The value of contrast-enhanced three-dimensional isotropic T2-weighted turbo spin-echo SPACE sequence in the diagnosis of patients with lumbosacral nerve root compression

Author(s):  
Chao Kong ◽  
Xiang-Yu Li ◽  
Si-Yuan Sun ◽  
Xiang-Yao Sun ◽  
Miao Zhang ◽  
...  
2017 ◽  
Vol 18 (1) ◽  
pp. 249 ◽  
Author(s):  
Jinkyeong Sung ◽  
Won-Hee Jee ◽  
Joon-Yong Jung ◽  
Jinhee Jang ◽  
Jin-Sung Kim ◽  
...  

Author(s):  
Tianyang Gao ◽  
Zhao Lu ◽  
Fengzhe Wang ◽  
Heng Zhao ◽  
Jiazheng Wang ◽  
...  

Objective: To compare conventional sensitivity encoding turbo spin-echo (SENSE-TSE) with compressed sensing plus SENSE turbo spin-echo (CS-TSE) in lumbar vertebrae magnetic resonance imaging (MRI). Methods: This retrospective study of lumbar vertebrae MRI included 600 patients; 300 patients received SENSE-TSE and 300 patients received CS-TSE. The SENSE acceleration factor was 1.4 for T1WI, 1.7 for T2WI, and 1.7 for PDWI. The CS total acceleration factor was 2.4, 3.6, 4.0, and 4.0 for T1WI, T2WI, PDWI sagittal, and T2WI transverse, respectively. The image quality of each MRI sequence was evaluated objectively by the signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) and subjectively on a five-point scale. Two radiologists independently reviewed the MRI sequences of the 300 patients receiving CS-TSE, and their diagnostic consistency was evaluated. The degree of intervertebral foraminal stenosis and nerve root compression was assessed using the T1WI sagittal and T2WI transverse images. Results: The scan time was reduced from 7 min 28 s to 4 min 26 s with CSTSE. The median score of nerve root image quality was 5 (p > 0.05). The diagnostic consistency using CS-TSE images between the two radiologists was high for diagnosing lumbar diseases (κ > 0.75) and for evaluating the degree of lumbar foraminal stenosis and nerve root compression (κ = 0.882). No differences between SENSE-TSE and CS-TSE were observed for sensitivity, specificity, positive predictive value, or negative predictive value. Conclusion: CS-TSE has potential for diagnosing lumbar vertebrae and disc disorders.


2015 ◽  
Vol 50 (6) ◽  
pp. 401-408 ◽  
Author(s):  
Karla Maria Treitl ◽  
Marcus Treitl ◽  
Hendrik Kooijman-Kurfuerst ◽  
Nora N. Kammer ◽  
Eva Coppenrath ◽  
...  

1997 ◽  
Vol 37 (3) ◽  
pp. 379
Author(s):  
Sung Wook Choi ◽  
Ghi Jai Lee ◽  
Jae Chan Shim ◽  
Young Ju Lee ◽  
Se Hyung Jeong ◽  
...  

Author(s):  
Elisabeth Sartoretti ◽  
Sabine Sartoretti-Schefer ◽  
Luuk van Smoorenburg ◽  
Barbara Eichenberger ◽  
Árpád Schwenk ◽  
...  

Objectives: To compare a novel 3D spiral gradient echo (GRE) sequence with a conventional 2D cartesian turbo spin echo (TSE) sequence for sagittal contrast-enhanced (CE) fat-suppressed (FS) T1 weighted (T1W) spine MRI. Methods: In this inter-individual comparison study, 128 patients prospectively underwent sagittal CE FS T1W spine MRI with either a 2D cartesian TSE (“TSE”, 285 s, 64 patients) or a 3D spiral GRE sequence (“Spiral”, 93 s, 64 patients). Between both groups, patients were matched in terms of anatomical region (cervical/thoracic/lumbar spine and sacrum). Three readers used 4-point Likert scales to assess images qualitatively in terms of overall image quality, presence of artifacts, spinal cord visualization, lesion conspicuity and quality of fat suppression. Results: Spiral achieved a 67.4% scan time reduction compared to TSE. Interreader agreement was high (alpha=0.868-1). Overall image quality (4;[3,4] vs 3;[3,4], p<0.001 – p=0.002 for all readers), presence of artifacts (4;[3,4] vs 3;[3,4] p=0.027 – p=0.046 for all readers), spinal cord visualization (4;[4,4] vs 4;[3,4], p<0.001 for all readers), lesion conspicuity (4;[4,4] vs 4;[4,4], p=0.016 for all readers) and quality of fat suppression (4;[4,4] vs 4;[4,4], p=0.027 – p=0.033 for all readers), were all deemed significantly improved by all three readers on Spiral images as compared to TSE images Conclusion: We demonstrate the feasibility of a novel 3D spiral GRE sequence for improved and rapid sagittal CE FS T1W spine MRI. Advances in knowledge: A 3D spiral GRE sequence allows for improved sagittal CE FS T1W spine MRI at very short scan times.


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