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Comparison of Multi-Echo Dixon Methods with Volume Interpolated Breath-Hold Gradient Echo Magnetic Resonance Imaging in Fat-Signal Fraction Quantification of Paravertebral Muscle

Authors
 Yeon Hwa Yoo  ;  Hak Sun Kim  ;  Young Han Lee  ;  Choon Sik Yoon  ;  Mun Young Paek  ;  MS  ;  Hanna Yoo  ;  Stephan Kannengiesser  ;  Tae Sub Chung  ;  Ho Taek Song  ;  Jin Suck Suh  ;  Sungjun Kim 
Citation
 Korean Journal of Radiology, Vol.16(5) : 1086-1095, 2015 
Journal Title
 Korean Journal of Radiology 
ISSN
 1229-6929 
Issue Date
2015
Abstract
OBJECTIVE: To assess whether multi-echo Dixon magnetic resonance (MR) imaging with simultaneous T2* estimation and correction yields more accurate fat-signal fraction (FF) measurement of the lumbar paravertebral muscles, in comparison with non-T2*-corrected two-echo Dixon or T2*-corrected three-echo Dixon, using the FF measurements from single-voxel MR spectroscopy as the reference standard. MATERIALS AND METHODS: Sixty patients with low back pain underwent MR imaging with a 1.5T scanner. FF mapping images automatically obtained using T2*-corrected Dixon technique with two (non-T2*-corrected), three, and six echoes, were compared with images from single-voxel MR spectroscopy at the paravertebral muscles on levels L4 through L5. FFs were measured directly by two radiologists, who independently drew the region of interest on the mapping images from the three sequences. RESULTS: A total of 117 spectroscopic measurements were performed either bilaterally (57 of 60 subjects) or unilaterally (3 of 60 subjects). The mean spectroscopic FF was 14.3 ± 11.7% (range, 1.9-63.7%). Interobserver agreement was excellent between the two radiologists. Lin's concordance correlation between the spectroscopic findings and all the imaging-based FFs were statistically significant (p < 0.001). FFs obtained from the T2*-corrected six-echo Dixon sequences showed a significantly better concordance with the spectroscopic data, with its concordance correlation coefficient being 0.99 and 0.98 (p < 0.001), as compared with two- or three-echo methods. CONCLUSION: T2*-corrected six-echo Dixon sequence would be a better option than two- or three-echo methods for noninvasive quantification of lumbar muscle fat quantification.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/141379
DOI
10.3348/kjr.2015.16.5.1086
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Yonsei Biomedical Research Center (연세의생명연구원)
Yonsei Authors
김성준(Kim, Sungjun)
김학선(Kim, Hak Sun)
서진석(Suh, Jin Suck)
송호택(Song, Ho Taek)
유연화(Yoo, Yeon Hwa)
유한나(Yoo, Han Na)
윤춘식(Yoon, Choon Sik)
이영한(Lee, Young Han)
정태섭(Chung, Tae Sub)
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