Kasahara Seiko, Miki Yukio, Mori Nobuyuki, Urayama Shin-ichi, Kanagaki Mitsunori, Fushimi Yasutaka, Maeda Chikara, Sawamoto Nobukatsu, Fukuyama Hidenao, Togashi Kaori
Department of Diagnostic Imaging and Nuclear Medicine, Graduate School of Medicine, Kyoto University, 54 Shogoin-Kawaharacho, Sakyo-ku, Kyoto 606-8507, Japan.
Acad Radiol. 2009 Jul;16(7):852-7. doi: 10.1016/j.acra.2008.12.026. Epub 2009 Apr 17.
Although spin-echo (SE) sequence has some advantages over gradient-echo sequence in brain imaging, gradient-echo sequence is commonly used for T1-weighted imaging (T1WI) at 3 T because contrast on SE T1WI is widely believed to be poor at 3 T. Recently, gray-white matter contrast on single-slice and multi-slice SE imaging with interslice gap was reported as better at 3 T than at 1.5 T. This study examined the feasibility of interleaved SE T1WI of the brain at 3 T. This study also examined whether presaturation pulse (PP) sufficiently suppresses intra-arterial signals because these signals tend to be hyperintense due to longer T1 at 3 T.
Subjects consisted of 18 healthy volunteers. Two sets of T1WI were performed using SE sequence. One set consisted of imaging without PP, and the other consisted of imaging with PP. Each set contained three types of gapless imaging as follows; sequential, 100% interleaved, and 200% interleaved imaging. In each subject, contrast-to-noise ratio between gray-matter and white-matter (CNR(GM-WM)) and intra-arterial signals were evaluated.
CNR(GM-WM) was significantly higher on interleaved images than on sequential images, regardless of PP (P < .0001). PP sufficiently suppressed intra-arterial signals (P < .0001).
CNR(GM-WM) on SE T1WI at 3 T can be improved by interleaved acquisition, and PP sufficiently suppressed intra-arterial signals. Interleaved SE T1WI with PP appears clinically feasible at 3 T.
尽管自旋回波(SE)序列在脑成像方面比梯度回波序列具有一些优势,但由于人们普遍认为在3T时SE T1加权成像(T1WI)的对比度较差,梯度回波序列在3T时常用于T1WI。最近有报道称,在3T时,有层间距的单层面和多层面SE成像的灰白质对比度比1.5T时更好。本研究探讨了3T时脑交错SE T1WI的可行性。本研究还探讨了预饱和脉冲(PP)是否能充分抑制动脉内信号,因为在3T时这些信号由于T1较长往往呈高信号。
研究对象为18名健康志愿者。使用SE序列进行两组T1WI检查。一组为不使用PP的成像,另一组为使用PP的成像。每组包含以下三种无间隙成像类型:连续成像、100%交错成像和200%交错成像。对每个受试者评估灰质与白质之间的对比度噪声比(CNR(GM-WM))和动脉内信号。
无论是否使用PP,交错图像上的CNR(GM-WM)均显著高于连续图像(P < .0001)。PP充分抑制了动脉内信号(P < .0001)。
3T时SE T1WI上的CNR(GM-WM)可通过交错采集得到改善,且PP充分抑制了动脉内信号。3T时使用PP的交错SE T1WI在临床上似乎是可行的。