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Highly Accelerated Wave-CAIPI 3D SPACE FLAIR Compared to Standard 3D SPACE FLAIR for Epilepsy Imaging at 3T
Augusto Lio M. Goncalves Filho1,2, Chanon Ngamsombat3, Stephen F. Cauley2, Wei Liu4, Daniel N. Splitthoff5, Wei-Ching Lo6, John E. Kirsch1, Pamela W. Schaefer1, Otto Rapalino1, Susie Y. Huang1,2, and John Conklin1,2
1Department of Radiology, Massachusetts General Hospital, Boston, MA, United States, 2Department of Radiology, Athinoula A. Martinos Center for Biomedical Imaging, Charlestown, MA, United States, 3Department of Radiology, Siriraj Hospital, Bangkok, Thailand, 4Siemens Shenzhen Magnetic Resonance Ltd., Shenzhen, China, 5Siemens Healthcare GmbH, Erlangen, Germany, 6Siemens Medical Solutions Inc., Boston, MA, United States
Accelerated Wave-SPACE FLAIR is non-inferior to standard SPACE FLAIR for detection of epileptogenic lesions on 3T MRI. Wave-SPACE FLAIR is up to 4x faster than standard SPACE FLAIR, while being less susceptible to flow-related artifacts and motion.
Figure 2. Representative images showing a 36-year-old man with Left Mesial Temporal Sclerosis (arrow). The signal and morphological abnormalities compatible with hippocampal sclerosis are equally seen in both 3D Wave-CAIPI SPACE FLAIR (A) and in the 3D standard SPACE FLAIR (B).
Figure 3. Representative images showing a 32-year-old man with Tuberous Sclerosis presenting with cortical tubers (arrows) and radial bands (arrowheads). The standard SPACE FLAIR (A) sequence showed greater image degradation due to motion, contrasting with the better performance of the Wave-CAIPI SPACE FLAIR (B) sequence that was preferred over the standard sequence in the head-to-head comparison.