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Research ArticleHead & Neck

Ocular Volumetry Using Fast High-Resolution MRI during Visual Fixation

K. Tanitame, T. Sone, T. Miyoshi, N. Tanitame, K. Otani, Y. Akiyama, M. Takasu, S. Date, Y. Kiuchi and K. Awai
American Journal of Neuroradiology April 2013, 34 (4) 870-876; DOI: https://doi.org/10.3174/ajnr.A3305
K. Tanitame
aFrom the Departments of Diagnostic Radiology (K.T., S.D., M.T., K.A.)
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T. Sone
bOphthalmology and Visual Science (T.S., Y.K.), Graduate School of Biomedical Sciences
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T. Miyoshi
dDepartment of Clinical Radiology (T.M., Y.A.), Hiroshima University Hospital, Hiroshima, Japan
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N. Tanitame
eDepartment of Radiology (N.T.), Hiroshima City Asa Hospital, Hiroshima, Japan.
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K. Otani
cDepartment of Environmetrics and Biometrics Research Institute for Radiation Biology and Medicine (K.O.), Hiroshima University, Hiroshima, Japan
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Y. Akiyama
dDepartment of Clinical Radiology (T.M., Y.A.), Hiroshima University Hospital, Hiroshima, Japan
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M. Takasu
aFrom the Departments of Diagnostic Radiology (K.T., S.D., M.T., K.A.)
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S. Date
aFrom the Departments of Diagnostic Radiology (K.T., S.D., M.T., K.A.)
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Y. Kiuchi
bOphthalmology and Visual Science (T.S., Y.K.), Graduate School of Biomedical Sciences
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K. Awai
aFrom the Departments of Diagnostic Radiology (K.T., S.D., M.T., K.A.)
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  • Fig. 1.
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    Fig. 1.

    A, Retinal detachment phantom for evaluating the accuracy of ocular MR volumetry. This phantom consisted of a cut 38-mm-diameter table tennis ball and a rubber film. The film was placed on the cut end of the ball, a small hole was made in the posterior pole of the ball, and a tube was connected to the hole. To have the phantom simulate several types of retinal detachment, we injected different volumes of a 0.5-mmol/L Gd-DTPA solution from a small syringe via the tube connected to the hole. Representative half-Fourier single-shot RARE (B) and enlarged (×1.6) FSPGR (C) images of the retinal detachment phantom injected with 2.00 mL of a solution containing Gd-DTPA are shown.

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    Fig. 2.

    Sequential contiguous half-Fourier single-shot RARE images of the right eye of a female volunteer. Two radiologists manually measured the areas of the anterior chamber and the whole eyeball (enclosed with a gray and a white freehand line in the centered figure, respectively) on each image and calculated their volumes by multiplying the sum of the areas by each section thickness.

  • Fig. 3.
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    Fig. 3.

    Imaging and intraobserver reproducibility on ocular MR volumetry. The right eyes of 15 volunteers were scanned twice in 1 week. Bland-Altman analysis shows the comparison of the volumes of the anterior chamber or whole eyeball between the first and second scans. Data are shown for each of the 2 observers. The central line (mean) indicates the bias, and the outer broken lines (mean ± 2 SDs) indicate the limits of agreement.

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    Fig. 4.

    Boxplots showing volumetric data measured by each of the 2 observers in the first and second scans (A, anterior chamber. B, whole eyeball). Although no interobserver difference for the measured anterior chamber volumes was evident, volumes of the whole eyeball measured by observer B were higher than those measured by observer A.

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    Fig. 5.

    Half-Fourier single-shot RARE images in the follow-up of a 7-year-old girl with Sturge-Weber syndrome. In the first (A) and the second (B) scans, contiguous half-Fourier single-shot RARE images show the convex-shaped relatively low-signal-intensity subretinal fluid and relatively high-signal-intensity choroidal hemangioma in the left eye. The measured volumes of the whole eyeball, the tumor, and the subretinal fluid in the first scan were 6.55 × 103 mm3, 1.32 × 103 mm3, and 0.61 × 103 mm3, respectively. The corresponding volumes in the second scan were 6.50 × 103 mm3, 1.33 × 103 mm3, and 0.34 × 103 mm3, respectively. Although no notable change in the volumes of the whole eyeball and the tumor were found, the volume of subretinal fluid decreased by 44% after 11 weeks.

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    Fig. 6.

    Ocular MR images of a 40-year-old woman with spindle-shaped choroidal hemangioma (arrows) with exudative subretinal fluid (arrowheads). Axial (A) and sagittal (B) half-Fourier single-shot RARE images show an intermediate-signal-intensity tumor and a low-signal-intensity fluid in the posterior wall of her right eye. Axial fat-saturated FSPGR image (C) shows a low-signal-intensity tumor in the posterior wall of the eye. Axial (D) and sagittal (E) Gd-enhanced fat-saturated FSPGR images show the homogeneous-enhanced tumor and nonenhanced subretinal fluid.

Tables

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  • Results of the volumetric phantom studya

    Infusion Volume (×103 mm3)Measured Volume (×103 mm3) (Error Rate)
    Observer 1Observer 2
    FSPGRRAREFSPGRRARE
    1.001.17 (0.170)1.08 (0.080)1.13 (0.130)1.07 (0.070)
    1.501.64 (0.093)1.61 (0.067)1.59 (0.060)1.57 (0.047)
    2.002.14 (0.070)2.02 (0.010)2.16 (0.080)2.09 (0.045)
    2.502.74 (0.080)2.60 (0.040)2.73 (0.092)2.47 (−0.012)
    3.003.15 (0.050)3.06 (0.020)3.16 (0.053)3.08 (0.027)
    3.503.74 (0.069)3.54 (0.011)3.69 (0.054)3.44 (0.017)
    4.004.10 (0.025)4.05 (0.013)4.17 (0.043)3.98 (−0.025)
    • ↵a Volumes ranging from 1.00 to 4.00 mL were injected into the subretinal space. For volumetry using FSPGR on the phantom with 1.00 mL of subretinal fluid, the measurement error rates of each of the 2 observers were >0.10. For other phantom volumetry using FSPGR and all phantom volumetry using half-Fourier single-shot RARE, measurement error rates were <0.10. For both observers, all error rates in the measurement of subretinal volumes were smaller on half-Fourier single-shot RARE images than on FSPGR images.

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American Journal of Neuroradiology: 34 (4)
American Journal of Neuroradiology
Vol. 34, Issue 4
1 Apr 2013
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K. Tanitame, T. Sone, T. Miyoshi, N. Tanitame, K. Otani, Y. Akiyama, M. Takasu, S. Date, Y. Kiuchi, K. Awai
Ocular Volumetry Using Fast High-Resolution MRI during Visual Fixation
American Journal of Neuroradiology Apr 2013, 34 (4) 870-876; DOI: 10.3174/ajnr.A3305

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Ocular Volumetry Using Fast High-Resolution MRI during Visual Fixation
K. Tanitame, T. Sone, T. Miyoshi, N. Tanitame, K. Otani, Y. Akiyama, M. Takasu, S. Date, Y. Kiuchi, K. Awai
American Journal of Neuroradiology Apr 2013, 34 (4) 870-876; DOI: 10.3174/ajnr.A3305
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