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ARTICLE

Applicability and Advantages of Flow artifact–insensitive Fluid-attenuated Inversion-recovery MR Sequences for Imaging the Posterior Fossa

Norimitsu Tanaka,a, Toshi Abea, Kazuyuki Kojimaa, Hiroshi Nishimuraa and Naofumi Hayabuchia

a From the Department of Radiology, Kurume University School of Medicine, 67, Asahimachi, Kurume, 830-0011, Japan.

Summary: We describe a new sequence, flow artifact–insensitive fluid-attenuated inversion recovery (FAIS-FLAIR), that capitalizes on the advantages of fluid-attenuated inversion recovery (FLAIR) while minimizing FLAIR-related artifacts such as those often encountered in the posterior fossa. Twenty-eight patients with posterior fossa disease underwent FAIS-FLAIR, conventional FLAIR, and spin-echo MR studies, and the findings yielded by the three techniques were compared. In this patient population, postcontrast FAIS-FLAIR imaging was obtained in 20 patients and compared with postcontrast T1-weighted images. The images were assessed for lesion conspicuity by three radiologists. FAIS-FLAIR markedly reduces the inflow artifacts from noninverted CSF on FLAIR images. It does so with and without contrast agent administration, and produces higher lesion conspicuity compared with T1- and T2-weighted spin-echo sequences and conventional FLAIR images of the posterior fossa.




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