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Erschienen in: European Radiology 9/2017

23.01.2017 | Musculoskeletal

CAIPIRINHA accelerated SPACE enables 10-min isotropic 3D TSE MRI of the ankle for optimized visualization of curved and oblique ligaments and tendons

verfasst von: Vivek Kalia, Benjamin Fritz, Rory Johnson, Wesley D. Gilson, Esther Raithel, Jan Fritz

Erschienen in: European Radiology | Ausgabe 9/2017

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Abstract

Objectives

To test the hypothesis that a fourfold CAIPIRINHA accelerated, 10-min, high-resolution, isotropic 3D TSE MRI prototype protocol of the ankle derives equal or better quality than a 20-min 2D TSE standard protocol.

Methods

Following internal review board approval and informed consent, 3-Tesla MRI of the ankle was obtained in 24 asymptomatic subjects including 10-min 3D CAIPIRINHA SPACE TSE prototype and 20-min 2D TSE standard protocols. Outcome variables included image quality and visibility of anatomical structures using 5-point Likert scales. Non-parametric statistical testing was used. P values ≤0.001 were considered significant.

Results

Edge sharpness, contrast resolution, uniformity, noise, fat suppression and magic angle effects were without statistical difference on 2D and 3D TSE images (p > 0.035). Fluid was mildly brighter on intermediate-weighted 2D images (p < 0.001), whereas 3D images had substantially less partial volume, chemical shift and no pulsatile-flow artifacts (p < 0.001). Oblique and curved planar 3D images resulted in mildly-to-substantially improved visualization of joints, spring, bifurcate, syndesmotic, collateral and sinus tarsi ligaments, and tendons (p < 0.001, respectively).

Conclusions

3D TSE MRI with CAIPIRINHA acceleration enables high-spatial resolution oblique and curved planar MRI of the ankle and visualization of ligaments, tendons and joints equally well or better than a more time-consuming anisotropic 2D TSE MRI.

Key Points

• High-resolution 3D TSE MRI improves visualization of ankle structures.
• Limitations of current 3D TSE MRI include long scan times.
• 3D CAIPIRINHA SPACE allows now a fourfold-accelerated data acquisition.
• 3D CAIPIRINHA SPACE enables high-spatial-resolution ankle MRI within 10 min.
• 10-min 3D CAIPIRINHA SPACE produces equal-or-better quality than 20-min 2D TSE.
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Metadaten
Titel
CAIPIRINHA accelerated SPACE enables 10-min isotropic 3D TSE MRI of the ankle for optimized visualization of curved and oblique ligaments and tendons
verfasst von
Vivek Kalia
Benjamin Fritz
Rory Johnson
Wesley D. Gilson
Esther Raithel
Jan Fritz
Publikationsdatum
23.01.2017
Verlag
Springer Berlin Heidelberg
Erschienen in
European Radiology / Ausgabe 9/2017
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-017-4734-y

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