The Study on Reduction of Image Distortion by using Single-Shot Turbo Spin Echo in Brain Stem Diffusion MRI

국문 초록 (Abstract)

본 연구는 DWI 검사 시 자화율 차이로 인해 뇌줄기에 발생하는 영상의 왜곡을 새로운 SS-TSE를 적용하여 감소시키고자 하였다. 연구방법은 2015년 7월부터 동년 9월까지 DWI 검사를 검사한 30명을 대상으로, 기존의 SS-EPI 기법과 새로운 SS-TSE를 적용하여 기법에 따른 뇌줄기의 왜곡과 오차율을 비교평가 하였다. 연구결과, 새로운 SS-TSE 적용 시 왜곡이 감소된 것을 볼 수 있으며, 오차율 또한 b0 영상은 2.4%(11.1%에서 8.7%), b1000 영상은 1.2%(11.4%에서 10.1%) 감소하는 것을 볼 수 있었다. 결론적으로, 뇌줄기의 DWI 검사 시 본 연구의 SS-TSE를 이용하면 기존 기법 사용 시 발생하는 영상의 왜곡을 감소시킬 수 있어 진단적 가치가 높은 영상을 획득할 수 있다.

다국어 초록 (Multilingual Abstract)

Single-shot echo planar imaging(SS-EPI) is well established as high sensitivity for ischemic stroke. However, it is prone to susceptibility artifact in brain stem that diminish the image quality. single-shot turbo spinecho(SS-TSE) is a new DWI technique that can reduce susceptibility artifact. Thus, this research was conducted so as to reduce geometric distortion in brain stem by using single-shot turbo spin echo technique. Thirty patients without brain disease underwent diffusion MR on a 3T scanner with SS-EPI and SS-TSE. Obtained images with both sequences were analyzed for geometric distortion and error percentage as well. Image quality in terms of geometric distortion of SS-TSE were found to be significantly better than those for SS-EPI. And error percentage was considerably reduced for 2.4% of b0 image(from 11.1% to 8.7%), 1.2% of b1000 image(from 11.4% to 10.1%), respectively. In summary, diffusion MR using SS-TSE significantly reduce geometric distortion compared to SS-EPI in brain stem and may provide improved diagnostic performance.

목차 (Table of Contents)

• ABSTRACT
• Ⅰ. INTRODUCTION
• Ⅱ. MATERIALS AND METHODS
• Ⅲ. RESULT
• Ⅳ. DISCUSSION
• Ⅴ. CONCULSION
• Acknowledgement
• Reference
• 요 약