Advertisement

Skeletal Radiology

, Volume 44, Issue 11, pp 1619–1626 | Cite as

Elimination of motion and pulsation artifacts using BLADE sequences in shoulder MR imaging

  • E. Lavdas
  • M. VlychouEmail author
  • E. Zaloni
  • K. Vassiou
  • A. Tsagkalis
  • Z. Dailiana
  • I. Fezoulidis
Scientific Article

Abstract

Objectives

To evaluate the ability of proton-density with fat-suppression BLADE (proprietary name for periodically rotated overlapping parallel lines with enhanced reconstruction in MR systems from Siemens Healthcare, PDFS BLADE) and turbo inversion recovery magnitude-BLADE (TIRM BLADE) sequences to reduce motion and pulsation artifacts in shoulder magnetic resonance examinations.

Materials and methods

Forty-one consecutive patients who had been routinely scanned for shoulder examination participated in the study. The following pairs of sequences with and without BLADE were compared: (a) Oblique coronal proton-density sequence with fat saturation of 25 patients and (b) oblique sagittal T2 TIRM-weighed sequence of 20 patients. Qualitative analysis was performed by two experienced radiologists. Image motion and pulsation artifacts were also evaluated.

Results

In oblique coronal PDFS BLADE sequences, motion artifacts have been significantly eliminated, even in five cases of non-diagnostic value with conventional imaging. Similarly, in oblique sagittal T2 TIRM BLADE sequences, image quality has been improved, even in six cases of non-diagnostic value with conventional imaging. Furthermore, flow artifacts have been improved in more than 80% of all the cases.

Conclusions

The use of BLADE sequences is recommended in shoulder imaging, especially in uncooperative patients because it effectively eliminates motion and pulsation artifacts.

Keywords

Shoulder Magnetic resonance imaging Motion artifacts Pulsation artifacts Periodically rotated overlapping parallel lines with enhanced reconstruction 

Notes

Conflict of interest

The authors declare that they have no competing interests.

