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Abstract #2584

Improved Brain Tumor Visualization with 3T Stack-of-Stars Echo Unbalanced T1 Relaxation-Enhanced Steady-State MRI – A Two Center Clinical Study

Adrienn Tóth1, Robert R Edelman2,3, Justin A Chetta1, Jennifer Joyce1, Jonathan Eernisse1, Ruoxun Zi4, Kai Tobias Block4, Maria Vittoria Spampinato1, and Akos Varga-Szemes1
1Department of Radiology and Radiological Science, Medical University of South Carolina, Charleston, SC, United States, 2Department of Radiology, NorthShore University Health System, Evanston, IL, United States, 3Department of Radiology, Feinberg School of Medicine, Chicago, IL, United States, 4Department of Radiology, The Bernard and Irene Schwartz Center for Biomedical Imaging, New York University Grossman School of Medicine, New York, NY, United States

Synopsis

Keywords: Pulse Sequence Design, Acquisition Methods

Motivation: The echo unbalanced T1 relaxation-enhanced steady-state (echo-uT1RESS) technique offers strong dark-blood effect; however, its effectiveness is compromised by sensitivity to head motion, motivating the development of a motion-resistant version using radial stack-of-stars (SOS) k-space trajectory.

Goal(s): To assess the diagnostic performance of the SOS echo-uT1RESS technique in comparison to magnetization-prepared rapid gradient echo (MPRAGE).

Approach: A two-center prospective study was conducted involving 25 patients, utilizing both quantitative and qualitative analyses of post-contrast acquisitions.

Results: The SOS echo-uT1RESS technique improved tumor-to-brain contrast and lesion conspicuity while maintaining high image quality and comparable artifact levels.

Impact: This study highlights the SOS echo-uT1RESS technique's potential to significantly improve visualization and characterization of brain lesions. It offers consistent dark-blood effect and improved lesion conspicuity, while maintaining high image quality and motion robustness, with promising implications for clinical practice.

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