Comparison between 3-point Dixon- and CHESS-based OMERACT-recommended MRI protocols in hands of patients with suspicion of early rheumatoid arthritis
•Three-point Dixon MRI sequences yield more effective fat suppression than CHESS sequences in hands of patients with suspicion of rheumatoid arthritis.•Contrast-enhanced T1-weighted Dixon water-only images yield higher contrast-to-noise ratios than corresponding CHESS images in hands of patients wit...
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Published in | European journal of radiology Vol. 134; p. 109412 |
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Language | English |
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Abstract | •Three-point Dixon MRI sequences yield more effective fat suppression than CHESS sequences in hands of patients with suspicion of rheumatoid arthritis.•Contrast-enhanced T1-weighted Dixon water-only images yield higher contrast-to-noise ratios than corresponding CHESS images in hands of patients with suspicion of rheumatoid arthritis.•Evaluation of disease activity with OMERACT recommended Dixon-based MRI protocols is more reproducible than evaluation with CHESS-based MRI protocols.
To compare fat suppression effectiveness, image quality and disease activity scores between MRI protocols based on the Dixon method and the Chemical Shift Selective (CHESS) technique in hands of patients with suspicion of early rheumatoid arthritis (RA).
Both hands of 28 patients (19 women; mean age 45.2 years old) with suspicion of early RA were prospectively imaged with Dixon- and CHESS-based OMERACT recommended protocols at 1.5 T including fat-suppressed T2-weighted and contrast-enhanced T1-weighted imaging. Two radiologists (R1/R2) separately assessed effectiveness of fat suppression and determined RAMRIS scores woth the Dixon- and CHESS-based protocols. R1 repeated the RAMRIS scoring and measured contrast-to-noise ratios (CNRs) on Dixon and CHESS images. Statistics included 2-way ANOVA test for the comparison of CNRs and Bland-Altman methodology for inter-technique and intra-observer agreement (p < 0.05).
Fat suppression failure occurred in up to 1 patient with the Dixon- and 25 patients with the CHESS-based protocols. CNRs were significantly higher on T1-weighted and lower on T2-weighted Dixon images than on the corresponding CHESS images (p ≤ 0.042). Median bias of the difference between Dixon- and CHESS-based RAMRIS scores was not significantly different from 0 (−0.8 to +1.0 and −1.1 to +1.4 for R1/R2). Median bias of the difference between RAMRIS scores at first and second readings was significantly different from 0 with the CHESS-based protocols (−0.8 to +1.7) but not with the Dixon-based protocols (+0.0 to +1.0).
Dixon sequences yield more effective fat suppression and more reproducible RAMRIS scoring than CHESS sequences in hands with suspicion of early RA. |
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AbstractList | PURPOSETo compare fat suppression effectiveness, image quality and disease activity scores between MRI protocols based on the Dixon method and the Chemical Shift Selective (CHESS) technique in hands of patients with suspicion of early rheumatoid arthritis (RA). METHODBoth hands of 28 patients (19 women; mean age 45.2 years old) with suspicion of early RA were prospectively imaged with Dixon- and CHESS-based OMERACT recommended protocols at 1.5 T including fat-suppressed T2-weighted and contrast-enhanced T1-weighted imaging. Two radiologists (R1/R2) separately assessed effectiveness of fat suppression and determined RAMRIS scores woth the Dixon- and CHESS-based protocols. R1 repeated the RAMRIS scoring and measured contrast-to-noise ratios (CNRs) on Dixon and CHESS images. Statistics included 2-way ANOVA test for the comparison of CNRs and Bland-Altman methodology for inter-technique and intra-observer agreement (p < 0.05). RESULTSFat suppression