Evidence map›Paper›PMID 34985151›Full record

ArticleMagnetic resonance in medicine2022

Optimization of magnetization transfer contrast for EPI FLAIR brain imaging.

Serdest Demir, Bryan Clifford, Wei-Ching Lo, Azadeh Tabari, Augusto Lio M Goncalves Filho, Min Lang, Stephen F Cauley, Kawin Setsompop, Berkin Bilgic, Michael H Lev and 6 more

Open access · greenAbstract read
In one paragraph

Article in Magnetic resonance in medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.4field-weighted citation impact, top 20% of its field
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

6 citing papers in PubMed, 11 citations in OpenAlex.

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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

16 authors at 4 institutions in 3 countries.

Serdest DemirDepartment of Radiology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Bryan CliffordSiemens Medical Solutions USA, Boston, Massachusetts, USA.ORCID 0000-0002-1966-0581
Wei-Ching LoSiemens Medical Solutions USA, Boston, Massachusetts, USA.
Azadeh TabariDepartment of Radiology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Augusto Lio M Goncalves FilhoDepartment of Radiology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Min LangDepartment of Radiology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Stephen F CauleyDepartment of Radiology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Kawin SetsompopDepartment of Radiology, Stanford University, Stanford, California, USA.
Berkin BilgicDepartment of Radiology, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-9080-7865
Michael H LevDepartment of Radiology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Pamela W SchaeferDepartment of Radiology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Otto RapalinoDepartment of Radiology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Susie Y HuangDepartment of Radiology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Tom HilbertSiemens Healthcare GmbH, Erlangen, Germany.ORCID 0000-0001-8207-4908
Thorsten FeiweierSiemens Healthcare GmbH, Erlangen, Germany.
John ConklinDepartment of Radiology, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0001-9921-2086
Massachusetts General Hospital · USMedical Solutions · GBSiemens Healthineers (Germany) · DEStanford University · US

Funding

Training and Dissemination CoreP41EB030006 · NIBIB · MASSACHUSETTS GENERAL HOSPITAL · PI Susie Yi Huang, BRUCE R ROSEN · 2020 to 2026
$10.9M
NIBIB NIH HHS P41 EB030006
6 · The paper itself

Abstract

purposeTo evaluate the impact of magnetization transfer (MT) on brain tissue contrast in turbo-spin-echo (TSE) and EPI fluid-attenuated inversion recovery (FLAIR) images, and to optimize an MT-prepared EPI FLAIR pulse sequence to match the tissue contrast of a clinical reference TSE FLAIR protocol.

methodsFive healthy volunteers underwent 3T brain MRI, including single slice TSE FLAIR, multi-slice TSE FLAIR, EPI FLAIR without MT-preparation, and MT-prepared EPI FLAIR with variations of the MT-preparation parameters, including number of preparation pulses, pulse amplitude, and resonance offset. Automated co-registration and gray matter (GM) versus white matter (WM) segmentation was performed using a T1-MPRAGE acquisition, and the GM versus WM signal intensity ratio (contrast ratio) was calculated for each FLAIR acquisition.

resultsWithout MT preparation, EPI FLAIR showed poor tissue contrast (contrast ratio = 0.98), as did single slice TSE FLAIR. Multi-slice TSE FLAIR provided high tissue contrast (contrast ratio = 1.14). MT-prepared EPI FLAIR closely approximated the contrast of the multi-slice TSE FLAIR images for two combinations of the MT-preparation parameters (contrast ratio = 1.14). Optimized MT-prepared EPI FLAIR provided a 50% reduction in scan time compared to the reference TSE FLAIR acquisition.

conclusionOptimized MT-prepared EPI FLAIR provides comparable brain tissue contrast to the multi-slice TSE FLAIR images used in clinical practice.

Indexed as

Magnetic Resonance ImagingWhite MatterBrainEcho-Planar ImagingGray MatterHumansNeuroimagingcontrastecho planar imagingFLAIRmagnetization transfer

Identifiers

PMID34985151
PMCPMC8847235
OpenAlexW4206054411

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Registered trials

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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.