TrueFisp Versus HASTE Sequences in 3T Cine MRI: Evaluation of Image Quality During Phonation in Patients with Velopharyngeal Insufficiency

Overview

Journal Eur Radiol

Specialty Radiology

Date 2015 Nov 30

PMID 26615554

Citations 4

Authors

Christiane Kulinna-Cosentini

Christian Czerny

Arnulf Baumann

Michael Weber

Klaus Sinko

Affiliations

Soon will be listed here.

Abstract

Objective: To evaluate the image quality of two fast dynamic magnetic resonance imaging (MRI) sequences: True fast imaging with steady state precession (TrueFisp) was compared with half-Fourier acquired single turbo-spin-echo (HASTE) sequence for the characterization of velopharyngeal insufficiency (VPI) in repaired cleft palate patients.

Methods: Twenty-two patients (10 female and 12 male; mean age, 17.7 ± 10.6 years; range, 9-31) with suspected VPI underwent 3-T MRI using TrueFisp and HASTE sequences. Imaging was performed in the sagittal plane at rest and during phonation of "ee" and "k" to assess the velum, tongue, posterior pharyngeal wall and a potential VP closure. The results were analysed independently by one radiologist and one orthodontist.

Results: HASTE performed better than TrueFisp for all evaluated items, except the tongue evaluation by the orthodontist during phonation of "k" and "ee". A statistically significant difference in favour of HASTE was observed in assessing the velum at rest and during phonation of "k" and "ee", and also in assessing VP closure in both raters (p < 0.05). TrueFisp imaging was twice as fast as HASTE (0.36 vs. 0.75 s/image).

Conclusion: Dynamic HASTE images were of superior quality to those obtained with TrueFisp, although TrueFisp imaging was twice as fast.

Key Points: • Dynamic MRI is an invaluable tool for diagnosing VPI. • Dynamic HASTE images were of superior quality to those obtained with TrueFisp. • TrueFisp imaging was twice as fast as HASTE imaging.

Citing Articles

A segmentation-informed deep learning framework to register dynamic two-dimensional magnetic resonance images of the vocal tract during speech.

Ruthven M, Miquel M, King A Biomed Signal Process Control. 2023; 80:104290.

PMID: 36743699 PMC: 9746295. DOI: 10.1016/j.bspc.2022.104290.

Deep-learning-based segmentation of the vocal tract and articulators in real-time magnetic resonance images of speech.

Ruthven M, Miquel M, King A Comput Methods Programs Biomed. 2020; 198:105814.

PMID: 33197740 PMC: 7732702. DOI: 10.1016/j.cmpb.2020.105814.

Dynamic cerebellar herniation in Chiari patients during the cardiac cycle evaluated by dynamic magnetic resonance imaging.

Tietze M, Schaumann A, Thomale U, Hofmann P, Tietze A Neuroradiology. 2019; 61(7):825-832.

PMID: 31053886 DOI: 10.1007/s00234-019-02203-2.

Comparison of Cartesian and Non-Cartesian Real-Time MRI Sequences at 1.5T to Assess Velar Motion and Velopharyngeal Closure during Speech.

Freitas A, Wylezinska M, Birch M, Petersen S, Miquel M PLoS One. 2016; 11(4):e0153322.

PMID: 27073905 PMC: 4830548. DOI: 10.1371/journal.pone.0153322.

References

Listerud J, Einstein S, Outwater E, Kressel H . First principles of fast spin echo. Magn Reson Q. 1992; 8(4):199-244. View

Zhang S, Olthoff A, Frahm J . Real-time magnetic resonance imaging of normal swallowing. J Magn Reson Imaging. 2012; 35(6):1372-9. DOI: 10.1002/jmri.23591. View

Hecht E, Lee V, Tanpitukpongse T, Babb J, Taouli B, Wong S . MRI of pelvic floor dysfunction: dynamic true fast imaging with steady-state precession versus HASTE. AJR Am J Roentgenol. 2008; 191(2):352-8. DOI: 10.2214/AJR.07.3403. View

Phua Y, de Chalain T . Incidence of oronasal fistulae and velopharyngeal insufficiency after cleft palate repair: an audit of 211 children born between 1990 and 2004. Cleft Palate Craniofac J. 2008; 45(2):172-8. DOI: 10.1597/06-205.1. View

