Evidence map›Paper›PMID 30320030›Full record

ArticleJournal of biomedical physics & engineering2018

MRS Shimming: An Important Point Which Should not be Ignored.

B Zeinali-Rafsanjani, R Faghihi, M A Mosleh-Shirazi, Saeedi-M Moghadam, M Lotfi, R Jalli, S Sina, L Mina

Abstract read
In one paragraph

Article in Journal of biomedical physics & engineering, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
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  6. Repeatability and Reproducibility ofFrontiers in human neuroscience · 2020
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

B Zeinali-RafsanjaniDepartment of Nuclear Engineering, School of Mechanical Engineering, Shiraz University, Shiraz, Iran.
R FaghihiDepartment of Nuclear Engineering, School of Mechanical Engineering, Shiraz University, Shiraz, Iran.
M A Mosleh-ShiraziMedical imaging research center, Shiraz University of medical sciences, Shiraz, Iran.
Saeedi-M MoghadamMedical imaging research center, Shiraz University of medical sciences, Shiraz, Iran.
M LotfiMedical imaging research center, Shiraz University of medical sciences, Shiraz, Iran.
R JalliMedical imaging research center, Shiraz University of medical sciences, Shiraz, Iran.
S SinaRadiation research center, School of Mechanical Engineering, Shiraz University, Shiraz, Iran.
L MinaRadiology department, Faghihi hospital, Shiraz University of medical sciences, Shiraz, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProton magnetic resonance spectroscopy (MRS) is a well-known device for analyzing the biological fluids metabolically. Obtaining accurate and reliable information via MRS needs a homogeneous magnetic field in order to provide well-defined peaks and uniform water suppression. There are lots of reasons which can disturb the magnetic field homogeneity which can be corrected by a process known as shimming. This study is intended to recall the importance of shimming and also the significant role of quality control (QC) in achieving an accurate quantification. MATERIAL AND

methodAn acrylic cylindrical quality control phantom was designed as an analog of brain MRS test phantoms in order to control the accuracy of the obtained signal of a 1.5 T Siemens MRI system which belonged to one of Shiraz hospitals. The signal of NAA, Cho, Cr, the combination of these metabolites and also the distilled water, which was used in this study, was evaluated using separate phantoms. A QC test was performed using Siemens QC phantom and a standard test phantom.

resultsThe spectrum of our home- made phantom had a significant difference with the expected spectrum. The results of checking the spectrum of metabolites separately also confirmed that there was a systemic problem that affects all the signals originated from all metabolites and even the pure distilled water. The MRS system could not pass QC tests, and peak broadening was common in all spectra. The complex spectrum of standard test phantom was not produced successfully by the MRS system. DISCUSSION: By a simple check of the water peak characteristics, lots of information can be obtained, one of which is the status of shimming that has a considerable effect on the accuracy of the spectrum. Thus, performing an automatic or manual shimming is not a criterion of the spectrum accuracy, and performing a periodic quality control using a test phantom by a specialist is necessary.

conclusionBriefly, the quality control of MRS and all the other clinical device must be taken seriously. Sometimes QC can be the boundary of a right or a wrong decision for the patient.

Indexed as

Magnetic resonance spectroscopyQuality assuranceQuality controlShimming

Identifiers

PMID30320030
PMCPMC6169119

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.