE was favored in 3 patients. The number of examinations that were nondiagnostic due to impaired spinal cord depiction was reduced from 12 in TSE to 3 in BLADE, and nondiagnostic examinations due to overall motion artifacts were reduced from 2 to 1. CONCLUSIONS: Using the BLADE sequence for sagittal T2-weighted imaging of the cervical spine proved to be advantageous to reduce various kinds of artifacts.

Item Type: Article
Uncontrolled Keywords: OVERLAPPING PARALLEL LINES; ARTIFACT REDUCTION; MOTION CORRECTION; PROPELLER-EPI; UPPER ABDOMEN; HEAD MOTION; QUALITY; BRAIN; IMAGES; EXPERIENCE;
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Röntgendiagnostik
Depositing User: Dr. Gernot Deinzer
Date Deposited: 03 Aug 2020 10:22
Last Modified: 03 Aug 2020 10:22
URI: https://pred.uni-regensburg.de/id/eprint/24841

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