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Improved Visibility of the Subthalamic Nucleus on High-Resolution Stereotactic MR Imaging by Added Susceptibility (T2*) Contrast Using Multiple Gradient Echoes

E. Elolfa, V. Bockermannb, T. Gringela,c, M. Knautha, P. Dechentc and G. Helmsc

a Department of Neuroradiology, Georg-August-Universität Göttingen, Göttingen, Germany
b Department of Neurosurgery, Georg-August-Universität Göttingen, Göttingen, Germany
c MR-Research in Neurology and Psychiatry, Georg-August-Universität Göttingen, Göttingen, Germany


Figure 1
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Fig 1. T2* decay in the STN (dots) and reticular formation (RF; circles). Fitted T2* values were 25.0 ± 0.4 ms (STN, bold) and 59.1 ± 2.0 (RF, dashed).


Figure 2
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Fig 2. Comparison of T1-weighted, T1+T2*-weighted, and T2-weighted (top to bottom) MR imaging in anterior/posterior commissure orientation. Note the T2* contrast of vessels and iron-containing structures. The outlines of the Schaltenbrand-Wahren atlas are shown as overlay (blue). The STN and red nucleus (RN) are assigned. A mismatch between the atlas and individual anatomy of the STN can be seen. The apparent inconsistency between T2*- and T2-weighted images (as seen on the left and right STN) demonstrates the limitations when coregistering the multisection T2-weighted data with the multiecho 3D datasets.