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The comparison of the efficacy of the single shot spin echo, fiesta, and propeller T 2 - weighted MRI sequences in the detection of focal liver lesions

Year 2021, Volume: 46 Issue: 3, 1033 - 1039, 30.09.2021
https://doi.org/10.17826/cumj.908532

Abstract

Purpose: The purpose of this study is to compare the signal characteristics of liver lesions and the difference between interpreters in magnetic resonance imaging (MRI) T2-PROPELLER, T2-FIESTA, and T2-SSFSE sequences.
Materials and Methods: This study was performed with upper abdominal MR images examined between January 2014-July 2016 at Adana Numune Training and Research Hospital were included in the study. Liver lesions with a diameter of 5 mm or more were taken into consideration, there was no upper limit on lesion size. Up to 4 lesions were evaluated in patients with more than one liver lesion. Focal liver lesions were categorized into 5 groups according to signal properties. The interpreters blindly evaluated the sequences, without priorly knowing if the patients had liver lesions or not.
Results: 301 lesions were included in the study. 63 (36%) of the patients were males, while 110 (64%) were females. The ages of the patients varied between 19 and 90 years. 40 (13.3%) of the lesions were malignant, while 261 (86.7%) were benign. Of the 301 lesions, 148 (49.2%) were hemangiomas, 90 (29.9%) were cysts, and 32 (10.6%) were metastases. In comparison of signal characteristics of lesions, the intraclass correlation coefficient of the repeated measurement analysis was found to be 0.962.
Conclusion: There was no significant difference in characterizing the signal characteristic of the lesions between the sequences.

References

  • Referans 1. Karahan OI, Yıkılmaz A, Işın S. Karaciğer solid kitlelerinin renkli doppler ultrasonografi bulguları. İnönü Üniverstesi Tıp Fakültesi Dergisi 2003; 10:139-42.
  • Referans 2. Tello R, Fenlon HM, Gagliano T. Prediction rule for characterization of hepatic lesions revealed on MR imaging: estimation of malignancy. AJR, 2001; 176:879-84.
  • Referans 3. Bittner RC, Felix R. Magnetic resonance (MR) imaging of the chest: state-of-the-art. Eur Respir J 1998; 11:1392-404.
  • Referans 4. Müller NL. Computed tomography and magnetic resonance imaging: past, present and future. Eur Respir J 2002;19:35:3-12.
  • Referans 5. Christoph U, Herborn FV, Lauenstein TC. MRI of the Liver: Can True FISP Replace HASTE?. Journal of Magnetic Resonance Imaging 2003; 17:190-6.
  • Referans 6. Tang Y, Yamashita Y, Namimoto T, Abe Y, Takahashi M. Liver T2-weighted MR imaging: comparison of fast and conventional half-Fourier single-shot turbo spin-echo, breath-hold turbo spin-echo, and respiratory-triggered turbo spin-echo sequences. Radiology 1997; 203:766-72.
  • Referans 7. Foley WD, Kneeland JB, Cates JD. Contrast optimization for the detection of focal hepatic lesions by MR imaging at 1.5 T. AJR, 1987; 149:1155-60.
  • Referans 8. Pipe JG. Motion correction with PROPELLER MRI: application to head motion and free-breathing cardiac imaging. Magn Reson Med 1999; 42:963-9.
  • Referans 9. Yuusuke H, Hiroyoshi I, Yoji SM. MRI Artifact Reduction and Quality Improvement in the Upper Abdomen with PROPELLERand Prospective Acquisition Correction (PACE) Technique AJR, 2008; 191:1154-8.
  • Referans 10. McFarland EG, Mayo-Smith WW, Saini S, Hahn PF, Goldberg MA, Lee MJ. Hepatic hemangiomas and malignant tumors: improved differentiation with heavily T2-weighted conventional spin-echo MR imaging. Radiology 1994; 193:43-7.
  • Referans 11. Van Hoe L, Bosmans H, Aerts P. Focal liver lesions: fast T2-weighted MR imaging with half-Fourier rapid acquisition with relaxation enhancement. Radiology 1996; 201:817-23.
  • Referans 12. Tang Y, Yamashita Y, Namimoto T, Takahashi M. Characterization of focal liver lesions with half-Fourier acquisition single-shot turbospin-echo (HASTE) and inversion recovery (IR)-HASTE sequences. J Magn Reson Imaging 1998; 8:438-45.
  • Referans 13. Yu JS, Kim KW, Kim YH, Jeong EK, Chien D. Comparison of multishot turbo spin echo and HASTE sequences for T2-weighted MRI of liver lesions. J Magn Reson Imaging 1998; 8:1079-84.
  • Referans 14. Lee MG, Jeong YK, Kim JC. Fast T2-weighted liver MR imaging: comparison among breath-hold turbo-spin-echo, HASTE, and inversion recovery (IR) HASTE sequences. Abdom Imaging 2000; 25:93-9.
  • Referans 15. Helmberger TK, Schroder J, Holzknecht N. T2-weighted breath hold imaging of the liver: a quantitative and qualitative comparison of fast spin echo and half Fourier single shot fast spin echo imaging. MAGMA 1999; 9:42-51.