failure occurred in up to 1 patient with the Dixon- and 25 patients with the CHESS-based protocols. CNRs were significantly higher on T1-weighted and lower on T2-weighted Dixon images than on the corresponding CHESS images (p ≤ 0.042). Median bias of the difference between Dixon- and CHESS-based RAMRIS scores was not significantly different from 0 (-0.8 to +1.0 and -1.1 to +1.4 for R1/R2). Median bias of the difference between RAMRIS scores at first and second readings was significantly different from 0 with the CHESS-based protocols (-0.8 to +1.7) but not with the Dixon-based protocols (+0.0 to +1.0). CONCLUSIONSDixon sequences yield more effective fat suppression and more reproducible RAMRIS scoring than CHESS sequences in hands with suspicion of early RA. •Three-point Dixon MRI sequences yield more effective fat suppression than CHESS sequences in hands of patients with suspicion of rheumatoid arthritis.•Contrast-enhanced T1-weighted Dixon water-only images yield higher contrast-to-noise ratios than corresponding CHESS images in hands of patients with suspicion of rheumatoid arthritis.•Evaluation of disease activity with OMERACT recommended Dixon-based MRI protocols is more reproducible than evaluation with CHESS-based MRI protocols. To compare fat suppression effectiveness, image quality and disease activity scores between MRI protocols based on the Dixon method and the Chemical Shift Selective (CHESS) technique in hands of patients with suspicion of early rheumatoid arthritis (RA). Both hands of 28 patients (19 women; mean age 45.2 years old) with suspicion of early RA were prospectively imaged with Dixon- and CHESS-based OMERACT recommended protocols at 1.5 T including fat-suppressed T2-weighted and contrast-enhanced T1-weighted imaging. Two radiologists (R1/R2) separately assessed effectiveness of fat suppression and determined RAMRIS scores woth the Dixon- and CHESS-based protocols. R1 repeated the RAMRIS scoring and measured contrast-to-noise ratios (CNRs) on Dixon and CHESS images. Statistics included 2-way ANOVA test for the comparison of CNRs and Bland-Altman methodology for inter-technique and intra-observer agreement (p < 0.05). Fat suppression failure occurred in up to 1 patient with the Dixon- and 25 patients with the CHESS-based protocols. CNRs were significantly higher on T1-weighted and lower on T2-weighted Dixon images than on the corresponding CHESS images (p ≤ 0.042). Median bias of the difference between Dixon- and CHESS-based RAMRIS scores was not significantly different from 0 (−0.8 to +1.0 and −1.1 to +1.4 for R1/R2). Median bias of the difference between RAMRIS scores at first and second readings was significantly different from 0 with the CHESS-based protocols (−0.8 to +1.7) but not with the Dixon-based protocols (+0.0 to +1.0). Dixon sequences yield more effective fat suppression and more reproducible RAMRIS scoring than CHESS sequences in hands with suspicion of early RA. To compare fat suppression effectiveness, image quality and disease activity scores between MRI protocols based on the Dixon method and the Chemical Shift Selective (CHESS) technique in hands of patients with suspicion of early rheumatoid arthritis (RA). Both hands of 28 patients (19 women; mean age 45.2 years old) with suspicion of early RA were prospectively imaged with Dixon- and CHESS-based OMERACT recommended protocols at 1.5 T including fat-suppressed T2-weighted and contrast-enhanced T1-weighted imaging. Two radiologists (R1/R2) separately assessed effectiveness of fat suppression and determined RAMRIS scores woth the Dixon- and CHESS-based protocols. R1 repeated the RAMRIS scoring and measured contrast-to-noise ratios (CNRs) on Dixon and CHESS images. Statistics included 2-way ANOVA test for the comparison of CNRs and Bland-Altman methodology for inter-technique and intra-observer agreement (p < 0.05). Fat suppression failure occurred in up to 1 patient with