HOLLMANN K, Hoffmann D . [The treatment of labial and palatal clefts in accordance with the Viennese concept]. Orthod Fr. 1983; 54(2):497-508. View

Constable R, Gore J . The loss of small objects in variable TE imaging: implications for FSE, RARE, and EPI. Magn Reson Med. 1992; 28(1):9-24. DOI: 10.1002/mrm.1910280103. View

Haacke E, Wielopolski P, Tkach J, Modic M . Steady-state free precession imaging in the presence of motion: application for improved visualization of the cerebrospinal fluid. Radiology. 1990; 175(2):545-52. DOI: 10.1148/radiology.175.2.2326480. View

Perry J, Sutton B, Kuehn D, Gamage J . Using MRI for assessing velopharyngeal structures and function. Cleft Palate Craniofac J. 2013; 51(4):476-85. PMC: 4496581. DOI: 10.1597/12-083. View

Fuchs F, Laub G, Othomo K . TrueFISP--technical considerations and cardiovascular applications. Eur J Radiol. 2003; 46(1):28-32. DOI: 10.1016/s0720-048x(02)00330-3. View

10.

Gilbert R, Daftary S, Campbell T, Weisskoff R . Patterns of lingual tissue deformation associated with bolus containment and propulsion during deglutition as determined by echo-planar MRI. J Magn Reson Imaging. 1998; 8(3):554-60. DOI: 10.1002/jmri.1880080307. View

11.

Sekihara K . Steady-state magnetizations in rapid NMR imaging using small flip angles and short repetition intervals. IEEE Trans Med Imaging. 1987; 6(2):157-64. DOI: 10.1109/TMI.1987.4307816. View

12.

Ahmad M, Dargaud J, Morin A, Cotton F . Functional morphology of phonation evaluated by dynamic MRI. Surg Radiol Anat. 2006; 28(5):481-5. DOI: 10.1007/s00276-006-0120-1. View

13.

Lam D, Starr J, Perkins J, Lewis C, Eblen L, Dunlap J . A comparison of nasendoscopy and multiview videofluoroscopy in assessing velopharyngeal insufficiency. Otolaryngol Head Neck Surg. 2006; 134(3):394-402. DOI: 10.1016/j.otohns.2005.11.028. View

14.

Suto Y, Matsuo T, Kato T, Hori I, Inoue Y, Ogawa S . Evaluation of the pharyngeal airway in patients with sleep apnea: value of ultrafast MR imaging. AJR Am J Roentgenol. 1993; 160(2):311-4. DOI: 10.2214/ajr.160.2.8424340. View

15.

Barchetti F, Stagnitti A, Glorioso M, Al Ansari N, Barchetti G, Pranno N . Static and dynamic MR imaging in the evaluation of temporomandibular disorders. Eur Rev Med Pharmacol Sci. 2014; 18(20):2983-7. View

16.

Fu M, Zhao B, Carignan C, Shosted R, Perry J, Kuehn D . High-resolution dynamic speech imaging with joint low-rank and sparsity constraints. Magn Reson Med. 2014; 73(5):1820-32. PMC: 4261062. DOI: 10.1002/mrm.25302. View

17.

Niebergall A, Zhang S, Kunay E, Keydana G, Job M, Uecker M . Real-time MRI of speaking at a resolution of 33 ms: undersampled radial FLASH with nonlinear inverse reconstruction. Magn Reson Med. 2012; 69(2):477-85. DOI: 10.1002/mrm.24276. View

18.

Beer A, Hellerhoff P, Zimmermann A, Mady K, Sader R, Rummeny E . Dynamic near-real-time magnetic resonance imaging for analyzing the velopharyngeal closure in comparison with videofluoroscopy. J Magn Reson Imaging. 2004; 20(5):791-7. DOI: 10.1002/jmri.20197. View

19.

Chetpakdeechit W, Hallberg U, Hagberg C, Mohlin B . Social life aspects of young adults with cleft lip and palate: grounded theory approach. Acta Odontol Scand. 2009; 67(2):122-8. DOI: 10.1080/00016350902720888. View

20.

Conley S, Gosain A, Marks S, LARSON D . Identification and assessment of velopharyngeal inadequacy. Am J Otolaryngol. 1997; 18(1):38-46. DOI: 10.1016/s0196-0709(97)90047-8. View