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Abstract #1559

Improved visualization of lumbar nerve roots diffusion tensor imaging using iZoom-IRIS without fat-suppression pre-pulse

Takayuki SAKAI1,2, Masami Yoneyama3, Daichi Murayama1, Adam Wu4, Iain Ball5, Shigehiro Ochi1, and Tosiaki Miyati2
1Radiology, Eastern Chiba Medical Center, Chiba, Japan, 2Faculty of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Ishikawa, Japan, 3Philips Japan, Tokyo, Japan, 4Philips Healthcare (Shanghai) Ltd., Shanghai, China, 5Philips Australia & New Zealand, North Ryde, Australia

Synopsis

Keywords: Neurography, MSK

Motivation: DTI based on single-shot EPI is established method to evaluate lumbar nerve roots compression, but EPI-DTI has a high geometric distortion.

Goal(s): To improve the image quality of the lumbar nerve roots, thereby improving the accuracy of tractography visualization and quantitative measurements.

Approach: To reduce distortion, we developed a method to reduce the number of phase encodes per acquisition by combining iZoom 2D RF excitation, IRIS and LIPO (SSGR) only fat suppression.

Results: Compared to the conventional EPI-DTI, LION iZoom IRIS-DTI improves the tractography image quality. LION iZoom IRIS-DTI was superior to the EPI-DTI, in accuracy of FA values measurement and ICC.

Impact: LION iZoom IRIS-DTI is effective in reducing image distortion and might improve the accuracy and reproducibility of FA measurements of lumbar nerve roots.

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Keywords