Fokal karaciğer lezyonlarının saptanmasında single shot fast spin echo, Fiesta ve Propeller T2A MR sekanslarının etkinliklerinin karşılaştırılması

Year 2021, Volume: 46 Issue: 3, 1033 - 1039, 30.09.2021
https://doi.org/10.17826/cumj.908532

Abstract

Amaç: Bu çalışmanın amacı, karaciğer lezyonlarının manyetik rezonans görüntüleme (MRG) T2-PROPELLER, T2-FIESTA ve T2-SSFSE sekanslarında sinyal özelliklerinin ve değerlendiriciler arasındaki farkın karşılaştırılmasıdır.
Gereç ve Yöntem: Bu çalışma, Adana Numune Eğitim ve Araştırma Hastanesinde Ocak 2014-Temmuz 2016 tarihleri arasında çekimi yapılmış üst abdomen MR görüntüleriyle yapılmıştır. 5 mm ve daha büyük karaciğer lezyonları değerlendirilmiş, lezyon boyutunda üst sınır belirlenmemiştir. Birden fazla karaciğer lezyonu olan hastalarda en fazla 4 lezyon değerlendirmeye alınmıştır. Karaciğer fokal lezyonları sinyal özelliklerine göre 5 kategoride sınıflandırılmıştır. Değerlendiriciler, hastaların karaciğer lezyonu olup olmadığından habersiz olarak sekansları incelemiştir.
Bulgular: Çalışmaya 301 lezyon dahil edildi. Hastaların 63’ü (%36) erkek, 110’u (%64) kadındı. Hastaların yaşları 19 ile 90 yıl arasında değişmekteydi. Lezyonların 40’ı (%13,3) malign ve 261’i (%86,7) benign lezyonlardı. 301 lezyondan 148’i (%49,2) hemanjiom, 90’ı (%29,9) kist ve 32’si (%10,6) metastaz olarak saptandı. Lezyonların sinyal özelliklerinin karşılaştırılmasında, tekrarlı ölçümler analizinde sınıf içi korelasyon katsayısı 0,962 olarak bulundu.
Sonuç: Sekanslar arasında lezyonların sinyal özelliğini karakterize etmede anlamlı fark saptanmamıştır.

