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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleAdult Brain
Open Access

3D Quantitative Synthetic MRI in the Evaluation of Multiple Sclerosis Lesions

S. Fujita, K. Yokoyama, A. Hagiwara, S. Kato, C. Andica, K. Kamagata, N. Hattori, O. Abe and S. Aoki
American Journal of Neuroradiology March 2021, 42 (3) 471-478; DOI: https://doi.org/10.3174/ajnr.A6930
S. Fujita
aFrom the Departments of Radiology (S.F., A.H., S.K., C.A., K.K., S.A.)
cDepartment of Radiology (S.F., S.K., O.A.), The University of Tokyo, Tokyo, Japan
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K. Yokoyama
bNeurology (K.Y., N.H.), Juntendo University, Tokyo, Japan
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A. Hagiwara
aFrom the Departments of Radiology (S.F., A.H., S.K., C.A., K.K., S.A.)
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S. Kato
aFrom the Departments of Radiology (S.F., A.H., S.K., C.A., K.K., S.A.)
cDepartment of Radiology (S.F., S.K., O.A.), The University of Tokyo, Tokyo, Japan
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C. Andica
aFrom the Departments of Radiology (S.F., A.H., S.K., C.A., K.K., S.A.)
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K. Kamagata
aFrom the Departments of Radiology (S.F., A.H., S.K., C.A., K.K., S.A.)
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N. Hattori
bNeurology (K.Y., N.H.), Juntendo University, Tokyo, Japan
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O. Abe
cDepartment of Radiology (S.F., S.K., O.A.), The University of Tokyo, Tokyo, Japan
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S. Aoki
aFrom the Departments of Radiology (S.F., A.H., S.K., C.A., K.K., S.A.)
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  • FIG 1.
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    FIG 1.

    Representative examples of quantitative synthetic (A) and conventional (B) MR imaging in a 35-year-old woman with MS. The overall image quality of synthetic T1WI, T2WI, FLAIR, DIR, and PSIR were scored as 5, 3, 3, 5, and 5 by reader 1 and 5, 3, 4, 5, and 5 by reader 2. All of the conventional contrast-weighted images were scored as 5 by both readers.

  • FIG 2.
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    FIG 2.

    Comparison of overall image quality for conventional and synthetic MR imaging in patients with MS. Each contrast-weighted image in 23 patients was rated on a 5-point Likert scale by 2 readers.

  • FIG 3.
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    FIG 3.

    Comparison of structural delineations between conventional and synthetic MR imaging in patients with MS. Each target structure in 23 patients was rated for each contrast-weighted image on a 5-point Likert scale by 2 readers.

  • FIG 4.
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    FIG 4.

    Example of an MS cortical lesion (arrows) in synthetic PSIR (A) and DIR (B) images. Conventional T1WI (C) and DIR (D) images are shown for reference. (Left) axial, (middle) coronal, and (right) sagittal views.

  • FIG 5.
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    FIG 5.

    Representative examples of lesion segmentation in a 35-year-old woman with MS. Lesions were automatically segmented on synthetic and conventional FLAIR images. The segmented lesions are overlaid on the images used for segmentation. A, Lesions overlaid on 3D synthetic FLAIR images. B, Lesions overlaid on conventional 3D FLAIR images. Minimal differences are observed between segmented lesions of 3D synthetic and conventional FLAIR images.

Tables

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    Table 1:

    Acquisition parameters for 3D-QALAS and conventional MR imaging sequences

    Parameters3D-QALAS3D T1WI3D FLAIR3D DIRTSE T2WI
    Acquisition plane3D axial3D sagittal3D sagittal3D sagittal2D axial
    Image matrix192 × 192256 × 256208 × 208176 × 174368 × 230
    FOV (mm)256256256250230
    Section thickness (mm)1.311.21.55
    Voxel size (mm)1.3 × 1.3 × 1.31.0 × 1.0 × 1.01.2 × 1.2 × 1.21.4 × 1.4 × 1.50.6 × 1.0
    TR (ms)6.28.2480055004082
    TE (ms)2.83.837130690
    TI (ms)a–16602510/480–
    Flip angle (degree)410909090
    Bandwidth (Hz/pixel)2491919101076167
    Averages11123
    Scanning time9:066:205:225:031:42
    • Note: — – indicates no value.

    • ↵a Inversion delay times, 100 ms, 1000 ms, 1900 ms, and 2800 ms; T2 prep echo time, 100 ms.

    • View popup
    Table 2:

    Demographics of patients with MS (n = 23)

    CharacteristicsFindings
    Participants (n)23
    Sex (male/female)6/17
    Age (years)41.3 ± 9.8 (range, 19–59)
    Disease duration (years)10.1 ± 5.2
    Subtype (RR/SP/PP)20/1/2
    EDSS score (range)[0, 8.5] (median 1.5)
    • Note—EDSS indicates Expanded Disability Status Scale; PP, primary-progressive; RR, relapsing-remitting; SP, secondary-progressive.

    • Data are shown as mean ± SD unless otherwise specified.

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American Journal of Neuroradiology: 42 (3)
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Cite this article
S. Fujita, K. Yokoyama, A. Hagiwara, S. Kato, C. Andica, K. Kamagata, N. Hattori, O. Abe, S. Aoki
3D Quantitative Synthetic MRI in the Evaluation of Multiple Sclerosis Lesions
American Journal of Neuroradiology Mar 2021, 42 (3) 471-478; DOI: 10.3174/ajnr.A6930

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3D Quantitative Synthetic MRI in the Evaluation of Multiple Sclerosis Lesions
S. Fujita, K. Yokoyama, A. Hagiwara, S. Kato, C. Andica, K. Kamagata, N. Hattori, O. Abe, S. Aoki
American Journal of Neuroradiology Mar 2021, 42 (3) 471-478; DOI: 10.3174/ajnr.A6930
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