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Abstract #0491

3D Turbo-Spin-Echo with VERSE Excitation Improves SNR for Brachial Plexus Magnetic Resonance Neurography

Xiaoying Cai1, Guido Buonincontri2, Nicolas Groß-Weege2, Peter Kollasch3, Michelle Akerman4, Alto Stemmer2, Ek Tsoon Tan4, and Darryl B. Sneag4
1Siemens Medical Solutions USA, Inc., New York, NY, United States, 2Siemens Healthineers AG, Erlangen, Germany, 3Siemens Medical Solutions USA, Inc., Rochester, MN, United States, 4Department of Radiology and Imaging, Hospital for Special Surgery, New York, NY, United States

Synopsis

Keywords: Neurography, MSK, pulse sequence design, neurography, peripheral nerves

Motivation: The conventional slab-selective 3D TSE approach for brachial plexus magnetic resonance neurography (MRN) has a longer echo spacing for the first refocusing pulse and hence violates CPMG conditions. The signal available can decrease significantly due to field inhomogeneities.

Goal(s): We aimed to improve slab-selective 3D TSE for brachial plexus MRN.

Approach: We incorporated the variable-rate selective excitation (VERSE) method to shorten the excitation pulse duration and eliminate the need for the first long-echo-spacing refocusing module.

Results: The 3D TSE with VERSE excitation achieved higher SNR in both phantom and in-vivo experiments.

Impact: The proposed 3D TSE using VERSE excitation improved slab-selective imaging in brachial plexus MRN with higher SNR when compared to the conventional approach.

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Keywords