[en] We investigated whether a rice pad could be used to reduce the geometric distortion in echo-planar diffusion-weighted images of the cervical spinal cord. In 10 healthy volunteers, we obtained sagittal plane images using the same imaging parameters with and without a rice pad. Two reviewers classified geometric distortion and visually assessed images. Use of a rice pad significantly reduced geometric distortion in the cervical spinal cord. (author)

[en] The aim of this study was to investigate whether the signal-to-noise ratio (SNR) in transverse images acquired from spine phased array coils is improved by deactivating coils distant from the imaging region and to identify the optimum coil settings. Ten healthy volunteers (five men, five women; average age 38 years) underwent transverse magnetic resonance imaging (MRI) of the cervical spine using four to one channels of a four-channel phased array coil for cervical imaging. The SNR of cerebrospinal fluid (CSF), spinal cord, muscle tissue, intervertebral disc, vertebral body, and prevertebral soft tissue was measured for each coil combination. In all measured regions, the SNR was the highest for images acquired using two coils; the SNR was significantly higher for two coils than for four coils in CSF, spinal cord, muscle tissue, intervertebral disc, vertebral body, and prevertebral soft tissue (P<0.001, P=0.019, P<0.0001, P=0.014, P=0.010, P<0.001). Deactivating two of the four coils used for sagittal sections, meaning that two coils are active, resulted in improved SNR for transverse images. Selecting the optimum number and combination of coils for each imaging cross section may enable acquisition of images with a better SNR. (author)

[en] Background. In magnetic resonance imaging (MRI) with 3D-double-echo steady-state (3D-DESS) sequences, the cartilage-synovial fluid contrast is reported to be better with a flip angle of 90 deg than with the conventional flip angle of 40 deg, and the detection rate of knee cartilage injury may be improved. Purpose. To compare the diagnostic performance and certainty of diagnosis with 3D-DESS images made using two flip angle settings, 40 deg and 90 deg, for knee cartilage surface lesions of Grade 2 or above confirmed by arthroscopy. Material and Methods. Images were obtained with 3D-DESS flip angles of 40 deg and 90 deg at 1.0T in 13 consecutive patients (2 men, 11 women, age range 18-68 years) evaluated for superficial cartilage injury by arthroscopy. Two radiologists classified the presence or absence of cartilage damage of ≥Grade 2 as 'positive (p)' or 'negative (n)', respectively. The rate of agreement with arthroscopic diagnosis was then examined, and the diagnostic performance compared. Diagnostic confidence was assessed scoring the presence or absence of cartilage damage into three categories: 3 = can diagnose with absolute confidence; 2 = can diagnose with a level of certainty as probably present or probably absent; and 1 = cannot make a diagnosis. Results. In a comparison of the rate of agreement between diagnosis by 3D-DESS images and arthroscopy, the rate of agreement was significantly higher and diagnostic performance was better in 90 deg images for the medial femoral condyle only. Diagnostic confidence was significantly better with 90 deg flip angle images than with 40 deg flip angle images for all six cartilage surfaces. Conclusion. In evaluating knee cartilage surface lesions with 3D-DESS sequences, a flip angle setting of 90 deg is more effective than the conventional setting of 40 deg

[en] When chemical shift selective (CHESS) imaging is used with magnetic resonance imaging (MRI) for simultaneous imaging of both hands for the evaluation of rheumatoid arthritis, the fat suppression effect is poor. We investigated whether these fat-suppressed images using CHESS could be improved with the use of rice pads. T1-weighted images were obtained with CHESS and the same imaging parameters were used with and without rice pads on the coronal plane of both hands in 10 healthy volunteers. Patients were placed in a prone position with both hands extended overhead. The fat-suppression effect was classified into four categories and scored for both sets of images, and visual assessments were made by one radiologist and one radiologic technologist. The evaluation score was 1.1 for the images made without rice pads, and 3.2 for the images made with rice pads. The fat suppression effect was thus significantly better in the images made using rice pads (P < 0.0001). Lingering fat signals disappeared almost completely in images of both hands using CHESS with rice pads, and it was confirmed that the images were improved and had good fat suppression. More accurate evaluation of inflammatory sites that occur in rheumatoid arthritis may thus be possible, promising better diagnostic accuracy