References

  1. 1.
    Kassarjian A, Bencardino JT, Palmer WE. MR imaging of the rotator cuff. Radiol Clin North Am. 2006;44(4):503–23. vii-viii.CrossRefPubMedGoogle Scholar
  2. 2.
    Abrams JS, Savoie 3rd FH, Tauro JC, Bradley JP. Recent advances in the evaluation and treatment of shoulder instability: anterior, posterior, and multidirectional. Arthroscopy. 2002;18(9 Suppl 2):1–13.CrossRefPubMedGoogle Scholar
  3. 3.
    Kijowski R, Farber JM, Medina J, Morrison W, Ying J, Buckwalter K. Comparison of fat-suppressed T2-weighted fast spin-echo sequence and modified STIR sequence in the evaluation of the rotator cuff tendon. AJR Am J Roentgenol. 2005;185(2):371–8.CrossRefPubMedGoogle Scholar
  4. 4.
    Delfaut EM, Beltran J, Johnson G, Rousseau J, Marchandise X, Cotten A. Fat suppression in MR imaging: techniques and pitfalls. Radiographics. 1999;19(2):373–82.CrossRefPubMedGoogle Scholar
  5. 5.
    De Maeseneer M, Van Roy P, Shahabpour M. Normal MR imaging anatomy of the rotator cuff tendons, glenoid fossa, labrum, and ligaments of the shoulder. Radiol Clin North Am. 2006;44(4):479–87. vii.CrossRefPubMedGoogle Scholar
  6. 6.
    Haacke EM, Lenz GW. Improving MR image quality in the presence of motion by using rephasing gradients. AJR Am J Roentgenol. 1987;148(6):1251–8.CrossRefPubMedGoogle Scholar
  7. 7.
    Pattany PM, Phillips JJ, Chiu LC, Lipcamon JD, Duerk JL, McNally JM, et al. Motion artifact suppression technique (MAST) for MR imaging. J Comput Assist Tomogr. 1987;11(3):369–77.CrossRefPubMedGoogle Scholar
  8. 8.
    Felmlee JP, Ehman RL. Spatial presaturation: a method for suppressing flow artifacts and improving depiction of vascular anatomy in MR imaging. Radiology. 1987;164(2):559–64.CrossRefPubMedGoogle Scholar
  9. 9.
    Dixon WT, Brummer ME, Malko JA. Acquisition order and motional artifact reduction in spin warp images. Magn Reson Med. 1988;6(1):74–83.CrossRefPubMedGoogle Scholar
  10. 10.
    Runge VM, Wood ML, Kaufman DM, Traill MR, Nelson KL. The straight and narrow path to good head and spine MRI. Radiographics. 1988;8(3):507–31.CrossRefPubMedGoogle Scholar
  11. 11.
    Kallmes DF, Hui FK, Mugler 3rd JP. Suppression of cerebrospinal fluid and blood flow artifacts in FLAIR MR imaging with a single-slab three-dimensional pulse sequence: initial experience. Radiology. 2001;221(1):251–5.CrossRefPubMedGoogle Scholar
  12. 12.
    Naganawa S, Satake H, Iwano S, Kawai H, Kubota S, Komada T, et al. Contrast-enhanced MR imaging of the brain using T1-weighted FLAIR with BLADE compared with a conventional spin-echo sequence. Eur Radiol. 2008;18(2):337–42.CrossRefPubMedGoogle Scholar
  13. 13.
    Alibek S, Adamietz B, Cavallaro A, Stemmer A, Anders K, Kramer M, et al. Contrast-enhanced T1-weighted fluid-attenuated inversion-recovery BLADE magnetic resonance imaging of the brain: an alternative to spin-echo technique for detection of brain lesions in the unsedated pediatric patient? Acad Radiol. 2008;15(8):986–95.CrossRefPubMedGoogle Scholar
  14. 14.
    Fellner C, Menzel C, Fellner FA, Ginthoer C, Zorger N, Schreyer A, et al. BLADE in sagittal T2-weighted MR imaging of the cervical spine. AJNR Am J Neuroradiol. 2010;31(4):674–81.CrossRefPubMedGoogle Scholar
  15. 15.
    Ragoschke-Schumm A, Schmidt P, Schumm J, Reimann G, Mentzel HJ, Kaiser WA, et al. Decreased CSF-flow artefacts in T2 imaging of the cervical spine with periodically rotated overlapping parallel lines with enhanced reconstruction (PROPELLER/BLADE). Neuroradiology. 2011;53(1):13–8.CrossRefPubMedGoogle Scholar
  16. 16.
    Lavdas E, Mavroidis P, Kostopoulos S, Glotsos D, Roka V, Topalzikis T, et al. Improvement of image quality using BLADE sequences in brain MR imaging. Magn Reson Imaging. 2013;31(2):189–200.CrossRefPubMedGoogle Scholar
  17. 17.
    Ohgiya Y, Suyama J, Seino N, Takaya S, Kawahara M, Saiki M, et al. MRI of the neck at 3 Tesla using the periodically rotated overlapping parallel lines with enhanced reconstruction (PROPELLER) (BLADE) sequence compared with T2-weighted fast spin-echo sequence. J Magn Reson Imaging. 2010;32(5):1061–7.CrossRefPubMedGoogle Scholar
  18. 18.
    Lavdas E, Mavroidis P, Hatzigeorgiou V, Roka V, Arikidis N, Oikonomou G, et al. Elimination of motion and pulsation artifacts using BLADE sequences in knee MR imaging. Magn Reson Imaging. 2012;30(8):1099–110.CrossRefPubMedGoogle Scholar
  19. 19.
    Dietrich TJ, Ulbrich EJ, Zanetti M, Fucentese SF, Pfirrmann CW. PROPELLER technique to improve image quality of MRI of the shoulder. AJR Am J Roentgenol. 2011;197(6):W1093–100.CrossRefPubMedGoogle Scholar
  20. 20.
    Papadakos N. Coronal oblique proton density weighted magnetic resonance imaging of the left shoulder. BMJ. 2013;347:f4150.CrossRefPubMedGoogle Scholar
  21. 21.
    Chung R. Coronal oblique proton density weighted magnetic resonance imaging of the right shoulder. BMJ. 2012;345:e5270.CrossRefPubMedGoogle Scholar
  22. 22.
    Pipe JG, Gibbs WN, Li Z, Karis JP, Schar M, Zwart NR. Revised motion estimation algorithm for PROPELLER MRI. Magn Reson Med. 2014;72(2):430–7.CrossRefPubMedGoogle Scholar
  23. 23.
    Finkenzeller T, Menzel C, Fellner FA, Fellner CW, Stroszczynski C, Schuierer G, et al. BLADE sequences in sagittal T2-weighted MR imaging of the cervical spine and spinal cord--lesion detection and clinical value. Rofo. 2014;186(1):47–53.PubMedGoogle Scholar

Copyright information

© ISS 2015

Authors and Affiliations

  • E. Lavdas
    • 1
  • M. Vlychou
    • 2
    Email author
  • E. Zaloni
    • 1
  • K. Vassiou
    • 2
  • A. Tsagkalis
    • 3
  • Z. Dailiana
    • 4
  • I. Fezoulidis
    • 2
  1. 1.Department of Medical Radiological TechnologistsTechnological Education Institute of Athens, GreeceAthensGreece
  2. 2.Department of Radiology, Faculty of MedicineUniversity of ThessalyLarissaGreece
  3. 3.Department of OrthopedicsIASO HospitalLarissaGreece
  4. 4.Department of Orthopedics, Faculty of MedicineUniversity of ThessalyLarissaGreece

Personalised recommendations