Abstract
The performance of a magnetic resonance (MR) imaging strategy that uses multiple receiver coil elements and integrated parallel imaging techniques (iPAT) in traumatic and degenerative disorders of the knee and to compare this technique with a standard MR imaging protocol was evaluated. Ninety patients with suspected internal derangements of the knee joint prospectively underwent MR imaging at 1.5 T. For signal detection, a 6-channel array coil was used. All patients were investigated with a standard imaging protocol consisting of different turbo spin-echo sequences proton density (PD), T2-weighted turbo spin echo (TSE) with and without fat suppression) in three imaging planes. All sequences were repeated with an integrated parallel acquisition technique (iPAT) using the modified sensitivity encoding (mSENSE) algorithm with an acceleration factor of 2. Two radiologists independently evaluated and scored all images with regard to overall image quality, artefacts and pathologic findings. Agreement of the parallel ratings between readers and imaging techniques, respectively, was evaluated by means of pairwise kappa coefficients that were stratified for the area of evaluation. Agreement between the parallel readers for both the iPAT imaging and the conventional technique, respectively, as well as between imaging techniques was found encouraging with inter-observer kappa values ranging between 0.78 and 0.98 for both imaging techniques, and the inter-method kappa values ranging between 0.88 and 1.00 for both clinical readers. All pathological findings (e.g. occult fractures, meniscal and cruciate ligament tears, torn and interpositioned Hoffa’s cleft, cartilage damage) were detected by both techniques with comparable performance. The use of iPAT lead to a 48% reduction of acquisition time compared with standard technique. Parallel imaging using mSENSE proved to be an efficient and economic tool for fast musculoskeletal MR imaging of the knee joint with comparable diagnostic performance to conventional MR imaging.
Similar content being viewed by others
References
Pruessmann KP, Weiger M, Scheidegger MB, Boesiger P (1999) SENSE: sensitivity encoding for fast MRI. Magn Reson Med 42:952–962
Sodickson DK, Manning WJ (1997) Simultaneous acquisition of spatial harmonics (SMASH): fast imaging with radiofrequency coil arrays. Magn Reson Med 38:591–603
Griswold MA, Jakob PM, Heidemann RM, Nittka M, Jellus V, Wang J, Kiefer B, Haase A (2002) Generalized autocalibrating partially parallel acquisitions. Magn Reson Med 47:1202–1210
Heidemann RM, Özsarlak Ö, Parizel PM, Michiels J, Kiefer B, Jellus V, Müller M, Breuer J, Blaimer M, Griswold MA, Jakob PM (2003) A brief review of parallel magnetic resonance imaging. Eur Radiol 13:2323–2337
Weiger M, Pruessmann KP, Kassner A, Roditi G, Lawton T, Reid A, Boesiger P (2000) Contrast-enhanced 3D MRA using SENSE. J Magn Reson Imaging 12:671–677
Pruessmann KP, Weiger M, Boesiger P (2001) Sensitivity encoded cardiac MRI. J Cardiovasc Magn Reson 3:1–9
Kurihara Y, Yakushiji YK, Tani I, Nakajima Y, van Cauteren M (2002) Coil sensitivity encoding in MR imaging: advantages and disadvantages in clinical practice. Am J Roentgenol 178:1087–1091
Van den Brink JS, Watanabe Y, Kuhl CK, Chung T, Muthupillai R, van Cauteren M, Yamada K, Dymarkowski S, Bogaert J, Maki JH, Matos C, Casselmann JW, Hoogeveen RM (2003) Implications of SENSE in routine clinical practice. Eur J Rad 46:3–27
Dietrich O, Nikolaou K, Wintersperger BJ, Flatz W, Nittka M, Petsch R, Kiefer B, Schoenberg SO (2002) IPAT: applications for fast and cardiovascular MR imaging. Electromedica 70:149–162
De Zwart JA, Ledden PJ, Kellmann P, van Gelderen P, Duyn JH (2002) Design of a SENSE-optimized high-sensity MRI receive coil for brain imaging. Magn Res Med 47:1218–1227
Doebritz M, Radkow T, Nittka M, Bautz W, Fellner A (2002) VIBE with parallel acquisition technique: a novel approach to dynamic contrast-enhanced MR imaging of the liver. Fortschr Roentgenstr 174:738–741
