Fast high-spatial-resolution MRI of the ankle with parallel imaging using GRAPPA at 3 T.

OBJECTIVE: The purpose of our study was to compare an autocalibrating parallel imaging technique at 3 T with standard acquisitions at 3 and 1.5 T for small-field-of-view imaging of the ankle. MATERIALS AND METHODS: MRI of the ankle was performed in three fresh human cadaver specimens and three healthy volunteers. Axial and sagittal T1-weighted, axial fat-saturated T2-weighted, and coronal intermediate-weighted fast spin-echo sequences, as well as a fat-saturated spoiled gradient-echo sequence, were acquired at 1.5 and 3 T. At 3 T, reduced data sets were reconstructed using a generalized autocalibrating partially parallel acquisition (GRAPPA) technique, with a scan time reduction of approximately 44%. All images were assessed by two radiologists independently concerning image quality. The signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) were measured in every data set. In the cadaver specimens, macroscopic findings after dissection served as a reference for the pathologic evaluation. RESULTS: SNR and CNR in the GRAPPA images were comparable to the standard acquisition at 3 T. The image quality was rated significantly higher at 3 T with both normal and parallel acquisition compared with 1.5 T. There was no significant difference in ligament and cartilage visualization or in image quality between standard and GRAPPA reconstruction at 3 T. Ankle abnormalities were better seen at 3 T than at 1.5 T for both normal and parallel acquisitions. CONCLUSION: Using higher field strength combined with parallel technique, MR images of the ankle were obtained with excellent diagnostic quality and a scan time reduction of about 44%. In addition, parallel imaging can provide more flexibility in protocol design.

(18)F-Fluoroethyl-l-Thyrosine Positron Emission Tomography to Delineate Tumor Residuals After Glioblastoma Resection: A Comparison with Standard Postoperative Magnetic Resonance Imaging.

OBJECTIVE: Complete resection of contrast-enhancing tumor is an important prognostic factor in glioblastoma therapy. The current clinical standard for control of resection is magnetic resonance imaging (MRI). (18)F-Fluoroethyl-l-thyrosine (FET) is a positron emission tomography (PET) radiopharmaceutical applicable for widespread use because of its long half-life radionuclide. We assessed the sensitivity of postoperative MRI versus FET-PET to detect residual tumor and the impact of the time interval between resection and FET-PET. METHODS: MRI and FET-PET were performed preoperatively and postoperatively in 62 patients undergoing 63 operations. FET-PET was performed in 43 cases within 72 hours after resection and in 20 cases >72 hours after resection. Detection and measurement of volume of residual tumors were compared. Correlations between residual tumor detection and timing of PET after resection and recurrence were examined. RESULTS: Complete resection was confirmed by both imaging modalities in 44% of cases, and residual tumor was detected consistently in 37% of cases. FET-PET detected residual tumor in 14% of cases in which MRI showed no residual tumor. MRI showed residual tumors in 5% of cases that were not identified by PET. Average PET-based residual tumor volume was higher than MRI-based volume (3.99 cm(3) vs. 1.59 cm(3)). Detection of and difference in volume of residual tumor were not correlated with timing of PET after resection or recurrence status. CONCLUSIONS: Postoperative FET-PET revealed residual tumor with higher sensitivity than MRI and showed larger tumor volumes. In this series, performing PET >72 hours after resection did not influence the results of PET. We recommend FET-PET as a helpful adjunct in addition to MRI for postoperative assessment of residual tumor.

Accuracy and reproducibility of adipose tissue measurements in young infants by whole body magnetic resonance imaging.

PURPOSE: MR might be well suited to obtain reproducible and accurate measures of fat tissues in infants. This study evaluates MR-measurements of adipose tissue in young infants in vitro and in vivo. MATERIAL AND METHODS: MR images of ten phantoms simulating subcutaneous fat of an infant's torso were obtained using a 1.5T MR scanner with and without simulated breathing. Scans consisted of a cartesian water-suppression turbo spin echo (wsTSE) sequence, and a PROPELLER wsTSE sequence. Fat volume was quantified directly and by MR imaging using k-means clustering and threshold-based segmentation procedures to calculate accuracy in vitro. Whole body MR was obtained in sleeping young infants (average age 67±30 days). This study was approved by the local review board. All parents gave written informed consent. To obtain reproducibility in vivo, cartesian and PROPELLER wsTSE sequences were repeated in seven and four young infants, respectively. Overall, 21 repetitions were performed for the cartesian sequence and 13 repetitions for the PROPELLER sequence. RESULTS: In vitro accuracy errors depended on the chosen segmentation procedure, ranging from 5.4% to 76%, while the sequence showed no significant influence. Artificial breathing increased the minimal accuracy error to 9.1%. In vivo reproducibility errors for total fat volume of the sleeping infants ranged from 2.6% to 3.4%. Neither segmentation nor sequence significantly influenced reproducibility. CONCLUSION: With both cartesian and PROPELLER sequences an accurate and reproducible measure of body fat was achieved. Adequate segmentation was mandatory for high accuracy.