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Quantitative Evaluation of Optimized Fat-Suppression Techniques for T2 Weighted Abdominal MR Imaging : Comparison of TSE-SPIR and GE-PROSET

T2 강조 복부자기공명영상에 대한 최적의 지방소거 기법의 정량적 평가 : TSE-SPIR 와 GE-PROSET 비교

  • Goo, Eun-Hoe (Department of Radiological Science, Cheongju University)
  • 구은회 (청주대학교 방사선학과)
  • Received : 2013.07.16
  • Accepted : 2013.10.10
  • Published : 2013.10.31

Abstract

The purpose of this experiment is to evaluate of optimized FS techniques for T2 weighted abdominal MRI compared of TSE-SPIR fat suppression and GE-PROSET fat suppression. All MR examinations were performed on a 1.5 T(Philips, Medical System, Achieva) scanner using 16 channel mult-coils. All images were performed in the axial plane using TSE-SPIR and GE-PROSET. The mean SNRs of the retroperitoneal and mesenteric fat for TSE-SPIR and GE-PROSET were 31.50, 4.15 and 32.39, 7.03. The mean CNRs of the bowel and retroperitoneal, mesenteric fat for TSE-SPIR and GE-PROSET were 52.69, 74.54 and 26.12, 68.78). The delineation of bowel wall margins with TSE-SPIR(2.4) and GE-PROSET(1.8) were significantly improved using TSE-SPIR. The delineation of pancreas wall with TSE-SPIR(1.90), GE-PROSET(2.80) were significantly improved using GE-PROSET. In conclusion, TSE-SPIR fat suppression was superior to GE-PROSET fat suppression in T2 WI FS abdominal MRI.

본 실험의 목적은 TSE-SPIR 지방소거기법과 GE-PROSET 지방소거기법을 비교하여 복부자기공명영상에서 최적의 T2 강조 지방소거기법을 평가하고자 한다. 자기공명영상 검사는 16채널 다중채널을 사용하여 1.5 T(Philips, Medical System, Achieva)기기로 수행하였다. 모든 영상은 TSE-SPIR과 GE-PROSET을 이용하여 축면상(axial plane)을 얻었다. TSE-SPIR과 GE-PROSET에 대한 후복막 지방의 평균 SNRs는 31.50, 4.15 이었으며, 장간막 지방에 대한 SNRs는 32.39, 7.03이었다. TSE-SPIR과 GE-PROSET에서 장과 후복막 지방, 장간막 지방의 CNRs는 152.69, 74.54 와 26.12, 68.78이었다. 장벽에 대한 묘출도는 TSE-SPIR(2.4), GE-PROSET(1.8)로 TSE-SPIR가 높게 나타났으며, 췌장벽(pancreas wall)에 대한 묘출도는 TSE-SPIR(1.90), GE-PROSET(2.80)로 GE-PROSET가 높게 나타났다. 결론적으로, T2 강조 지방소거 복부자기공명영상에서 GE-PROSET 지방소거기법 보다 TSE-SPIR 지방소거기법이 우위성 있은 평가를 얻었다.

