Document Detail


Comparison of gradient-recalled-echo and T2-weighted spin-echo pulse sequences in intramedullary spinal lesions.
MedLine Citation:
PMID:  2505509     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Nineteen consecutive patients with spinal intramedullary lesions were studied on a 1.5-T system to compare the quality of T2-weighted spin-echo and gradient-recalled-echo (GRE) pulse sequences. Direct comparisons were made in the sagittal and/or axial planes. Twenty-four studies were performed in the 19 patients. The gradient echoes were usually performed at 300/14 (TR/TE) with a flip angle of 10 degrees. Although no significant diagnostic differences were noted in the sagittal plane, there was a distinct anatomic advantage for GRE imaging over spin-echo imaging in the axial plane. This is believed to be the result of CSF time-of-flight effects in the slice-select direction, which are not compensated for by flow-compensating gradients on the spin-echo images, but which are insignificant in the GRE sequence used in this study. Pathology was seen equally well or better on GRE in 79% (19/24) of the sequences. In the other five cases, the spin-echo image showed a brighter intramedullary signal than that seen on GRE, although GRE showed the lesion in all cases. Our results indicate that properly optimized GRE imaging on a high-field-strength system can replace spin-echo imaging in the spine when intramedullary disease is suspected and that the benefits of GRE are most striking in the axial plane.
Authors:
B H Katz; R M Quencer; R S Hinks
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  AJNR. American journal of neuroradiology     Volume:  10     ISSN:  0195-6108     ISO Abbreviation:  AJNR Am J Neuroradiol     Publication Date:    1989 Jul-Aug
Date Detail:
Created Date:  1989-10-06     Completed Date:  1989-10-06     Revised Date:  2008-02-14    
Medline Journal Info:
Nlm Unique ID:  8003708     Medline TA:  AJNR Am J Neuroradiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  815-22     Citation Subset:  IM    
Affiliation:
Department of Radiology, University of Miami School of Medicine/Jackson Memorial Medical Center, FL 33101.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Arachnoiditis / diagnosis
Child
Female
Humans
Magnetic Resonance Imaging / methods*
Male
Middle Aged
Multiple Sclerosis / diagnosis
Neurofibromatosis 1 / diagnosis
Spinal Cord Compression / diagnosis
Spinal Cord Diseases / diagnosis*
Spinal Cord Neoplasms / diagnosis,  secondary
Spinal Osteophytosis / diagnosis
Syringomyelia / diagnosis

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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