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Brain iron deposition and sequence characteristics in parkinsonism: comparison of SWI, T₂* maps, T₂-weighted-, and FLAIR-SPACE.
MedLine Citation:
PMID:  20829707     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
OBJECTIVES: To compare quantitatively T2- and T2*-based magnetic resonance imaging sequences in patients with symptoms of Parkinson disease and to evaluate the information content of those sequences regarding brain iron concentration.
MATERIALS AND METHODS: We imaged 51 patients with symptoms of Parkinson disease on 3-T magnetic resonance imaging with T2-weighted sampling perfection with application optimized contrasts using different flip-angle evolution (SPACE), fluid attenuation inversion recovery (FLAIR)-SPACE, susceptibility-weighted imaging (SWI), and parametric T2* sequence (MapIt). Signal analysis was performed in 22 regions of interest in the brain.
RESULTS: Correlations (r2 = 0.82...0.96) with brain iron concentration were excellent. Contrast and tissue separability ratios were best in the T2* maps and FLAIR-SPACE, respectively. Good correlations of contrast were reached between SWI and both T2-weighted SPACE and FLAIR-SPACE. Their relation to quantitative T2* values was reminiscent of a quadratic curve shape. However, separation into gray and white matter revealed a linear positive and negative correlation, respectively.
CONCLUSIONS: SWI showed potential in differentiating illnesses characterized by brain iron deposition. Closely similar information was given by T2-weighted SPACE and FLAIR-SPACE, whereas other sequence comparisons revealed dispersion from intersequence agreement.
Authors:
Maija Rossi; Hanna Ruottinen; Irina Elovaara; Pertti Ryymin; Seppo Soimakallio; Hannu Eskola; Prasun Dastidar
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Investigative radiology     Volume:  45     ISSN:  1536-0210     ISO Abbreviation:  Invest Radiol     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2011-08-01     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0045377     Medline TA:  Invest Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  795-802     Citation Subset:  IM    
Affiliation:
Department of Radiology, Medical Imaging Centre, Tampere University Hospital, Tampere, Finland. maija.rossi@pshp.fi
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