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Research ArticleHEAD AND NECK

MR Cisternography of the Cerebellopontine Angle: Comparison of Three-dimensional Fast Asymmetrical Spin-echo and Three-dimensional Constructive Interference in the Steady-state Sequences

Shinji Naganawa, Tokiko Koshikawa, Hiroshi Fukatsu, Takeo Ishigaki and Toshio Fukuta
American Journal of Neuroradiology June 2001, 22 (6) 1179-1185;
Shinji Naganawa
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Tokiko Koshikawa
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Hiroshi Fukatsu
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Takeo Ishigaki
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Toshio Fukuta
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    fig 1.

    Contrast-to-noise ratio (C/N) between CSF and the cerebellum on 3D-CISS images obtained at various flip angles in a volunteer. The maximum C/N was obtained at a flip angle of 70°. In this particular subject, the C/N on 3D-FASE images was 50.3

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    fig 2.

    Phantom experiment to evaluate the effect of TE on 3D-CISS sequences. Water-filled polyethylene tube is coiled and placed on cubic water phantom.

    A–C, 3D-CISS (12/6/1) (A), 3D-CISS (16/8/1) (B), and 3D-FASE (5000/241.6/1) (C) sequences. Bandlike susceptibility artifact is seen on A and B (arrows); however, it is slightly more prominent on B. There is no artifact on C (arrow). Note that the cubic water phantom signal is uniform in C. This experiment shows that shorter TE has some ability to reduce susceptibility artifacts on 3D-CISS studies, but 3D-FASE has far fewer susceptibility artifacts.

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    fig 3.

    Multiplanar reformatted images of the internal auditory canal of a volunteer.

    A and B, Four nerve branches are clearly depicted by both 3D-CISS (16/8/1) (A) and 3D-FASE (5000/241.6/1) (B) sequences.

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    fig 4.

    A and B, Flow ghosts of CSF are pronounced on 3D-CISS (16/8/1) sequence (white arrows, A); however, no ghosts are seen on 3D-FASE (5000/241.6/1) image (B) in this volunteer. Note that the shape of the vestibule near the oval window is deformed on the 3D-CISS image (black arrow, A) but not on the 3D-FASE image (black arrow, B)

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    fig 5.

    A and B, Low-signal bands due to susceptibility artifacts are prominent from the vestibular area just above the oval window to the crus of the lateral semicircular canal on 3D-CISS (16/8/1) image (arrow, A), whereas no low-signal bands are seen on 3D-FASE (5000/241.6/1) image (B) in this volunteer. Intracochlear anatomy, such as modiolus (M) and osseous spiral lamina (O), is depicted slightly better on 3D-CISS image, probably because of the susceptibility effect from these bony structures. Endolymphatic duct (E) is visible only on 3D-CISS image in this particular subject

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    fig 6.

    Virtual endoscopic images of the superior semicircular canal from the vestibule in a volunteer.

    A and B, Pseudoocclusion is seen on 3D-CISS image (16/8/1) (A). On 3D-FASE (5000/241.6/1) image (B), it is possible to navigate through the three semicircular canals.

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    fig 7.

    MIP image of the labyrinth in a volunteer.

    A and B, Low-signal artifacts are seen in superior semicircular canal (arrows, A) as well as in the area of the oval window (OW) and round window (RW) on 3D-CISS image (16/8/1) (A), but not on the 3D-FASE image (5000/241.6/1) (B).

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    fig 8.

    63-year-old man with right intracanalicular acoustic schwannoma.

    A–E, A mass (arrow) is seen on unenhanced (A) and contrast-enhanced (B) 3D-FASE (5000/241.6/1) images, on unenhanced (C) and contrast-enhanced (D) 3D-CISS (16/8/1) images, and on contrast-enhanced 3D-SPGR (23/10/1) image (E). Note that the signal of the mass is not influenced by contrast material on the 3D-FASE image, but enhancement is present on the 3D-CISS sequence.

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    fig 9.

    False-positive finding on 3D-CISS image in an 11-year-old girl.

    A and B, A small masslike nodule is seen at the fundus of the left internal auditory canal on 3D-CISS (16/8/1) image (arrow, A), although no mass is seen on 3D-FASE (5000/241.6/1) image (B). This artifact was assumed to be due to the combination of susceptibility and flow artifacts.

Tables

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    TABLE 1:

    Results of contrast-to-noise ratio measurements in volunteers

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    TABLE 2:

    Results of qualitative analysis

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American Journal of Neuroradiology: 22 (6)
American Journal of Neuroradiology
Vol. 22, Issue 6
1 Jun 2001
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Cite this article
Shinji Naganawa, Tokiko Koshikawa, Hiroshi Fukatsu, Takeo Ishigaki, Toshio Fukuta
MR Cisternography of the Cerebellopontine Angle: Comparison of Three-dimensional Fast Asymmetrical Spin-echo and Three-dimensional Constructive Interference in the Steady-state Sequences
American Journal of Neuroradiology Jun 2001, 22 (6) 1179-1185;

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MR Cisternography of the Cerebellopontine Angle: Comparison of Three-dimensional Fast Asymmetrical Spin-echo and Three-dimensional Constructive Interference in the Steady-state Sequences
Shinji Naganawa, Tokiko Koshikawa, Hiroshi Fukatsu, Takeo Ishigaki, Toshio Fukuta
American Journal of Neuroradiology Jun 2001, 22 (6) 1179-1185;
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Cited By...

  • Does CISS MRI Reliably Depict the Endolymphatic Duct in Children with and without Vestibular Aqueduct Enlargement?
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  • Measuring 3D Cochlear Duct Length on MRI: Is It Accurate and Reliable?
  • Visualization of the Peripheral Branches of the Mandibular Division of the Trigeminal Nerve on 3D Double-Echo Steady-State with Water Excitation Sequence
  • 3D Double-Echo Steady-State with Water Excitation MR Imaging of the Intraparotid Facial Nerve at 1.5T: A Pilot Study
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