In this study, we aimed to provide recommendations on the number of echoes and averages when imaging the lumbosacral spinal cord using a multi-echo gradient-echo sequence. We found that while more echoes increase the white matter/cerebrospinal fluid contrast, the gray matter/white matter contrast plateaus at 3 echoes. Also, the signal and contrast-to-noise ratios increased only minimally after 6 averages. Overall, we recommend a minimum of 3 and maximum of 4 echoes as an optimal trade-off between segmentability and artifact level, and 6 signal averages (or measurements) for robust segmentations.
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