Oberholzer K, Romaneehsen B, Kunz P, Kramm T, Thelen M, Kreitner KF (2004) Contrast-enhanced 3D MR angiography of the pulmonary arteries with integrated parallel acquisition technique (iPAT) in patients with chronic-thromboembolic pulmonary hypertension CTEPH: sagittal or coronal acquisition? Fortschr Roentgenstr 176:605–609
Bammer R, Schoenberg SO (2004) Current concepts and advances in clinical parallel magnetic resonance imaging. Top Magn Reson Imaging 15:129–158
Gutberlet M, Schwinge K, Freyhardt P, Spors B, Grothoff M, Denecke T, Lüdemannn L, Noeske R, Niendorf T, Felix R (2005) Influence of high magnetic field strengths and parallel acquisition strategies on image quality in cardiac 2D Cine magnetic resonance imaging: comparison of 1.5 T vs. 3.0 T. Eur Radiol 15:1586–1597
Kwok WE, Zhong J, You Z, Seo G, Totterman SMS (2003) A four-element phased array coil for high resolution and parallel MR imaging of the knee. Magn Reson Imaging 21:961–967
Romaneehsen B, Oberholzer K, Mueller LP, Kreitner KF (2003) Rapid musculoskeletal magnetic resonance imaging using integrated parallel acquisition techniques (IPAT): initial experiences. Fortschr Roentgenstr 175:1193–1197
Niitsu M, Ikeda K (2003) Routine MR examination of the knee using parallel imaging. Clin Radiol 58:801–807
Magee T, Shapiro M, Williams D, Ramnath RR, Simon J (2003) Usefulness of the simultaneous acquisition of spatial harmonics technique during MRI of the shoulder. Am J Roentgenol 181:961–964
Magee T, Shapiro M, Williams D (2004) Usefulness of the simultaneous acquisition of spatial harmonics technique for MRI of the knee. Am J Roentgenol 182:1411–1414
Helms CA (2002) The meniscus: recent advances in MR imaging of the knee. Am J Roentgenol 179:1115–1122
Osterle S (2003) Imaging of the knee. Imaging 15:217–241
Staebler A, Glaser C, Reiser M (2000) Musculoskeletal MR: knee. Eur Radiol 10:230–241
Brennan P, Silman A (1992) Statistical methods for assessing observer variability in clinical measures. BMJ 304:1491–1494
Blaimer M, Breuer F, Mueller M, Heidemann RM, Griswold MA, Jakob PM (2004) SMASH, SENSE, PILS, GRAPPA: how to choose the optimal method. Top Magn Reson Imaging 15:223–236
Weiger M, Pruessmann KP, Leussler C, Roeschmann P, Boesiger P (2001) Specific coil design for SENSE: a six-element cardiac array. Magn Reson Med 45:495–504
Kwok WE, Lo KK, Seo G, Totterman SMS (1999) A volume adjustable four-coil phased array for high resolution MR imaging of the hip. MAGMA 9:59–64
Anderson MW, Raghavan N, Seidenwurm DJ, Greenspan A, Drake C (1995) Evaluation of meniscal tears: fast spin-echo versus conventional spin-echo magnetic resonance imaging. Acad Radiol 2:209–214
Escobedo EM, HunterJC, Zink-Brody GC, Wilson AJ, Harrison SD, Fisher DJ (1996) Usefulness of turbo spin-echo MR imaging in the evaluation of meniscal tears: comparison with a conventional spin-echo sequence. Am J Roentgenol 167:1223–1227
Cheung L, Li K, Hollett M, Bergmann A, Herfkens R (1997) Mensical tears of the knee: value of fast spin-echo vs. conventional spin-echo pulse sequences. Radiology 203:508–512
Sodickson DK, Griswold MA, Jakob PM, Edelmann RR, Manning WJ (1999) Signal-to-noise ratio and signal-to-noise efficiency in SMASH imaging. Magn Reson Med 41:1009–1022
Katscher U, Börnert P, Leussler C, van den Brink JS (2003) Transmit SENSE. Magn Reson Med 49:144–150
Author information
Authors and Affiliations
Corresponding author
Additional information
Karl-Friedrich Kreitner and Bernd Romaneehsen contributed equally to this work.
Rights and permissions
About this article
Cite this article
Kreitner, KF., Romaneehsen, B., Krummenauer, F. et al. Fast magnetic resonance imaging of the knee using a parallel acquisition technique (mSENSE): a prospective performance evaluation. Eur Radiol 16, 1659–1666 (2006). https://doi.org/10.1007/s00330-006-0288-0
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00330-006-0288-0