Arterial hyperintensity on BLADE fluid-attenuated inversion recovery images (FLAIR) in hyperacute territorial infarction: comparison with conventional FLAIR.

Objectives: To evaluate the utility of BLADE fluid-attenuated inversion recovery images (FLAIR) magnetic resonance (MR) imaging compared to conventional FLAIR for the detection of arterial hyperintensity (AH) in hyperacute territorial infarction.Methods: We retrospectively analysed MR images of pati...

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Publicado en:European Radiology Vol. 24; no. 9; pp. 2045 - 2052
Autores principales: Kwag, Eujean, Lim, Soo Mee, Park, Ji Eun, Chae, In Hye
Formato: research Journal Article
Publicado: Springer Nature Sep2014
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2014
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      pub: Springer Nature
      place: New York, New York
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        atl: Arterial hyperintensity on BLADE fluid-attenuated inversion recovery images (FLAIR) in hyperacute territorial infarction: comparison with conventional FLAIR.
      aug:
        au:
          Kwag, Eujean
          Lim, Soo Mee
          Park, Ji Eun
          Chae, In Hye
        affil: Department of Radiology, Mokdong Hospital, Ewha Womans University School of Medicine, Seoul, 158-710, Korea.
      sug:
        subj:
          Infarction Diagnosis
          Cerebral Arteries Pathology
          Magnetic Resonance Imaging Methods
          Neuroradiography Methods
          Acute Disease
          Adult
          Aged
          Artifacts
          Cerebral Cortex Blood Supply
          Female
          Prospective Studies
          Frontal Lobe Blood Supply
          Human
          Male
          Middle Age
          Reproducibility of Results
          Retrospective Design
          Temporal Lobe Blood Supply
          Adult: 19-44 years
          Aged: 65+ years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Objectives: To evaluate the utility of BLADE fluid-attenuated inversion recovery images (FLAIR) magnetic resonance (MR) imaging compared to conventional FLAIR for the detection of arterial hyperintensity (AH) in hyperacute territorial infarction.Methods: We retrospectively analysed MR images of patients with hyperacute (<6 h) territorial infarction over a 9-month study period. Special attention was paid to the presence or absence of AH in the frontal, parietal and temporal lobes and the number of AHs in the sylvian fissure. We also evaluated the presence of three kinds of artefacts on BLADE FLAIR and conventional FLAIR images.Results: AH was seen in 41 (91%) patients with conventional FLAIR and 45 (100%) patients with BLADE FLAIR images. More instances of AH were detected in the frontal, parietal and temporal lobes and within the sylvian fissure using BLADE FLAIR. Motion artefacts, pulsation artefacts from the sigmoid sinus and incomplete cerebrospinal fluid (CSF) nulling that reduced image quality were observed more frequently on conventional FLAIR images than on BLADE FLAIR images.Conclusions: BLADE FLAIR sequences are more sensitive than conventional FLAIR for the detection of AH in hyperacute territorial infarctions and provide better image quality by reducing artefacts. They may be used in place of conventional FLAIR for patients with hyperacute stroke.Key Points: Arterial hyperintensity is an important sign in patients with acute territorial infarctions. BLADE FLAIR sequences are sensitive for the detection of AH. BLADE FLAIR sequences provide better image quality by reducing artefacts.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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