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Improved Turnaround Times | Median time to first decision: 12 days

Research ArticleHead and Neck Imaging

Improved Lesion Conspicuity with Contrast-Enhanced 3D T1 TSE Black-Blood Imaging in Cranial Neuritis: A Comparative Study of Contrast-Enhanced 3D T1 TSE, 3D T1 Fast-Spoiled Gradient Echo, and 3D T2 FLAIR

T.-W. Baek, Y. Kang and H.-J. Lee
American Journal of Neuroradiology May 2021, 42 (5) 945-950; DOI: https://doi.org/10.3174/ajnr.A7025
T.-W. Baek
aDepartment of Radiology (T.-W.B., Y.K., H.-J.L.), Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea
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  • ORCID record for T.-W. Baek
Y. Kang
aDepartment of Radiology (T.-W.B., Y.K., H.-J.L.), Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea
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H.-J. Lee
aDepartment of Radiology (T.-W.B., Y.K., H.-J.L.), Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea
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Figures

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  • FIG 1.
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    FIG 1.

    Flowchart algorithm for patient selection.

  • FIG 2.
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    FIG 2.

    A 71-year-old man with left facial neuritis. Moderate enhancement noted at the left distal meatal segment of the facial nerves on 3D T1 TSE (A), but 3D T1 FSPGR (B) and 3D T2 FLAIR (C) revealed equivocal and mild enhancement, respectively, of the corresponding facial nerve (arrows).

  • FIG 3.
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    FIG 3.

    A 60-year-old man with left oculomotor neuritis. On 3D T1 TSE (A), intense enhancement at the distal cisternal portion of left oculomotor nerve was observed, and mild enhancement was observed on 3D T1 FSPGR (B). The 3D T2 FLAIR (C) was negatively interpreted by both reviewers (arrows).

  • FIG 4.
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    FIG 4.

    A 65-year-old man in the control group. There is no definite enhancement of the bilateral facial nerves on 3D T1 TSE (A) and 3D T2 FLAIR (C). However, mild enhancement at the distal internal auditory canal (arrows), possibly owing to convergence of dura mater, may lead to misinterpretation as enhancement of the distal meatal segment of the facial nerve on 3D T1 FSPGR (B).

  • FIG 5.
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    FIG 5.

    Comparisons of the ROC curves for the inexperienced (A) and experienced (B) readers.

Tables

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  • Detailed description of the included patients

    IDAge/SexDiagnosis
    170/MLeft trigeminal neuritis
    270/MLeft abducens neuritis
    359/MLeft facial neuritis
    436/FRight facial neuritis
    574/MRight facial neuritis
    646/FRight trigeminal neuritis
    761/MBilateral trigeminal neuritis
    854/MRight trigeminal neuritis
    971/MLeft facial neuritis
    1048/MLeft facial neuritis
    1148/FRight vestibular neuritis
    1260/MLeft oculomotor and right abducens neuritis
    1350/MLeft facial neuritis
    1438/FRight oculomotor neuritis
    1551/MLeft facial neuritis
    1667/FRight trigeminal neuritis
    1752/MLeft oculomotor neuritis
    1838/MLeft facial neuritis
    1972/MLeft facial neuritis
    2067/MRight facial neuritis
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American Journal of Neuroradiology: 42 (5)
American Journal of Neuroradiology
Vol. 42, Issue 5
1 May 2021
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Improved Lesion Conspicuity with Contrast-Enhanced 3D T1 TSE Black-Blood Imaging in Cranial Neuritis: A Comparative Study of Contrast-Enhanced 3D T1 TSE, 3D T1 Fast-Spoiled Gradient Echo, and 3D T2 FLAIR
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Cite this article
T.-W. Baek, Y. Kang, H.-J. Lee
Improved Lesion Conspicuity with Contrast-Enhanced 3D T1 TSE Black-Blood Imaging in Cranial Neuritis: A Comparative Study of Contrast-Enhanced 3D T1 TSE, 3D T1 Fast-Spoiled Gradient Echo, and 3D T2 FLAIR
American Journal of Neuroradiology May 2021, 42 (5) 945-950; DOI: 10.3174/ajnr.A7025

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Improved Lesion Conspicuity with Contrast-Enhanced 3D T1 TSE Black-Blood Imaging in Cranial Neuritis: A Comparative Study of Contrast-Enhanced 3D T1 TSE, 3D T1 Fast-Spoiled Gradient Echo, and 3D T2 FLAIR
T.-W. Baek, Y. Kang, H.-J. Lee
American Journal of Neuroradiology May 2021, 42 (5) 945-950; DOI: 10.3174/ajnr.A7025
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