Assessment of quiet T2 weighted PROPELLER sequence in pediatric abdominal imaging
Autor: | Nattinee Leelakanok, Andrew Phelps, Matthew A. Zapala, Ethan Zaccagnino, Jesse Courtier, Pauline W. Worters, Craig Devincent |
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Rok vydání: | 2019 |
Předmět: |
Male
Adolescent Microphone Image quality Anxiety Pediatrics Statistics Nonparametric Pelvis 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Cohen's kappa Abdomen Humans Medicine Radiology Nuclear Medicine and imaging Sound level meter Child Ghosting Decibel medicine.diagnostic_test business.industry Infant Newborn Propeller Infant Magnetic resonance imaging Image Enhancement Magnetic Resonance Imaging Liver Child Preschool 030220 oncology & carcinogenesis Female Bile Ducts Artifacts Noise business Nuclear medicine |
Zdroj: | Clinical Imaging. 53:12-16 |
ISSN: | 0899-7071 |
DOI: | 10.1016/j.clinimag.2018.09.014 |
Popis: | Introduction Elevated acoustic noise during Magnetic Resonance Imaging (MRI) has been associated with patient anxiety and altered cochlear function. Acoustic Reduction Technique (ART) T2 weighted (T2w) periodically rotated overlapping parallel lines with enhanced reconstruction (PROPELLER) has been studied in brain MR but not abdominopelvic imaging. The purpose of our study was to evaluate the image quality and acoustic noise level of ART T2w PROPELLER sequence in comparison with the conventional T2w PROPELLER sequence in pediatric abdomino-pelvic imaging. Methods Eleven consecutive pediatric patients undergoing abdomino-pelvic MRI were scanned on a 3 Tesla magnet using standard and ART T2w PROPELLER sequences. After scanning completion, objective sound level measurements were performed with a sound level meter and microphone. Mann-Whitney U test was used for a non-parametric two-tailed statistical analysis of acoustics, image rating and scan time with significance level set to 0.05. Overall inter-rater agreement was calculated using Cohen's kappa coefficient. Results Eleven pediatric patients (4 females and 7 males) between 26 days and 18 years of age (mean = 10.0, SD = 5.8) were included. ART T2w produced lower levels of acoustic noise than standard technique in a comparison of mean decibel readings from eleven trials of standard and ART T2w (p value = 0.00008). Streak artifacts were rated greater in ART T2w by both raters (p-value = 0.00278 and 0.00252). There was no significant difference in bile duct blurring, respiratory ghosting, pulsation, fat suppression or hepatic parenchymal depiction. Conclusion Presence of additional streaking artifacts should be considered along with the benefit of reduced acoustic noise from ART T2w. |
Databáze: | OpenAIRE |
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