Abstract
In contrast-enhanced (CE) brain metastasis screening, coexistence of enhanced blood vessel suppression and higher tumor-to-parenchyma contrast may improve radiologists’ performances in detecting brain metastases compared with conventional sequences. In this study, we propose a new scheme, allowing both suppression of blood signals and improvement of tumor-to-parenchyma contrast, using motion-sensitized driven equilibrium prepared 3D low-refocusing flip-angle turbo spin echo (TSE) (“magnetization transfer prepared spin echo”-like contrast volume examination: MATLVE) for brain metastasis screening at 3.0 T, and we compare MATLVE to conventional three-dimensional (3D)-gradient recalled echo (GRE) and 3D-TSE sequences. With the use of MATLVE, the signal intensity of CE blood decreased substantially. Furthermore, the contrast ratio of tumor-to-white matter was significantly higher than in either conventional 3D-GRE or 3D-TSE. MATLVE can be used for 3D volumetric post-CE black-blood imaging, and it may be effective in detecting small brain metastases by selectively enhancing tumor signals while suppressing blood signals.
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References
Schellinger PD, Meinck HM, Thron A. Diagnostic accuracy of MRI compared to CCT in patients with brain metastases. J Neurooncol. 1999;44:275–81.
Brant-Zawadzki M, Gillan GD, Nitz WR. MP RAGE: a three-dimensional, T1-weighted, gradient-echo sequence—initial experience in the brain. Radiology. 1992;182:769–75.
Mugler JP 3rd, Brookeman JR. Three-dimensional magnetization-prepared rapid gradient-echo imaging (3D MP RAGE). Magn Reson Med. 1990;15:152–7.
Kakeda S, Korogi Y, Hiai Y, Ohnari N, Moriya J, Kamada K, Hanamiya M, Sato T, Kitajima M. Detection of brain metastasis at 3T: comparison among SE, IR-FSE and 3D-GRE sequences. Eur Radiol. 2007;17:2345–51.
Komada T, Naganawa S, Ogawa H, Matsushima M, Kubota S, Kawai H, Fukatsu H, Ikeda M, Kawamura M, Sakurai Y, Maruyama K. Contrast-enhanced MR imaging of metastatic brain tumor at 3 Tesla: utility of T1-weighted SPACE compared with 2D spin echo and 3D gradient echo sequence. Magn Reson Med Sci. 2008;7:13–21.
Kato Y, Higano S, Tamura H, Mugikura S, Umetsu A, Murata T, Takahashi S. Usefulness of contrast-enhanced T1-Weighted sampling perfection with application-optimized contrasts by using different flip angle evolutions in detection of small brain metastasis at 3T MR imaging: comparison with magnetization-prepared rapid acquisition of gradient echo imaging. AJNR Am J Neuroradiol. 2009;30:923–9.
Park J, Kim EY. Contrast-enhanced, three-dimensional, whole-brain, black-blood imaging: application to small brain metastases. Magn Reson Med. 2010;63:553–61.
Yoneyama M, Nakamura M, Tabuchi T, Takemura A, Ogura J. “Spin-echo like T1 contrast” volumetric black-blood images using 3D LRFA-TSE: low refocusing flip angle TSE. In: Proceedings of the ISMRM, Stockholm; 2010. p. 3031.
Obara M, Honda M, Imai Y, Van Cauteren M, Kuroda K. Assessment of motion sensitized driven equilibrium (MSDE) improvement for whole brain application. In: Proceedings of the ISMRM, Honolulu; 2009. p. 4547.
Nagao E, Yoshiura T, Hiwatashi A, Obara M, Yamashita K, Kamano H, Takayama Y, Kobayashi K, Honda H. 3D turbo spin-echo sequence with motion-sensitized driven-equilibrium preparation for detection of brain metastases on 3T MR imaging. AJNR Am J Neuroradiol. 2011;32:664–70.
Wang J, Yarnykh VL, Hatsukami T, Chu B, Balu N, Yuan C. Improved suppression of plaque-mimicking artifacts in black-blood carotid atherosclerosis imaging using a multislice motion-sensitized driven equilibrium (MSDE) turbo spin-echo (TSE) sequence. Magn Reson Med. 2007;58:973–81.
Wang J, Yarnykh VL, Yuan C. Enhanced image quality in black-blood MRI using the improved motion-sensitized driven-equilibrium (iMSDE) sequence. J Magn Reson Imaging. 2010;31:1256–63.
Mathews VP, Caldemeyer KS, Ulmer JL, Nguyen H, Yuh WTC. Effects of contrast dose, delayed imaging, and magnetization transfer saturation on gadolinium-enhanced MR imaging of brain lesions. J Magn Reson Imaging. 1997;7:14–22.
Schmitz BL, Gron G, Brausewetter F, Hoffmann MH, Aschoff AJ. Enhancing gray-to-white matter contrast in 3T T1 spin-echo brain scans by optimizing flip angle. AJNR Am J Neuroradiol. 2005;26:2000–4.
Hennig J, Scheffler K. Easy improvement of signal-to-noise in RARE sequences with low refocusing flip angles. Magn Reson Med. 2000;44:983–5.
Yoneyama M, Nakamura M, Tabuchi T, Takemura A, Obara M. Optimization of 3D-variable refocusing flip angle RARE imaging for high-resolution volumetric black-blood angiography. Radiol Phys Technol. 2012;5:270–6.
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Yoneyama, M., Nakamura, M., Tabuchi, T. et al. Whole-brain black-blood imaging with magnetization-transfer prepared spin echo-like contrast: a novel sequence for contrast-enhanced brain metastasis screening at 3T. Radiol Phys Technol 6, 431–436 (2013). https://doi.org/10.1007/s12194-013-0216-3
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DOI: https://doi.org/10.1007/s12194-013-0216-3