the Dixon- and 25 patients with the CHESS-based protocols. CNRs were significantly higher on T1-weighted and lower on T2-weighted Dixon images than on the corresponding CHESS images (p ≤ 0.042). Median bias of the difference between Dixon- and CHESS-based RAMRIS scores was not significantly different from 0 (-0.8 to +1.0 and -1.1 to +1.4 for R1/R2). Median bias of the difference between RAMRIS scores at first and second readings was significantly different from 0 with the CHESS-based protocols (-0.8 to +1.7) but not with the Dixon-based protocols (+0.0 to +1.0). Dixon sequences yield more effective fat suppression and more reproducible RAMRIS scoring than CHESS sequences in hands with suspicion of early RA. |
ArticleNumber | 109412 |
Author | Michoux, Nicolas Durez, Patrick Vande Berg, Bruno Kirchgesner, Thomas Stoenoiu, Maria |
Author_xml | – sequence: 1 givenname: Thomas surname: Kirchgesner fullname: Kirchgesner, Thomas email: thomas.kirchgesner@uclouvain.be organization: Department of Medical Imaging, Musculoskeletal Imaging Unit, Cliniques universitaires Saint-Luc, Université Catholique de Louvain, Institut de Recherche Expérimentale et Clinique (IREC), Avenue Hippocrate 10 1200, Brussels, Belgium – sequence: 2 givenname: Maria surname: Stoenoiu fullname: Stoenoiu, Maria organization: Department of Rheumatology, Cliniques universitaires Saint-Luc, Université Catholique de Louvain, Institut de Recherche Expérimentale et Clinique (IREC), Avenue Hippocrate 10 1200, Brussels, Belgium – sequence: 3 givenname: Nicolas surname: Michoux fullname: Michoux, Nicolas organization: Department of Medical Imaging, Musculoskeletal Imaging Unit, Cliniques universitaires Saint-Luc, Université Catholique de Louvain, Institut de Recherche Expérimentale et Clinique (IREC), Avenue Hippocrate 10 1200, Brussels, Belgium – sequence: 4 givenname: Patrick surname: Durez fullname: Durez, Patrick organization: Department of Rheumatology, Cliniques universitaires Saint-Luc, Université Catholique de Louvain, Institut de Recherche Expérimentale et Clinique (IREC), Avenue Hippocrate 10 1200, Brussels, Belgium – sequence: 5 givenname: Bruno surname: Vande Berg fullname: Vande Berg, Bruno organization: Department of Medical Imaging, Musculoskeletal Imaging Unit, Cliniques universitaires Saint-Luc, Université Catholique de Louvain, Institut de Recherche Expérimentale et Clinique (IREC), Avenue Hippocrate 10 1200, Brussels, Belgium |
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CitedBy_id | crossref_primary_10_5334_jbsr_2692 crossref_primary_10_1016_j_diii_2021_01_011 crossref_primary_10_3389_fmed_2023_1154828 crossref_primary_10_1007_s00256_022_04238_8 crossref_primary_10_1016_j_diii_2023_03_005 crossref_primary_10_1016_j_diii_2021_09_010 crossref_primary_10_1136_rmdopen_2021_002128 |
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Keywords | CHESS SE OMERACT MRI CNR Rheumatoid arthritis Fat GRE RAMRIS Dixon Hand RA |
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Snippet | •Three-point Dixon MRI sequences yield more effective fat suppression than CHESS sequences in hands of patients with suspicion of rheumatoid... To compare fat suppression effectiveness, image quality and disease activity scores between MRI protocols based on the Dixon method and the Chemical Shift... PURPOSETo compare fat suppression effectiveness, image quality and disease activity scores between MRI protocols based on the Dixon method and the Chemical... |
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SubjectTerms | Arthritis, Rheumatoid - diagnostic imaging CHESS Dixon Fat Female Hand Hand - diagnostic imaging Humans Magnetic Resonance Imaging Middle Aged MRI Rheumatoid arthritis |
Title | Comparison between 3-point Dixon- and CHESS-based OMERACT-recommended MRI protocols in hands of patients with suspicion of early rheumatoid arthritis |
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