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Research ArticleBrain

Comparison of Brain MR Images at 1.5T Using BLADE and Rectilinear Techniques for Patients Who Move during Data Acquisition

E. Nyberg, G.S. Sandhu, J. Jesberger, K.A. Blackham, D.P. Hsu, M.A. Griswold and J.L. Sunshine
American Journal of Neuroradiology January 2012, 33 (1) 77-82; DOI: https://doi.org/10.3174/ajnr.A2737
E. Nyberg
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G.S. Sandhu
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J. Jesberger
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K.A. Blackham
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D.P. Hsu
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M.A. Griswold
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J.L. Sunshine
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    Fig 1.

    Number of image sets in which the evaluators preferred 1 kind of image over the other or disagreed in terms of (A) less motion artifact, (B) better lesion characterization, and (C) better overall image quality.

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    Fig 2.

    Sagittal CE-T1WI images of a patient obtained by using (A) BLADE and (B) rectilinear technique. Despite the presence of extensive radial artifact in the partially radial acquisition image, gray-white differentiation and correction of motion artifact remain superior.

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    Fig 3.

    Axial T2WI images of a patient obtained by using (A) BLADE and (B) rectilinear techniques. The partially radial acquisition image is free of motion artifact, whereas extensive motion artifact degrades the rectilinear image.

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    Fig 4.

    Axial FLAIR images of patient who presented with an acute left middle cerebral artery distribution stroke obtained by using (A) BLADE and (B) rectilinear techniques. The partially radial acquisition image is free of motion artifact, whereas extensive motion artifact degrades quality of the rectilinear image. The small, subtle ischemic lesion was also better characterized from the partially radial acquisition image (arrow).

Tables

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    Table 1:

    The imaging sequence, sequence parameters, and total scan time for acquisition of T2WI, FLAIR, T1WI, and CE-T1WI images by partially radial and rectilinear techniques

    Image TypeBLADE (Imaging sequence/TR/TE/α/TI/FOV/section thickness/base resolution/blade coverage/motion correction/turbo factor/echo-train length per section/averages/concatenation/imaging time)Rectilinear (Imaging sequence/TR/TE/α/TI/FOV/section thickness/base resolution/averages/concatenation/imaging time)
    T2WITSE/4000 ms/107 ms/150°/-/230 × 230 mm/5 mm/256 × 256/91.7%/on/35/11/1/2/1 minute 38 secondsTSE/4320 ms/88 ms/150°/-/173 × 230 mm/5 mm/192 × 256/1/1/1 minute 13 seconds
    FLAIRFLAIR/9000 ms/107 ms/150°/150 ms/230 × 230 mm/5 mm/256 × 256/91.7%/on/35/11/1/2/3 minutes 38 secondsFLAIR/4320 ms/110 ms/150°/2500 ms/173 × 230 mm/5 mm/192 × 256/1/1/1 minute 21 seconds
    Axial T1WIFLAIR/2500 ms/59 ms/150°/860 ms/230 × 230 mm/5 mm/256 × 256/95.5%/off/19/21/1/3/2 minutes 47 secondsSpin-echo/740 ms/17 ms/90°/-/173 × 230 mm/5 mm/192 × 256/2/1/4 minutes 8 seconds
    Coronal T1WIFLAIR/2500 ms/59 ms/150°/860 ms/230 × 230 mm/5 mm/256 × 256/95.5%/off/19/21/1/5/4 minutes 37 secondsSpin-echo/740 ms/17 ms/90°/-/201 × 230 mm/5 mm/224 × 256/1/1/1 minute 23 seconds
    Sagittal T1WIFLAIR/2500 ms/59 ms/150°/860 ms/230 × 230 mm/5 mm/256 × 256/95.5%/off/19/21/1/3/2 minutes 52 secondsSpin-echo/525 ms/17 ms/90°/-/230 × 230 mm/5 mm/192 × 256/1/1/1 minute 52 seconds
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    Table 2:

    The mean value and standard deviation of the motion artifact scores for each sequence and overall rating scores from the images obtained using rectilinear and partially radial acquisition techniques

    Image TypeMotion Score Mean Value ± Standard Deviation
    RectilinearBLADE
    FLAIR1.21 ± 0.630.82 ± 0.87
    T2WI1.18 ± 0.860.425 ± 0.65
    T1WI1.83 ± 1.211.57 ± 1.18
    CE-T1WI0.91 ± 0.640.97 ± 0.62
    Overall1.26 ± 0.890.90 ± 0.92
    • Motion artifact scoring scale: 0 indicates no visible motion artifact; 1, visible motion artifact with mild degradation of the image quality; 2, visible motion artifact with moderate degradation of the image quality; 3, visible motion artifact with severe degradation of the image quality; 4, visible motion artifact which renders the image of no diagnostic value.

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    Table 3:

    Total number of axial and non-axial T1WI and CE-T1WI with radial artifact for rectilinear and BLADE techniques and the number of images in which radial artifact compromised the diagnostic yield

    Gridding and Section OrientationTotalRadial ArtifactDiagnostic Yield
    AbsentRaters DisagreedPresentNot CompromisedRaters DisagreedCompromised
    RectilinearAxial109101000
    Nonaxial2120102100
    Total3129203100
    BLADEAxial101451000
    Nonaxial2101201029
    Total3115252029
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American Journal of Neuroradiology: 33 (1)
American Journal of Neuroradiology
Vol. 33, Issue 1
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Cite this article
E. Nyberg, G.S. Sandhu, J. Jesberger, K.A. Blackham, D.P. Hsu, M.A. Griswold, J.L. Sunshine
Comparison of Brain MR Images at 1.5T Using BLADE and Rectilinear Techniques for Patients Who Move during Data Acquisition
American Journal of Neuroradiology Jan 2012, 33 (1) 77-82; DOI: 10.3174/ajnr.A2737

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Comparison of Brain MR Images at 1.5T Using BLADE and Rectilinear Techniques for Patients Who Move during Data Acquisition
E. Nyberg, G.S. Sandhu, J. Jesberger, K.A. Blackham, D.P. Hsu, M.A. Griswold, J.L. Sunshine
American Journal of Neuroradiology Jan 2012, 33 (1) 77-82; DOI: 10.3174/ajnr.A2737
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