Optimization Of Fat Suppression Techniques Using Dixon And Application In MRI Examination
Abstract
ABSTRACT
Magnetic resonance imaging has been used to detect and assess the presence and extent of fat accumulation. Dixon technique has been used clinically to achieve fat suppression through different presession frequencies of fat and water protons. Dixon, allows the contribution of fat signals to be suppressed in post-processing rather than during acquisition, as well as providing a map of the distribution of water and fat. The aims of this study is to analyze the role of Dixon techniques on fat suppression or fat quantification. Evaluated its advantages in performing fat suppression, reducing artifacts, and describing Dixon's application on MRI examination. Literature review was conducted to analyze the effectiveness, role, and advantages of Dixon techniques in MRI examinations. Articles are selected based on inclusion criteria. Each article is qualitatively analyzed and explained descriptively. The results show that Dixon technique can be combined with several sequences, including gradient echo or fast spin echo. Scanning with Dixon sequences, namely 2-point Dixon, 3-point Dixon, 6-point Dixon and multi-point Dixon. Dixon technique used provides better fat suppression even in areas where other techniques fail for technical reasons. The uniformity of Dixon's technique in suppressing fat signals is significantly higher. Dixon technique plays an excellent role in MRI imaging of the head and neck, musculoskeletal, abdominal and breast. In conclusion, Dixon technique has been proven to be able perform fat suppression more effectively on MRI examination. In its application, Dixon can shorten the scanning time, thereby reducing the risk factor for sedation, especially for children.
ABSTRAK
Magnetic Resonance Imaging telah digunakan untuk mendeteksi dan menilai keberadaan dan tingkat akumulasi lemak. Teknik Dixon telah digunakan secara klinis untuk mencapai penekanan lemak melalui frekuensi presesi yang berbeda dari proton lemak dan air. Dixon memungkinkan kontribusi sinyal lemak ditekan dalam pasca-pemrosesan daripada selama akuisisi, serta menyediakan peta distribusi air dan lemak. Tujuan dari penelitian ini adalah untuk menganalisis peran teknik Dixon terhadap penekanan lemak atau kuantifikasi lemak. Mengevaluasi keuntungannya dalam melakukan penekanan lemak, mengurangi artefak, dan menggambarkan aplikasi Dixon pada pemeriksaan MRI. Literature review dilakukan untuk menganalisis efektivitas, peran, dan keunggulan teknik Dixon dalam pemeriksaan MRI. Artikel dipilih berdasarkan kriteria inklusi. Setiap artikel dianalisis secara kualitatif dan dijelaskan secara deskriptif. Hasil penelitian menunjukkan bahwa teknik Dixon dapat dikombinasikan dengan beberapa urutan, termasuk gradient echo atau fast spin echo. Pemindaian dengan urutan Dixon, yaitu 2-point Dixon, 3-point Dixon, 6-point Dixon dan multi-point Dixon. Teknik Dixon yang digunakan memberikan penekanan lemak yang lebih baik bahkan di daerah di mana teknik lain gagal karena alasan teknis. Keseragaman teknik Dixon dalam menekan sinyal lemak secara signifikan lebih tinggi. Teknik Dixon memainkan peran yang sangat baik dalam pencitraan MRI kepala dan leher, muskuloskeletal, perut dan payudara. Kesimpulannya, teknik Dixon telah terbukti mampu melakukan penekanan lemak dengan lebih efektif pada pemeriksaan MRI. Dalam penerapannya, Dixon dapat mempersingkat waktu pemindaian, sehingga mengurangi faktor risiko sedasi, terutama untuk anak-anak.
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Lins CF, Salmon CEG, Nogueira-Barbosa MH. Applications of the dixon technique in the evaluation of the musculoskeletal system. Radiol Bras. 2021;54(1):33–42.
Korinek R, Bartusek K, Starcuk Z. Fast triple-spin-echo Dixon (FTSED) sequence for water and fat imaging. Magn Reson Imaging [Internet]. 2017;37:164–70. Tersedia pada: http://dx.doi.org/10.1016/j.mri.2016.11.015
Bastian-Jordan M, Dhupelia S, McMeniman M, Lanham M, Hislop-Jambrich J. A quality audit of MRI knee exams with the implementation of a novel 2-point DIXON sequence. J Med Radiat Sci. 2019;66(3):163–9.