Keywords

References

  1. T.W. Chan, J. Listerud, H. Y. Kressel, "Combined chemical-shift and phase-selective imaging for fat suppression: theory and initial clinical experience", Radiology, Vol. 181, No. 1, pp. 41-47, 1991. https://doi.org/10.1148/radiology.181.1.1887054
  2. K. Darge, S. A. Anupindi, D. Jaramillo, " MR Imaging of the Abdomen and Pelvis in Infants, Children, and Adolescents" Radiolgy, Vol. 261, No. 1, pp. 12-29, 2011.
  3. A. M. Naraghi, L. M. White, C. Patel, G. Tomlinson, E. C. Keystone, " Comparison of 1.0-T Extremity MR and 1.5-T Conventional High-Field-Strength MR in Patients with Rheumatoid Arthritis", Radiology, Vol. 251, No. 3, pp. 829-837, 2009. DOI: http://dx.doi.org/10.1148/radiol.2521081507
  4. A. Oto, R. D. Ernst, R. Shah, M. Koroglu, G. Chaljub, A. F. Gei, N. Zacharias, G. Saade, " Right-lower-quadrant pain and suspected appendicitis in pregnant women: evaluation with MR imaging. initial experience", Radiology Vol. 234, No. 2, pp. 445-451, 2005. DOI: http://dx.doi.org/10.1148/radiol.2341032002
  5. F. Maccioni, A. Bruni, A. Viscido, M. C. Colaiacomo, A. Cocco, C. Montesani, R. Caprilli, M. Marini, "MR imaging in patients with Crohn disease: value of T2- versus T1-weighted gadolinium-enhanced MR sequences with use of an oral superparamagnetic contrast agent", Radiology, Vol. 238, No. 2, pp. 517-530, 2006. DOI: http://dx.doi.org/10.1148/radiol.2381040244
  6. J. Florie, M. N. Wasser, K. Arts-Cieslik, E. M. Akkerman, P. D. Siersema, J. Stoker, "Dynamic contrast-enhanced MRI of the bowel wall for assessment of disease activity in Crohn's disease", AJR Am J Roentgenol, Vol. 186, No. 5, pp. 1384-1392, 2006. DOI: http://dx.doi.org/10.2214/AJR.04.1454
  7. M. M. von Falkenhausen, G. Lutterbey, N. Morakkabati -Spitz, O. Walter, J. Gieseke, R. Blomer, W. A. Willinek, H. H. Schild, C. K. Kuhl, "High-Field-Strength MR Imaging of the Liver at 3.0 T: Intraindividual Comparative Study with MR Imaging at 1.5 T", Radiology, Vol. 241, No. 1, pp. 156-166, 2006. DOI: http://dx.doi.org/10.1148/radiol.2411051221
  8. Y. Hirokawa, H. Isoda, Y. S. Maetani, S. Arizono, K. Shimada, T. Okada, T. Shibata, K. Togashi, "Hepatic Lesions: Improved Image Quality and Detection with the Periodically Rotated Overlapping Parallel Lines with Enhanced Reconstruction Technique-Evaluation of SPIO-enhanced T2-weighted MR Images", Radiology, Vol. 251, No. 2, pp. 388-397, 2009. DOI: http://dx.doi.org/10.1148/radiol.2512081360
  9. J. Augui, O. Vignaux, C. Argaud, J. Coste, H. Gouya, P. Legmann, "Liver: T2-weighted MR Imaging with Breath-hold Fast-Recovery Optimized Fast Spin-Echo Compared with Breath-hold Half-Fourier and Non-Breath-hold Respiratory-triggered Fast Spin-Echo Pulse Sequences", Radiology, Vol. 223, No. 3, pp. 853-859, 2002. DOI: http://dx.doi.org/10.1148/radiol.2233011011
  10. T. Yokoo, M. Bydder, G. Hamilton, M. S. Middleton, A. C. Gamst, T. Wolfson, T. Hassanein, H. M. Patton, J. E. Lavine, J. B. Schwimmer, C. B. Sirlin, " Nonalcoholic Fatty Liver Disease: Diagnostic and Fat-Grading Accuracy of Low-Flip-Angle Multiecho Gradient-Recalled-Echo MR Imaging at 1.5 T", Radiology, Vol. 251, No. 1, pp. 67-76, 2009. DOI: http://dx.doi.org/10.1148/radiol.2511080666
  11. C. Muhle, J. Metzner, G. Brinkmann, B. Kuhn, L. Bischoff, A. Hutzelmann, F. Wesner, M. Heller, "Comparison of T2-weighted turbo spin-echo and ultrafast HASTE sequence in the diagnosis of cervical myelopathies and spinal stenoses and static and kinematic MRT of the spine", Rofo., Vol. 167, No. 5, pp. 467-73, 1997. DOI: http://dx.doi.org/10.1055/s-2007-1015565
  12. E. L. Hahn , "Spin Echoes", Physics Review. Vol. 80, pp. 580-594, 1950. DOI: http://dx.doi.org/10.1103/PhysRev.80.580
  13. T. C. Lauenstein, P. Sharma, T. Hughes, K. Heberlein, D. Tudorascu, D. R. Martin, " Evaluation of Optimized Inversion-Recovery Fat-Suppression Techniques for T2-Weighted Abdominal MR Imaging", Journal of Magnetic Resonance Imaging, Vol. 27, No. 6, pp. 1448-1454, 2008. DOI: http://dx.doi.org/10.1002/jmri.21350
  14. M. R. Schmid, J. Hodler, P. Vienne, C. A. Binkert, M. Zanetti, "Bone Marrow Abnormalities of Foot and Ankle: STIR versus T1-weighted Contrast-enhanced Fat-suppressed Spin-Echo MR Imaging", Radiology, Vol. 224, No. 2, pp.463-469, 2002, DOI: http://dx.doi.org/10.1148/radiol.2242011252
