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Research ArticleHead & Neck

High-Resolution 3D-Constructive Interference in Steady-State MR Imaging and 3D Time-of-Flight MR Angiography in Neurovascular Compression: A Comparison between 3T and 1.5T

M. Garcia, R. Naraghi, T. Zumbrunn, J. Rösch, P. Hastreiter and A. Dörfler
American Journal of Neuroradiology August 2012, 33 (7) 1251-1256; DOI: https://doi.org/10.3174/ajnr.A2974
M. Garcia
aFrom the Departments of Neuroradiology (M.G., J.R., A.D.) and
cDepartment of General Radiology and Neuroradiology (M.G.),
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R. Naraghi
eDepartment of Neurosurgery (R.N.), Armed Forces Hospital Ulm, Ulm, Germany.
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T. Zumbrunn
dClinic for Radiology and Nuclear Medicine, and Clinical Trial Unit (T.Z.), University Hospital Basel, Basel, Switzerland; and
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J. Rösch
aFrom the Departments of Neuroradiology (M.G., J.R., A.D.) and
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P. Hastreiter
bNeurosurgery (P.H.), Friedrich-Alexander-University of Erlangen-Nuremberg, Erlangen, Germany
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A. Dörfler
aFrom the Departments of Neuroradiology (M.G., J.R., A.D.) and
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    Fig 1.

    Axial source images of 3D-CISS sequences at the level of the trigeminal nerve root (A and B) and 3D-TOF MRAs at the level of the cavernous sinus (C and D) at 1.5T (A and C) and 3T (B and D) in the same patient. Note the ramification of the nerve root into its branches at some distance from the REZ. The branches are much better outlined at 3T than at 1.5T in the 3D-CISS sequence (A and B). The vessels and the boundary between the cavernous sinus and ICA can be distinguished more accurately at 3T than at 1.5T in the 3D-TOF MRA (C and D). Note the banding artifacts over the globes in the 3D-CISS at 3T (B). Ghosting artifacts are seen anterior to the CSF in the 3D-CISS at both field strengths (A and B).

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    Fig 2.

    Axial source images of 3D-CISS sequences (A and B) and MIP of 3D-TOF MRAs (C and D) obtained at 1.5T (A and C) and 3T (B and D). The contours of the anatomic structures can be more accurately delineated at 3T compared with 1.5T. Note that more vessels can be delineated in the MIP obtained at 3T (D) compared with 1.5T (B).

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    Fig 3.

    Axial source images of the 3D-CISS sequence at 1.5T (A) and 3T (B) of a patient with trigeminal neuralgia on the left side showing a close relationship (arrowhead) between the upper part of the trigeminal nerve (trigeminal neuralgia, long arrow) and a larger vein (arrow with dot) and a smaller artery (short arrow) on the left side at some distance from the REZ (asterisk, shown on the contralateral side). The proximate adjacency between the trigeminal neuralgia and the small artery is visible at both field strengths. However, the direct contact between the trigeminal neuralgia and vein is questionable at 1.5T (arrowhead in A), whereas the direct nerve-vein contact is clearly visible at 3T (arrowhead in B), confirming the diagnosis of NVC.

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    Fig 4.

    Axial source (A and B) and coronal (C and D) reformatted CISS images at 1.5T (A and C) and 3T (B and D) of a patient with hemifacial spasm on the right side due a direct contact (black arrowheadwith white margins) between the VII-VIII nerve complex (long black arrow) and the meatal segment of the anterior inferior cerebellar artery (short white arrow), forming a loop near the nerve complex (short black and white arrows in A and B, in which the short black arrow indicates the proximal part and the short white arrow, the distal part of the anterior inferior cerebellar artery). In this patient, the NVC is approximately equally well seen at both field strengths.

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    Fig 5.

    Bar graph showing the mean (± standard error) of the SNR of the basilar artery, CNR between the basilar artery and brain stem, and CNR between the CSF and ICA for both the 3D-CISS and 3D-TOF MRA. Note the higher SNR and CNR for all items at 3T, though they are more pronounced for the 3D-CISS than for the 3D-TOF MRA.

Tables

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    Table 1:

    Sequence parameters for the 3D-CISS at 1.5T and 3T

    Parameters1.5T3T
    Acquisition time (min:sec)7:038:26
    Voxel size (mm3)0.40.4
    No. of slabs11
    Sections per slab144144
    Distance factor (%)2020
    FOV read (mm)230200
    FOV phase (%)62.5100
    Section thickness (mm)0.40.4
    Base resolution512512
    Phase resolution (%)100100
    Section resolution (%)6450
    TR (ms)9.657.48
    TE (ms)4.833.23
    No. of averages11
    Flip angle (°)9045
    Bandwidth (Hz/px)163250
    No. of averages11
    No. of measurements11
    SNR11
    Phase oversampling (mm3)00
    Section oversampling (%)022.2
    Phase partial Fourier7/87/8
    Section partial Fourier7/87/8
    • View popup
    Table 2:

    Sequence parameters for the 3D-TOF MRA at 1.5T and 3T

    Parameters1.5T3T
    Acquisition time (min:sec)15:0715:51
    Voxel size (mm3)0.40.4
    No. of slabs11
    Sections per slab144144
    Distance factor (%)5050
    FOV read (mm)230200
    FOV phase (%)62.5100
    Section thickness (mm)0.40.4
    Base resolution512512
    Phase resolution (%)100100
    Section resolution (%)6750
    TR (ms)4021
    TE (ms)7.153.77
    Flip angle (°)2518
    Bandwidth (Hz/px)65212
    MTCYesNo
    No. of averages11
    No. of concatenations11
    No. of measurements11
    SNR11
    Phase oversampling (mm3)00
    Section oversampling (%)022.2
    Phase partial Fourier7/8Off
    Section partial Fourier7/8Off
    • Note:—MTC indicates magnetization transfer contrast.

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American Journal of Neuroradiology: 33 (7)
American Journal of Neuroradiology
Vol. 33, Issue 7
1 Aug 2012
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Cite this article
M. Garcia, R. Naraghi, T. Zumbrunn, J. Rösch, P. Hastreiter, A. Dörfler
High-Resolution 3D-Constructive Interference in Steady-State MR Imaging and 3D Time-of-Flight MR Angiography in Neurovascular Compression: A Comparison between 3T and 1.5T
American Journal of Neuroradiology Aug 2012, 33 (7) 1251-1256; DOI: 10.3174/ajnr.A2974

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High-Resolution 3D-Constructive Interference in Steady-State MR Imaging and 3D Time-of-Flight MR Angiography in Neurovascular Compression: A Comparison between 3T and 1.5T
M. Garcia, R. Naraghi, T. Zumbrunn, J. Rösch, P. Hastreiter, A. Dörfler
American Journal of Neuroradiology Aug 2012, 33 (7) 1251-1256; DOI: 10.3174/ajnr.A2974
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