PURPOSE: To compare the diagnostic performance of three-dimensional variable-flip-angle turbo spin-echo and two-dimensional turbo spin-echo sequences in carotid plaque imaging, with histological analysis as the standard of reference. MATERIALS AND METHODS: Twenty-two patients scheduled for carotid endarterectomy underwent carotid plaque imaging including axial T1-weighted and T2-weighted two-dimensional turbo spin-echo, and coronal T1-weighted and T2-weighted three-dimensional variable-flip-angle turbo spin-echo sequences. The quality of images was visually graded using a three-point scale. The signal ratio of the arterial lumen to the plaque component, and that of the carotid plaque to the ipsilateral submandibular gland was calculated in each sequence. These ratios between two-dimensional and three-dimensional sequences were compared for each plaque component according to the histological category of the plaque. RESULTS: No significant difference was observed among the overall imaging quality scores of the two-dimensional and three-dimensional sequences, although three-dimensional sequences allowed visualization in arbitrary orientations, as well as depiction of small plaque components such as ulcerations and calcifications. The signal ratio of the plaque to the submandibular gland on T1-weighted three-dimensional sequence was significantly higher than that on two-dimensional sequence (p<0.01), whereas no significant difference was found between two T2-weighted sequences. The signal ratios of the plaque to the submandibular gland of histology-defined soft plaque components were significantly higher on T1-weighted three-dimensional sequence than on two-dimensional sequence (p<0.01), whereas no significant differences were observed between two T1-weighted sequences for hard components. CONCLUSIONS: Three-dimensional variable-flip-angle turbo spin-echo is a promising tool for the diagnosis of carotid plaques.
PURPOSE: To compare the diagnostic performance of three-dimensional variable-flip-angle turbo spin-echo and two-dimensional turbo spin-echo sequences in carotid plaque imaging, with histological analysis as the standard of reference. MATERIALS AND METHODS: Twenty-two patients scheduled for carotid endarterectomy underwent carotid plaque imaging including axial T1-weighted and T2-weighted two-dimensional turbo spin-echo, and coronal T1-weighted and T2-weighted three-dimensional variable-flip-angle turbo spin-echo sequences. The quality of images was visually graded using a three-point scale. The signal ratio of the arterial lumen to the plaque component, and that of the carotid plaque to the ipsilateral submandibular gland was calculated in each sequence. These ratios between two-dimensional and three-dimensional sequences were compared for each plaque component according to the histological category of the plaque. RESULTS: No significant difference was observed among the overall imaging quality scores of the two-dimensional and three-dimensional sequences, although three-dimensional sequences allowed visualization in arbitrary orientations, as well as depiction of small plaque components such as ulcerations and calcifications. The signal ratio of the plaque to the submandibular gland on T1-weighted three-dimensional sequence was significantly higher than that on two-dimensional sequence (p<0.01), whereas no significant difference was found between two T2-weighted sequences. The signal ratios of the plaque to the submandibular gland of histology-defined soft plaque components were significantly higher on T1-weighted three-dimensional sequence than on two-dimensional sequence (p<0.01), whereas no significant differences were observed between two T1-weighted sequences for hard components. CONCLUSIONS: Three-dimensional variable-flip-angle turbo spin-echo is a promising tool for the diagnosis of carotid plaques.
Authors: Luca Saba; Skandha S Sanagala; Suneet K Gupta; Vijaya K Koppula; Amer M Johri; Narendra N Khanna; Sophie Mavrogeni; John R Laird; Gyan Pareek; Martin Miner; Petros P Sfikakis; Athanasios Protogerou; Durga P Misra; Vikas Agarwal; Aditya M Sharma; Vijay Viswanathan; Vijay S Rathore; Monika Turk; Raghu Kolluri; Klaudija Viskovic; Elisa Cuadrado-Godia; George D Kitas; Neeraj Sharma; Andrew Nicolaides; Jasjit S Suri Journal: Ann Transl Med Date: 2021-07
Authors: Anouk L M Eikendal; Michiel L Bots; Cees Haaring; Tobias Saam; Rob J van der Geest; Jos J M Westenberg; Hester M den Ruijter; Imo E Hoefer; Tim Leiner Journal: PLoS One Date: 2016-10-12 Impact factor: 3.240
Authors: Sung Jun Ahn; Mi Ri Yoo; Sang Hyun Suh; Seung-Koo Lee; Kyu Sung Lee; Eun Jin Son; Tae-Sub Chung Journal: PLoS One Date: 2014-07-22 Impact factor: 3.240
Authors: Anouk L M Eikendal; Björn A Blomberg; Cees Haaring; Tobias Saam; Rob J van der Geest; Fredy Visser; Michiel L Bots; Hester M den Ruijter; Imo E Hoefer; Tim Leiner Journal: J Cardiovasc Magn Reson Date: 2016-04-14 Impact factor: 5.364