Comparison of brain MR images at 1.5T using BLADE and rectilinear techniques for patients who move during data

E Nyberg1, G S Sandhu, J Jesberger

  • 1Department of Radiology, University Hospitals, Case Center for Imaging Research, Cleveland, Ohio, USA.

Abstract

Insights

Partially radial BLADE MRI sequences significantly reduce motion artifacts in brain scans of moving patients. This technique improves overall image quality and enhances the characterization of lesions compared to rectilinear methods.

Area of Science:

  • Radiology
  • Medical Imaging

Background:

  • Motion artifacts are a significant challenge in Magnetic Resonance (MR) imaging of moving patients.
  • Existing motion correction techniques can introduce new artifacts, necessitating alternative solutions.

Purpose of the Study:

  • To semiquantitatively compare brain MR images acquired at 1.5T using partially radial (BLADE) and rectilinear acquisition techniques in patients experiencing motion.
  • To evaluate the impact of acquisition technique on motion artifact extent, image quality, and lesion visibility.

Main Methods:

  • Two neuroradiologists assessed FLAIR, T2-, T1-, and contrast-enhanced T1-weighted image sets from 25 patients (ages 14-94).
  • Images were acquired using both BLADE (partially radial) and rectilinear techniques during the same session.
  • Inter-rater reliability was assessed using the Intraclass Correlation Coefficient (ICC).

Main Results:

  • Partially radial BLADE images exhibited significantly less motion artifact (43/70 sets) compared to rectilinear images (13/70 sets).
  • Image quality was rated higher for partially radial images (36/70 sets) versus rectilinear (9/70 sets).
  • Pathologic lesions were better characterized on partially radial images (37/70 sets) compared to rectilinear (13/70 sets), with fewer nondiagnostic scans.

Conclusions:

  • The application of BLADE sequences effectively reduces motion artifacts in brain MR imaging of moving patients.
  • BLADE sequences demonstrate superior performance in improving image quality and lesion characterization compared to rectilinear techniques.
  • This study supports the use of partially radial acquisition techniques for enhanced diagnostic accuracy in challenging patient populations.