Lee S, Choi DS, Shin HS, Baek HJ, Choi HC, Park SE. FSE T2-weighted two-point dixon technique for fat suppression in the lumbar spine: Comparison with SPAIR technique. Diagnostic Interv Radiol. 2018;24(3):175–80.
Guerini H, Omoumi P, Guichoux F, Vuillemin V, Morvan G, Zins M, dkk. Fat Suppression with Dixon Techniques in Musculoskeletal Magnetic Resonance Imaging: A Pictorial Review. Semin Musculoskelet Radiol. 2015;19(4):335–47.
Grimm A, Meyer H, Nickel MD, Nittka M, Raithel E, Chaudry O, dkk. Evaluation of 2-point, 3-point, and 6-point Dixon magnetic resonance imaging with flexible echo timing for muscle fat quantification. Eur J Radiol [Internet]. 2018;103:57–64. Tersedia pada: https://doi.org/10.1016/j.ejrad.2018.04.011
Samji K, Alrashed A, Shabana WM, McInnes MDF, Bayram E, Schieda N. Comparison of high-resolution T1W 3D GRE (LAVA) with 2-point Dixon fat/water separation (FLEX) to T1W fast spin echo (FSE) in prostate cancer (PCa). Clin Imaging [Internet]. 2016;40(3):407–13. Tersedia pada: http://dx.doi.org/10.1016/j.clinimag.2015.11.023
Gaddikeri S, Mossa-Basha M, Andre JB, Hippe DS, Anzai Y. Optimal Fat Suppression in Head and Neck MRI: Comparison of Multipoint Dixon with 2 Different Fat-Suppression Techniques, Spectral Presaturation and Inversion Recovery, and STIR. Am J Neuroradiol. 2018;39(2):362–8.
Shimizu K, Namimoto T, Nakagawa M, Morita K, Oda S, Nakaura T, dkk. Hepatic fat quantification using automated six-point Dixon: Comparison with conventional chemical shift based sequences and computed tomography. Clin Imaging. 2017;45:111–7.
Donners R, Hirschmann A, Gutzeit A, Harder D. T2-weighted Dixon MRI of the spine: A feasibility study of quantitative vertebral bone marrow analysis. Diagn Interv Imaging [Internet]. 2021;102(7–8):431–8. Tersedia pada: https://doi.org/10.1016/j.diii.2021.01.013
Zhan C, Olsen S, Zhang HC, Kannengiesser S, Chandarana H, Shanbhogue KP. Detection of hepatic steatosis and iron content at 3 Tesla: comparison of two-point Dixon, quantitative multi-echo Dixon, and MR spectroscopy. Abdom Radiol [Internet]. 2019;44(9):3040–8. Tersedia pada: https://doi.org/10.1007/s00261-019-02118-9
Kalovidouri A, Firmenich N, Delattre BMA, Picarra M, Becker CD, Montet X, dkk. Fat suppression techniques for breast MRI: Dixon versus spectral fat saturation for 3D T1-weighted at 3 T. Radiol Medica. 2017;122(10):731–42.
Huijgen WHF, van Rijswijk CSP, Bloem JL. Is fat suppression in T1 and T2 FSE with mDixon superior to the frequency selection-based SPAIR technique in musculoskeletal tumor imaging? Skeletal Radiol. 2019;48(12):1905–14
Pokorney AL, Chia JM, Pfeifer CM, Miller JH, Hu HH. Improved fat-suppression homogeneity with mDIXON turbo spin echo (TSE) in pediatric spine imaging at 3.0 T. Acta radiol. 2017;58(11):1386–94.
Sollmann N, Rüther C, Schön S, Zimmer C, Baum T, Kirschke JS. Implementation of a sagittal T2-weighted DIXON turbo spin-echo sequence may shorten MRI acquisitions in the emergency setting of suspected spinal bleeding. Eur Radiol Exp. 2021;5(1).
Shigenaga Y, Takenaka D, Hashimoto T, Ishida T. Robustness of a Combined Modified Dixon and PROPELLER Sequence with Two Interleaved Echoes in Clinical Head and Neck MRI. 2020;1–7.
DOI: https://doi.org/10.31983/jahmt.v5i1.9486
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