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The value of b required to avoid T2 shine-through from old lucunar infarcts in diffusion-weighted imaging

Geijer, Bo LU ; Sundgren, P C ; Lindgren, Arne LU ; Brockstedt, Sara LU ; Ståhlberg, Freddy LU and Holtås, Stig LU (2001) In Neuroradiology 43(7). p.511-517
Abstract
Multiple small infarcts of different ages are common in small-vessel disease. Diffusion-weighted imaging (DWI) is a powerful method for discriminating new from chronic lesions. This can be done on the diffusion-weighted images provided that b is sufficiently high. Our purpose was to determine that critical value of b. We reviewed DWI from a previous study of acute, mainly lacunar strokes, and selected 18 old lacunar infarcts, well defined on uncoded images with b 0 s/m2 (i. e., T2-weighted images) but invisible on DWI with b 1,200 x 10(6) s/m2. We used a 1.5 tesla imager and single-shot echo-planar technique. We had seven separate acquisitions with echo time 123 ms and b in steps between 0 and 1,200 x 10(6) s/m2. Two neuroradiologists... (More)
Multiple small infarcts of different ages are common in small-vessel disease. Diffusion-weighted imaging (DWI) is a powerful method for discriminating new from chronic lesions. This can be done on the diffusion-weighted images provided that b is sufficiently high. Our purpose was to determine that critical value of b. We reviewed DWI from a previous study of acute, mainly lacunar strokes, and selected 18 old lacunar infarcts, well defined on uncoded images with b 0 s/m2 (i. e., T2-weighted images) but invisible on DWI with b 1,200 x 10(6) s/m2. We used a 1.5 tesla imager and single-shot echo-planar technique. We had seven separate acquisitions with echo time 123 ms and b in steps between 0 and 1,200 x 10(6) s/m2. Two neuroradiologists blinded to the selection of lesions carried out two different lesion-detection procedures, thereby testing each lesion four times, giving a total of 72 tests of b values. The results were consistent, indicating a level for detection of 800 x 10(6) s/m2 in two tests, 400-600 x 10(6) s/m2 in 65 tests and at lower values in the remainder. For imagers up to 1.5 tesla, at long repetition times and an echo time up to 120 ms T2-shine through of old lacunar infarcts can be avoided using b of 1,000 x 10(6) s/m2. (Less)
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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Lacunar infarcts, Diffusion-weighted imaging
in
Neuroradiology
volume
43
issue
7
pages
511 - 517
publisher
Springer
external identifiers
  • pmid:11512577
  • scopus:0034918480
ISSN
1432-1920
DOI
10.1007/s002340100544
language
English
LU publication?
yes
id
732cd575-b0e1-48be-b6dc-858df27f81bc (old id 1121071)
date added to LUP
2016-04-01 11:37:56
date last changed
2022-04-12 22:57:06
@article{732cd575-b0e1-48be-b6dc-858df27f81bc,
  abstract     = {{Multiple small infarcts of different ages are common in small-vessel disease. Diffusion-weighted imaging (DWI) is a powerful method for discriminating new from chronic lesions. This can be done on the diffusion-weighted images provided that b is sufficiently high. Our purpose was to determine that critical value of b. We reviewed DWI from a previous study of acute, mainly lacunar strokes, and selected 18 old lacunar infarcts, well defined on uncoded images with b 0 s/m2 (i. e., T2-weighted images) but invisible on DWI with b 1,200 x 10(6) s/m2. We used a 1.5 tesla imager and single-shot echo-planar technique. We had seven separate acquisitions with echo time 123 ms and b in steps between 0 and 1,200 x 10(6) s/m2. Two neuroradiologists blinded to the selection of lesions carried out two different lesion-detection procedures, thereby testing each lesion four times, giving a total of 72 tests of b values. The results were consistent, indicating a level for detection of 800 x 10(6) s/m2 in two tests, 400-600 x 10(6) s/m2 in 65 tests and at lower values in the remainder. For imagers up to 1.5 tesla, at long repetition times and an echo time up to 120 ms T2-shine through of old lacunar infarcts can be avoided using b of 1,000 x 10(6) s/m2.}},
  author       = {{Geijer, Bo and Sundgren, P C and Lindgren, Arne and Brockstedt, Sara and Ståhlberg, Freddy and Holtås, Stig}},
  issn         = {{1432-1920}},
  keywords     = {{Lacunar infarcts; Diffusion-weighted imaging}},
  language     = {{eng}},
  number       = {{7}},
  pages        = {{511--517}},
  publisher    = {{Springer}},
  series       = {{Neuroradiology}},
  title        = {{The value of b required to avoid T2 shine-through from old lucunar infarcts in diffusion-weighted imaging}},
  url          = {{http://dx.doi.org/10.1007/s002340100544}},
  doi          = {{10.1007/s002340100544}},
  volume       = {{43}},
  year         = {{2001}},
}