Improvement of image quality using BLADE sequences in brain MR imaging

Eleftherios Lavdas, Panayiotis Mavroidis, Spiros Kostopoulos, Dimitrios Glotsos, Violeta Roka, Theofilos Topalzikis, Athanasios Bakas, Georgia Oikonomou, Nikos Papanikolaou, Georgios Batsikas, Ioannis Kaffes, Dimitrios Kechagias

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

The purpose of this study is to compare two types of sequences in brain magnetic resonance (MR) examinations of uncooperative and cooperative patients. For each group of patients, the pairs of sequences that were compared were two T2-weighted (T2-W) fluid attenuated inversion recovery sequences with different k-space trajectories (conventional Cartesian and BLADE) and two T2-TSE weighted with different k-space trajectories (conventional Cartesian and BLADE). Twenty-three consecutive uncooperative patients and 44 cooperative patients, who routinely underwent brain MR imaging examination, participated in the study. Both qualitative and quantitative analyses were performed based on the signal-to-noise ratio, 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 motion, other (e.g., Gibbs, susceptibility artifacts, phase encoding from vessels) artifacts and pulsatile flow artifacts was evaluated. In the uncooperative group of patients, BLADE sequences were superior to the corresponding conventional sequences in all the cases. Furthermore, the differences were found to be statistically significant in almost all the cases. In the cooperative group of patients, BLADE sequences were superior to the conventional sequences with the differences of the CNR and ReCon values in nine cases being statistically significant. Furthermore, BLADE sequences eliminated motion and other artifacts and T2 FLAIR BLADE sequences eliminated pulsatile flow artifacts. BLADE sequences (T2-TSE and T2 FLAIR) should be used in brain MR examinations of uncooperative patients. In cooperative patients, T2-TSE BLADE sequences may be used as part of the routine protocol and orbital examinations. T2 FLAIR BLADE sequences may be used optionally in examinations of AVM, orbits, haemorrhages, ventricular lesions, lesions in the frontal lobe, periventricular lesions, lesions in regions close to artifacts and lesions in posterior fossa.

Original languageEnglish (US)
Pages (from-to)189-200
Number of pages12
JournalMagnetic Resonance Imaging
Volume31
Issue number2
DOIs
StatePublished - Feb 2013

Fingerprint

Magnetic resonance
Quality Improvement
Image quality
Pulsatile flow
Brain
Magnetic Resonance Imaging
Artifacts
Imaging techniques
Trajectories
Pulsatile Flow
Signal to noise ratio
Orbits
Noise
Recovery
Magnetic Resonance Spectroscopy
Fluids
Sequence Inversion
Signal-To-Noise Ratio
Frontal Lobe
Orbit

Keywords

  • 1.5T MRI
  • BLADE sequences
  • Brain examination
  • Motion artifacts

ASJC Scopus subject areas

  • Biophysics
  • Radiology Nuclear Medicine and imaging
  • Biomedical Engineering

Cite this

Lavdas, E., Mavroidis, P., Kostopoulos, S., Glotsos, D., Roka, V., Topalzikis, T., ... Kechagias, D. (2013). Improvement of image quality using BLADE sequences in brain MR imaging. Magnetic Resonance Imaging, 31(2), 189-200. https://doi.org/10.1016/j.mri.2012.08.001

Improvement of image quality using BLADE sequences in brain MR imaging. / Lavdas, Eleftherios; Mavroidis, Panayiotis; Kostopoulos, Spiros; Glotsos, Dimitrios; Roka, Violeta; Topalzikis, Theofilos; Bakas, Athanasios; Oikonomou, Georgia; Papanikolaou, Nikos; Batsikas, Georgios; Kaffes, Ioannis; Kechagias, Dimitrios.

In: Magnetic Resonance Imaging, Vol. 31, No. 2, 02.2013, p. 189-200.

Research output: Contribution to journalArticle

Lavdas, E, Mavroidis, P, Kostopoulos, S, Glotsos, D, Roka, V, Topalzikis, T, Bakas, A, Oikonomou, G, Papanikolaou, N, Batsikas, G, Kaffes, I & Kechagias, D 2013, 'Improvement of image quality using BLADE sequences in brain MR imaging', Magnetic Resonance Imaging, vol. 31, no. 2, pp. 189-200. https://doi.org/10.1016/j.mri.2012.08.001
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. Magnetic Resonance Imaging. 2013 Feb;31(2):189-200. https://doi.org/10.1016/j.mri.2012.08.001
Lavdas, Eleftherios ; Mavroidis, Panayiotis ; Kostopoulos, Spiros ; Glotsos, Dimitrios ; Roka, Violeta ; Topalzikis, Theofilos ; Bakas, Athanasios ; Oikonomou, Georgia ; Papanikolaou, Nikos ; Batsikas, Georgios ; Kaffes, Ioannis ; Kechagias, Dimitrios. / Improvement of image quality using BLADE sequences in brain MR imaging. In: Magnetic Resonance Imaging. 2013 ; Vol. 31, No. 2. pp. 189-200.
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