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Investigation of the Possibility to Reduce Susceptibility Artifacts in MRI Knee Examination

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Abstract

The aim of this present study is to evaluate the reduction of susceptibility artifacts by increasing bandwidth (BW) and echo train length (ETL) in proton density turbo spin echo (PD TSE) sequences with and without fat saturation (FS) and in turbo inversion recovery magnitude (TIRM) sequences. We compared: (1) TIRM coronal (COR) with TIRM COR with high (H) BW and Long ETL; (2) PD TSE sagittal (SAG) FS with the PD TSE SAG FS with (H) BW; (3) PD TSE SAG with PD TSE SAG with (H) BW; (4) PD TSE SAG with PD TSE SAG with (H) BW and Long ETL. A quantitative analysis measured the extent of the susceptibility artifacts. A qualitative analysis evaluated the susceptibility artifacts, image distortion and effectiveness of fat suppression. The depiction of cartilage, menisci, muscles, tendons and bone marrow were also qualitatively analyzed. In the quantitative analysis, modified TIRM appears superior. In the qualitative analysis, the modified TIRM appears superior in 8/10 characteristics. The modified PD TSE FS is superior to the conventional regarding the susceptibility artifacts, image distortion and the depiction of bone marrow and cartilage and fat saturation. The modified PD TSE with (H) BW is found to be superior to the conventional PD TSE only in cartilage. In these sequences, when ETL was increased there were significant differences in four characteristics (ghost artifacts, cartilage, menisci and muscles). TIRM sequences with an increased BW and ETL are proposed to be used in daily clinical practice.

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Acknowledgements

The authors would like to thank radiographer Ioannis Kaffes and Anna Vlachopoulou for their contribution.

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Authors and Affiliations

  1. Department of Radiation Oncology, University of North Carolina, 101 Manning Dr., Chapel Hill, NC, 27599-7512, USA

    Panayiotis Mavroidis

  2. Department of Medical Physics, Karolinska Institutet & Stockholm University, Stockholm, Sweden

    Panayiotis Mavroidis

  3. Department of Medical Radiological Technologists, Technological Educational Institute of Athens, Egaleo, Greece

    Nada Boci, Georgia Oikonomou, Athanasios Bakas & Eleftherios Lavdas

  4. Department of Biomedical Engineering, Technological Educational Institute of Athens, Egaleo, Greece

    Spiros Kostopoulos, Constantin Ninos, Dimitrios Glotsos & Dionisios Cavouras

  5. Health Center of Farkadona, Trikala, Greece

    Violeta Roka

  6. Center for Research and Technology Thessaly Trikala, Trikala, Greece

    Georgios K. Sakkas & Antonios Tsagkalis

  7. Department of Medical Imaging, IASO Thessalias Hospital, Larissa, Greece

    Vasiliki Chatzigeorgiou & Georgios Batsikas

  8. Department of Medical Imaging, Animus Kyanoys Larisas Hospital, Larissa, Greece

    Georgios Zaimis & Eleftherios Lavdas

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  1. Panayiotis Mavroidis
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Correspondence to Panayiotis Mavroidis.

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Mavroidis, P., Boci, N., Kostopoulos, S. et al. Investigation of the Possibility to Reduce Susceptibility Artifacts in MRI Knee Examination. J. Med. Biol. Eng. 37, 644–652 (2017). https://doi.org/10.1007/s40846-017-0260-2

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  • DOI: https://doi.org/10.1007/s40846-017-0260-2

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