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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

 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 
 Korean Journal of Radiology, Vol.16(5) : 1086-1095, 2015 
Journal Title
 Korean Journal of Radiology 
Issue Date
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.
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1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Yonsei Biomedical Research Center (연세의생명연구원) > 1. Journal Papers
Yonsei Authors
김성준(Kim, Sungjun) ORCID logo https://orcid.org/0000-0002-7876-7901
김학선(Kim, Hak Sun) ORCID logo https://orcid.org/0000-0002-8330-4688
서진석(Suh, Jin Suck) ORCID logo https://orcid.org/0000-0001-9455-9240
송호택(Song, Ho Taek) ORCID logo https://orcid.org/0000-0002-6655-2575
유연화(Yoo, Yeon Hwa)
유한나(Yoo, Han Na)
윤춘식(Yoon, Choon Sik) ORCID logo https://orcid.org/0000-0003-2010-6710
이영한(Lee, Young Han) ORCID logo https://orcid.org/0000-0002-5602-391X
정태섭(Chung, Tae Sub)
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