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Updated: Jun 7, 2026

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Published on: February 19, 2021
MRI of the neck at 3 Tesla using the periodically rotated overlapping parallel lines with enhanced reconstruction
Yoshimitsu Ohgiya1, Jumpei Suyama, Noritaka Seino
1Department of Radiology, Showa University School of Medicine, Tokyo, Japan. yoshimitsu_ohgiya@yahoo.co.jp
Purpose:
To evaluate motion artifacts, tissue contrasts, and lesion detectability in the neck with the periodically rotated overlapping parallel lines with enhanced reconstruction (PROPELLER) (BLADE) technique.
Materials And Methods:
A total of 46 patients referred for MRI of the neck were included in a comparison of T2-weighted BLADE (T2W-BLADE) sequence and T2W fast spin-echo (T2W-FSE) sequence. All examinations were performed at 3T using the same parameters. Two observers evaluated unlabelled images for motion artifacts, the preferred image quality, and lesion detectability. Region of interest (ROI)-based quantitative measurements were performed to assess tissue contrasts. The frequency of occurrence of the different assessed artifacts and the lesion detectability was tested using McNemar's test. Tissue contrasts were compared using the Wilcoxon paired test. Reader agreement was assessed using kappa test.
Results:
T2W-BLADE showed less ghosting and pulsation artifacts than T2W-FSE (P < 0.01). T2W-BLADE images were rated as better than or equal to T2W-FSE images in majority cases (93.5%; kappa = 0.64). There was not significant difference in tissue contrasts between T2W-BLADE and T2W-FSE. A total of 32 lesions were present in 32 patients and equally well seen on T2W-BLADE and T2W-FSE.
Conclusion:
T2W-BLADE can reduce motion artifacts and provide tissue contrasts and lesion detectability equivalent to T2W-FSE.
Insights
The T2-weighted BLADE (T2W-BLADE) MRI technique reduces motion artifacts in the neck compared to T2-weighted fast spin-echo (T2W-FSE). T2W-BLADE provides comparable tissue contrast and lesion detectability to T2W-FSE.
Area of Science:
- Radiology
- Medical Imaging
- Magnetic Resonance Imaging
Background:
- Motion artifacts are a common challenge in neck MRI, potentially affecting diagnostic accuracy.
- The periodically rotated overlapping parallel lines with enhanced reconstruction (PROPELLER), also known as BLADE, technique is designed to mitigate motion artifacts.
Purpose of the Study:
- To compare the effectiveness of the T2-weighted BLADE (T2W-BLADE) sequence against the T2-weighted fast spin-echo (T2W-FSE) sequence for neck MRI.
- To evaluate differences in motion artifacts, tissue contrast, and lesion detectability between the two sequences.
Main Methods:
- A comparative study involving 46 patients undergoing 3T MRI of the neck.
- T2W-BLADE and T2W-FSE sequences were acquired using identical parameters.
- Two independent observers assessed image quality, motion artifacts, and lesion detectability. Quantitative measurements evaluated tissue contrast.
Main Results:
- T2W-BLADE demonstrated significantly fewer ghosting and pulsation artifacts compared to T2W-FSE (P < 0.01).
- Image quality was rated as equal or better for T2W-BLADE in 93.5% of cases (kappa = 0.64).
- No significant differences were found in tissue contrast or lesion detectability between the two sequences.
Conclusions:
- T2W-BLADE is effective in reducing motion artifacts in neck MRI.
- The T2W-BLADE technique offers comparable tissue contrast and lesion detectability to T2W-FSE.
- T2W-BLADE represents a valuable alternative for neck imaging, especially in patients prone to motion.
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