References

  • Referans 1. Karahan OI, Yıkılmaz A, Işın S. Karaciğer solid kitlelerinin renkli doppler ultrasonografi bulguları. İnönü Üniverstesi Tıp Fakültesi Dergisi 2003; 10:139-42.
  • Referans 2. Tello R, Fenlon HM, Gagliano T. Prediction rule for characterization of hepatic lesions revealed on MR imaging: estimation of malignancy. AJR, 2001; 176:879-84.
  • Referans 3. Bittner RC, Felix R. Magnetic resonance (MR) imaging of the chest: state-of-the-art. Eur Respir J 1998; 11:1392-404.
  • Referans 4. Müller NL. Computed tomography and magnetic resonance imaging: past, present and future. Eur Respir J 2002;19:35:3-12.
  • Referans 5. Christoph U, Herborn FV, Lauenstein TC. MRI of the Liver: Can True FISP Replace HASTE?. Journal of Magnetic Resonance Imaging 2003; 17:190-6.
  • Referans 6. Tang Y, Yamashita Y, Namimoto T, Abe Y, Takahashi M. Liver T2-weighted MR imaging: comparison of fast and conventional half-Fourier single-shot turbo spin-echo, breath-hold turbo spin-echo, and respiratory-triggered turbo spin-echo sequences. Radiology 1997; 203:766-72.
  • Referans 7. Foley WD, Kneeland JB, Cates JD. Contrast optimization for the detection of focal hepatic lesions by MR imaging at 1.5 T. AJR, 1987; 149:1155-60.
  • Referans 8. Pipe JG. Motion correction with PROPELLER MRI: application to head motion and free-breathing cardiac imaging. Magn Reson Med 1999; 42:963-9.
  • Referans 9. Yuusuke H, Hiroyoshi I, Yoji SM. MRI Artifact Reduction and Quality Improvement in the Upper Abdomen with PROPELLERand Prospective Acquisition Correction (PACE) Technique AJR, 2008; 191:1154-8.
  • Referans 10. McFarland EG, Mayo-Smith WW, Saini S, Hahn PF, Goldberg MA, Lee MJ. Hepatic hemangiomas and malignant tumors: improved differentiation with heavily T2-weighted conventional spin-echo MR imaging. Radiology 1994; 193:43-7.
  • Referans 11. Van Hoe L, Bosmans H, Aerts P. Focal liver lesions: fast T2-weighted MR imaging with half-Fourier rapid acquisition with relaxation enhancement. Radiology 1996; 201:817-23.
  • Referans 12. Tang Y, Yamashita Y, Namimoto T, Takahashi M. Characterization of focal liver lesions with half-Fourier acquisition single-shot turbospin-echo (HASTE) and inversion recovery (IR)-HASTE sequences. J Magn Reson Imaging 1998; 8:438-45.
  • Referans 13. Yu JS, Kim KW, Kim YH, Jeong EK, Chien D. Comparison of multishot turbo spin echo and HASTE sequences for T2-weighted MRI of liver lesions. J Magn Reson Imaging 1998; 8:1079-84.
  • Referans 14. Lee MG, Jeong YK, Kim JC. Fast T2-weighted liver MR imaging: comparison among breath-hold turbo-spin-echo, HASTE, and inversion recovery (IR) HASTE sequences. Abdom Imaging 2000; 25:93-9.
  • Referans 15. Helmberger TK, Schroder J, Holzknecht N. T2-weighted breath hold imaging of the liver: a quantitative and qualitative comparison of fast spin echo and half Fourier single shot fast spin echo imaging. MAGMA 1999; 9:42-51.
There are 15 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Research
Authors

Mehmet Akın This is me 0000-0002-9222-6044

Cengiz Yılmaz 0000-0001-9917-3515

Bozkurt Gülek 0000-0003-1510-6257

Ömer Kaya 0000-0001-7998-0686

Okan Dılek 0000-0002-2144-2460

Gökhan Söker 0000-0002-5369-4769

Publication Date September 30, 2021
Acceptance Date May 12, 2021
Published in Issue Year 2021 Volume: 46 Issue: 3

Cite

MLA Akın, Mehmet et al. “The Comparison of the Efficacy of the Single Shot Spin Echo, Fiesta, and Propeller T 2 - Weighted MRI Sequences in the Detection of Focal Liver Lesions”. Cukurova Medical Journal, vol. 46, no. 3, 2021, pp. 1033-9, doi:10.17826/cumj.908532.