  15. M. A. Brown, R. C. Semelka, "MR Imaging Abbreviations, Definitions, and Descriptions: A Review", Radiology, Vol. 213, No. 3, pp. 647-662, 1999. https://doi.org/10.1148/radiology.213.3.r99dc18647
  16. G. M. Kukuk, J. Gieseke, S. Weber, D. R. Hadizadeh, M. Nelles, F. Traber, H. H Schild, W. A. Willinek, " Focal Liver Lesions at 3.0 T: Lesion Detectability and Image Quality with T2-weighted Imaging by Using Conventional and Dual-Source Parallel Radiofrequency Transmission", Radiolgoy, Vol. 259, No. 2, pp. 421-428, 2011. DOI: http://dx.doi.org/10.1148/radiol.11101429
  17. E. M. Hecht, A. E. Holland, G. M. Israel, W. Y. Hahn, D. C. Kim, A. B. West, J. S. Babb, B. Taouli, V. S. Lee, G. A. Krinsky, " Hepatocellular Carcinoma in the Cirrhotic Liver: Gadolinium-enhanced 3D T1-weighted MR Imaging as a Stand-alone Sequence for Diagnosis", Radiology, Vol. 239, No. 2, pp. 438-447, 2006. DOI: http://dx.doi.org/10.1148/radiol.2392050551
  18. O. Hauger, E. Dumont, J. F. Chateil, M. Moinard, F. Diard, " Water Excitation as an Alternative to Fat Saturation in MR Imaging: Preliminary Results in Musculoskeletal Imaging", Radiology, Vol. 2002, No.3, pp.657-663, 2002. DOI: http://dx.doi.org/10.1148/radiol.2243011227
  19. B. Turkbey, P. A. Pinto, H. Mani, M. Bernardo, Y. Pang, Y. L. McKinney, K. Khurana, G. C. Ravizzini, P. S. Albert, M. J. Merino, P. L. Choyke, " Prostate Cancer: Value of Multiparametric MR Imaging at 3T for Detection?Histopathologifc Correlation", Radiology, Vol. 225, No. 1, pp. 89-99, 2010. DOI: http://dx.doi.org/10.1148/radiol.09090475
  20. Y. K. Kim, W. J. Lee, M. J. Park, S. H. Kim, H. Rhim, and D. G. Choi, " Hypovascular Hypointense Nodules on Hepatobiliary Phase Gadoxetic Acid-enhanced MR Images in Patients with Cirrhosis: Potential of DW Imaging in Predicting Progression to Hypervascular HCC", Radiology, Vol. 265, No. 1, pp. 104-114, 2012. DOI: http://dx.doi.org/10.1148/radiol.12112649
  21. M. W. Wilson, R. K. Kerlan, N. A. Fidelman, A. P. Venook, M. L. Berge, J. Koda, R. L. Gordon, " Hepatocellular Carcinoma: Regional Therapy with a Magnetic Targeted Carrier Bound to Doxorubicin in a Dual MR Imaging/ Conventional Angiography Suite-Initial Experience with Four Patients", Radiology, Vol. 230, No. 1, pp. 287-293, 2004. DOI: http://dx.doi.org/10.1148/radiol.2301021493
  22. R. N. Low, C. P. Sebrechts, D. A. Politoske, M. T. Bennett, S. Flores, R. J. Snyder, J. H. Pressman, "Crohn Disease with Endoscopic Correlation: Single-Shot Fast Spin-Echo and Gadolinium-enhanced Fat-suppressed Spoiled Gradient-Echo MR Imaging", Rdadiology, Vol. 222, No. 3, pp. 652 - 660, 2002.
  23. A. B. Rosenkrantz, P. Storey, A. G. Gilet, B. E. Niver, J. S. Babb, C. H. Hajdu, V. S. Lee, " Magnetization Transfer Contrast-prepared MR Imaging of the Liver: Inability to Distinguish Healthy from Cirrhotic Liver", Radiology, Vol. 262, No. 1, pp.136-143, 2012. DOI: http://dx.doi.org/10.1148/radiol.11111043
  24. M. W. Ahn, U. S. Kim, G. B. Kim," Usefulness of the ProSet MRI for Diagnosis of the Extraforaminal Disc Herniation", J Korean Soc Spine Surg., Vol. 20, No. 1, pp. 28-33, 2013. DOI: http://dx.doi.org/10.4184/jkss.2013.20.1.28
  25. L. Z. Yi," The MRI PROSET Sequence Imaging and Clinical Application Value on Lumbosacral Nerve Root", Guangxi Medical University, 2009.
  26. Alerci M, Oberson M, Fogliata A, Gallino A, Vock P, Wyttenbach R., "Prospective, intraindividual comparison of MRI versus MDCT for endoleak detection after endovascular repair of abdominal aortic aneurysms", Eur Radiol., Vol. 19, No. 5, pp. 1223-1231, 2009. DOI: http://dx.doi.org/10.1007/s00330-009-1318-5
  27. N. Arai, T. Miyati, S. Matsunaga, Y. Motono, Y. Ueda, H. Kasai, Y. Suzuki, T. Matsuda, " New Method of Determining Regional Fat Fraction with Modulus and Real Multiple Gradient-echo(MRM-GRE)", Jpn J Radiol Technol., Vol. 63, No. 3, pp. 312-318, 2007. DOI: http://dx.doi.org/10.6009/jjrt.63.312
  28. P. D. Friedman, S. V. Swaminathan, R. Smith, " SENSE Imaging of the Breast", AJR., Vol. 184, No. 2, pp. 448-451, 2005. DOI: http://dx.doi.org/10.2214/ajr.184.2.01840448