Clinical utility of optimized three-dimensional T1-, T2-, and T2*-weighted sequences in spinal magnetic resonance imaging.
Nobuko TanitameKeizo TanitameKazuo AwaiPublished in: Japanese journal of radiology (2017)
This article reviews the clinical utility of 3D magnetic resonance imaging (MRI) sequences optimized for the evaluation of various intraspinal lesions. First, intraspinal tumors with hypervascular components and arteriovenous malformations (AVM) are clearly shown on contrast-enhanced (CE)-3D T1-weighted gradient-echo (GE) sequences with high spatial resolution. Second, dynamic CE-3D time-resolved magnetic resonance angiography (MRA) shows delineated feeding arteries of intraspinal AVM or arteriovenous fistula (AVF), greatly aiding subsequent digital subtraction angiography (DSA). Third, 3D multiecho T2*-weighted GE sequences are used to visualize intraspinal structures and spinal cord lesions and are sensitive to the magnetic susceptibility of intraspinal hemorrhages. Three-dimensional balanced steady-state free precession (SSFP) and multishot 3D balanced non-SSFP sequences produce contiguous thin images with high signal-to-noise ratio (SNR) in short scanning times. Intraspinal cystic lesions and small nerve-root tumors in subarachnoid space can be viewed using 3D balanced SSFP. Spinal cord myelomalacia and cord compression can be evaluated on fat-suppressed multishot 3D balanced non-SSFP. Finally, a 3D T2-weighted fast spin-echo (FSE) sequence with variable flip angle (FA) refocusing pulse improves through-plane spatial resolution over conventional 2D T2-weighted FSE sequences while matching image contrast.
Keyphrases
- contrast enhanced
- magnetic resonance imaging
- magnetic resonance
- diffusion weighted
- computed tomography
- spinal cord
- diffusion weighted imaging
- optical coherence tomography
- high resolution
- spinal cord injury
- deep learning
- single molecule
- dual energy
- neuropathic pain
- adipose tissue
- randomized controlled trial
- genetic diversity
- air pollution
- blood pressure
- room temperature
- ionic liquid
- transition metal
- energy transfer
- molecularly imprinted
- molecular dynamics
- density functional theory
- quantum dots