Usefulness of IDEAL T2 Imaging for Homogeneous Fat Suppression and Reducing Susceptibility Artefacts in Brachial Plexus MRI at 3.0 T
Overview
Affiliations
Purpose: To quantitatively and qualitatively compare fat-suppressed MR imaging quality using iterative decomposition of water and fat with echo asymmetry and least-squares estimation (IDEAL) with that using frequency-selective fat-suppressed (FSFS) T2 images of the brachial plexus at 3.0 T.
Materials And Methods: Prospective MR image analysis was performed in 40 volunteers and 40 patients at a single centre. Oblique-sagittal and coronal IDEAL fat-suppressed T2 images and FSFS T2 images were compared. Visual assessment was performed by two independent musculoskeletal radiologists with respect to: (1) susceptibility artefacts around the neck, (2) homogeneity of fat suppression, (3) image sharpness and (4) tissue resolution contrast of pathologies. The signal-to-noise ratios (SNR) for each image sequence were assessed.
Results: Compared to FSFS sequences, IDEAL fat-suppressed T2 images significantly reduced artefacts around the brachial plexus and significantly improved homogeneous fat suppression (p < 0.05). IDEAL significantly improved sharpness and lesion-to-tissue contrast (p < 0.05). The mean SNRs were significantly improved on T2-weighted IDEAL images (p < 0.05).
Conclusion: IDEAL technique improved image quality by reducing artefacts around the brachial plexus while maintaining a high SNR and provided superior homogeneous fat suppression than FSFS sequences.
Abdulaal O, MacMahon P, Rainford L, Cradock A, ODriscoll D, Galligan M Quant Imaging Med Surg. 2023; 13(1):196-209.
PMID: 36620175 PMC: 9816736. DOI: 10.21037/qims-22-191.
Lao Q, Jia Y, Zhao K, Liu K, Feng J Int J Gen Med. 2022; 15:5673-5680.
PMID: 35755861 PMC: 9215839. DOI: 10.2147/IJGM.S362738.
Kirchgesner T, Stoenoiu M, Durez P, Michoux N, Vande Berg B J Belg Soc Radiol. 2022; 106(1):1.
PMID: 35088027 PMC: 8757386. DOI: 10.5334/jbsr.2692.
Zhang X, Wang W, Liu T, Qi Y, Ma L Ann Transl Med. 2021; 9(4):344.
PMID: 33708971 PMC: 7944290. DOI: 10.21037/atm-21-348.
Sarkar S, Hackney D, Greenman R, Vachha B, Johnson E, Nagle S Eur J Radiol. 2018; 102:202-207.
PMID: 29685536 PMC: 7453706. DOI: 10.1016/j.ejrad.2018.03.016.