Whole-brain vessel wall MRI: A parameter tune-up solution to improve the scan efficiency of three-dimensional variable flip-angle turbo spin-echo.
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ABSTRACT: To propose and evaluate a parameter tune-up solution to expedite a three-dimensional (3D) variable-flip-angle turbo spin-echo (TSE) sequence for whole-brain intracranial vessel wall (IVW) imaging.Elliptical k-space sampling and prolonged echo train length (ETL), were used to expedite a 3D variable-flip-angle TSE-based sequence. To compensate for the potential loss in vessel wall signal, optimal combination of prescribed T2 and ETL was experimentally investigated on 22 healthy volunteers at 3 Tesla. The optimized protocol (7-8?min) was then compared with a previous protocol (reference protocol, 11-12?min) in terms of signal-to-noise ratio (SNR), contrast-to-noise ratio (CNR), vessel wall sharpness, and wall delineation quality on a 4-point scale (0:poor; 3:excellent) in 10 healthy volunteers. A pilot study of five patients was performed and lesion delineation score was used to demonstrate the diagnostic quality.A protocol with ETL?=?52 and prescribed T2 ?=?170 ms was deemed an optimized one, which, compared with the reference protocol, provided significantly improved wall SNR (12.0?±?1.3 versus 10.0?±?1.1; P?=?0.002), wall-lumen CNR (9.7?±?1.2 versus 8.0?±?0.9; P?=?0.002), wall-CSF CNR (2.8?±?1.0 versus 1.7?±?1.0; P?=?0.026), similar vessel wall sharpness at both inner (1.59?±?0.18 versus 1.58?±?0.14, P?=?0.87) and outer (1.71?±?0.25 versus 1.83?±?0.30; P?=?0.18) boundaries, and comparable vessel wall delineation score for individual segments (1.95-3; P?>?0.06). In all patients, atherosclerotic plaques (10) or wall dissection (5) were identified with a delineation score of 3 or 2.A parameter tune-up solution can accelerate 3D variable-flip-angle TSE acquisitions, particularly allowed for expedited whole-brain IVW imaging with preserved wall delineation quality.2. Technical Efficacy: Stage 1 J. MAGN. RESON. IMAGING 2017;46:751-757.
SUBMITTER: Yang Q
PROVIDER: S-EPMC5519453 | biostudies-other | 2017 Sep
REPOSITORIES: biostudies-other
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