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

Research ArticleAdult Brain
Open Access

Improved Blood Suppression of Motion-Sensitized Driven Equilibrium in High-Resolution Whole-Brain Vessel Wall Imaging: Comparison of Contrast-Enhanced 3D T1-Weighted FSE with Motion-Sensitized Driven Equilibrium and Delay Alternating with Nutation for Tailored Excitation

D.J. Kim, H.-J. Lee, J. Baik, M.J. Hwang, M. Miyoshi and Y. Kang
American Journal of Neuroradiology October 2022, DOI: https://doi.org/10.3174/ajnr.A7678
D.J. Kim
aFrom the Department of Radiology (D.J.K., H.-I.L., J.B., Y.K.), Haeundae Paik Hospital, Inje University College of Medicine, Busan, South Korea
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H.-J. Lee
aFrom the Department of Radiology (D.J.K., H.-I.L., J.B., Y.K.), Haeundae Paik Hospital, Inje University College of Medicine, Busan, South Korea
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J. Baik
aFrom the Department of Radiology (D.J.K., H.-I.L., J.B., Y.K.), Haeundae Paik Hospital, Inje University College of Medicine, Busan, South Korea
bDepartment of Radiology (J.B.), Good Gang-An Hospital, Busan, South Korea
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M.J. Hwang
cGE Healthcare Korea (M.J.H.), Seoul, South Korea
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M. Miyoshi
dGE Healthcare Japan (M.M.), Tokyo, Japan
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Y. Kang
aFrom the Department of Radiology (D.J.K., H.-I.L., J.B., Y.K.), Haeundae Paik Hospital, Inje University College of Medicine, Busan, South Korea
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  • FIG 1.
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    FIG 1.

    Schematic illustration of vessels with different visual grade scores for BB performance: 1) less than one-half of the target lumen dimension visible with black signal intensity; 2) one-half to three-quarters of the target lumen dimension visible with black signal intensity; 3) more than three-quarters of the target lumen dimension visible with black signal intensity (with unsuppressed flow near the wall); and 4) completely suppressed flow (with the entire target lumen dimension visible with black signal intensity).

  • FIG 2.
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    FIG 2.

    A 78-year-old man who underwent HR-VWI. CE 3D-T1-FSE with DANTE (A), CE 3D-T1-FSE with MSDE (B), a proton-density-weighted sequence (C), and a T1-weighted sequence (D). There are nonsuppressed peripheral flows at the ICV (arrows), cortical vein (dotted line), and left M3 (solid line) on CE 3D-T1-FSE with DANTE (A). However, CE 3D-T1-FSE with MSDE (B) shows complete blood suppression at the aforementioned structures.

  • FIG 3.
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    FIG 3.

    The detailed view of CE 3D-T1-FSE with DANTE (A) and with MSDE (B). The peripherally unsuppressed flow of the ICV (a, arrows), cortical vein in the right temporal sulci (b, dotted line), and the left M3 (c, solid line) on the CE 3D-T1-FSE with DANTE. However, superior blood suppression of the same point in each vessel was noted on CE 3D-T1-FSE with MSDE (d, arrows; e, dotted line; f, solid line).

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    Table 1:

    Visual scoring evaluation of the BB effect in the small-sized intracranial arteries, ICV, and the M1 segment of the MCA

    Locations3D-T1-FSE with MSDE3D-T1-FSE with DANTEP Value
    A33.903.58<.001
    M33.723.26.004
    P2 to P33.863.64.017
    ICV3.722.32.001
    M13.663.60.497
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    Table 2:

    Comparison of SNR and CNR in the M1 segment of the MCA

    Locations3D-T1-FSE with MSDE3D-T1-FSE with DANTEP Value
    SNRwall15.55616.426.099
    SNRlumen7.8808.356.089
    SNRcsf16.95016.728.674
    CNRwall-lumen10.0829.408.183
    CNRwall-csf1.0471.785.013
    • View popup
    Table 3:

    Comparison of image quality between 3D-T1-FSE with MSDE and DANTE

    3D-T1-FSE with MSDE3D-T1-FSE with DANTEP Value
    Overall image quality3.423.54.013
    Artifacts33NA
    Blood suppression in cortical veins3.302.74<.001
    Blood suppression in transverse sinuses2.822.38<.001
    • Note:—NA indicates not available.

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Improved Blood Suppression of Motion-Sensitized Driven Equilibrium in High-Resolution Whole-Brain Vessel Wall Imaging: Comparison of Contrast-Enhanced 3D T1-Weighted FSE with Motion-Sensitized Driven Equilibrium and Delay Alternating with Nutation for Ta…
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D.J. Kim, H.-J. Lee, J. Baik, M.J. Hwang, M. Miyoshi, Y. Kang
Improved Blood Suppression of Motion-Sensitized Driven Equilibrium in High-Resolution Whole-Brain Vessel Wall Imaging: Comparison of Contrast-Enhanced 3D T1-Weighted FSE with Motion-Sensitized Driven Equilibrium and Delay Alternating with Nutation for Tailored Excitation
American Journal of Neuroradiology Oct 2022, DOI: 10.3174/ajnr.A7678

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Improved Blood Suppression of Motion-Sensitized Driven Equilibrium in High-Resolution Whole-Brain Vessel Wall Imaging: Comparison of Contrast-Enhanced 3D T1-Weighted FSE with Motion-Sensitized Driven Equilibrium and Delay Alternating with Nutation for Tailored Excitation
D.J. Kim, H.-J. Lee, J. Baik, M.J. Hwang, M. Miyoshi, Y. Kang
American Journal of Neuroradiology Oct 2022, DOI: 10.3174/ajnr.A7678
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