Use of Blade Sequences to Eliminate Motion and Pulsation Artifacts in Knee MR Imaging
E Lavdas1*, P Mavroidis2,3, V Hatzigeorgiou4, V Roka5, N Arikidis6, G Oikonomou1, K Andrianopoulos4, I Notaras4, (1) Techological Education Institute of Athens, Athens, Greece,(2) University of Texas Health Science Center, UTHSCSA, San Antonio, TX, (3) Karolinska Institutet and Stockholm University, Stockholm, Sweden, (4) IASO Thessalias Hospital, Larissa, Greece,(5) Health Center of Farkadona, Trikala, Greece,(6) Sotiria General Hospital, Athens, GreeceSU-E-I-70 Sunday 3:00PM - 6:00PM Room: Exhibit Hall
Purpose: The purpose of this study is to evaluate the ability of Proton Density (PD)-BLADE sequences in reducing or even eliminating motion and pulsatile flow artifacts in knee MRI examinations.
Methods: Eighty consecutive patients, who had been routinely scanned for knee examination, participated in the study. The following pairs of sequences with and without BLADE were compared: a) PD Turbo Spin Echo (TSE) Sagittal (SAG) Fat Saturation (FS) in thirty five patients, b) PD TSE Coronal (COR) FS in nineteen patients, c) T2 TSE AXIAL in thirteen patients and d) PD TSE SAG in thirteen patients. Both qualitative and quantitative analyses were performed based on the signal-to-noise ratio (SNR), contrast-to-noise ratio (CNR), and relative contrast (ReCon) measures of normal anatomic structures. The qualitative analysis was performed by experienced radiologists. Also, the presence of image motion and pulsation artifacts was evaluated.
Results: Based on the results of the SNR, CRN and ReCon for the different sequences and anatomical structures, the BLADE sequences were significantly superior in nineteen cases, whereas the corresponding conventional sequences were significantly superior in six only cases. The BLADE sequences eliminated motion artifacts in all the cases. However, motion artifacts were shown in: a) six PD TSE SAG FS, b) three PD TSE COR FS, c) three PD TSE SAG, and d) two T2 TSE AXIAL conventional sequences. In our results, it was found that in PD FS sequences (Sagittal and Coronal) the differences between the BLADE and conventional sequences regarding the elimination of motion and pulsatile flow artifacts were statistically significant. In all the comparisons, the PD FS BLADE sequences (coronal and sagittal) were significantly superior to the corresponding conventional sequences regarding the classification of their image quality.
Conclusion: This technique appears to be capable to potentially eliminate motion and pulsatile flow artifacts in knee MR images.