title: T1-weighted imaging of the brain at 3 tesla using a 2-dimensional spoiled gradient echo technique.
abstract: OBJECTIVE
  The objective of this study was to evaluate a 2-dimensional spoiled gradient echo (GRE) imaging approach using a very short in-phase TE for routine T1-weighted imaging of the brain at 3 T.
  
  
  METHODS
  Patient examinations were compared from a 3 T magnetic resonance (MR) unit located immediately adjacent to a similarly equipped 1.5 T unit. Pre- and postcontrast T1-weighted images were evaluated and compared at 1.5 versus 3 T with a 2-dimensional (2-D) spin echo sequence used at 1.5 T and a 2-D GRE sequence at 3 T. The 2 MR systems used are from the same vendor, use similar 8-channel coils, and use identical gradients. The T1-weighted GRE sequence, used at 3 T, relies on a short TE (2.4 ms) to limit flow-related and susceptibility artifacts. Region-of-interest analysis was performed on 16 different sagittal patient examinations at both field strengths (32 total) and similarly on 10 different pre- and postcontrast axial examinations (40 total). Four blinded neuroradiologists also evaluated these studies.
  
  
  RESULTS
  Using an off-midline sagittal slice depicting the caudate nucleus (signal-to-noise ratio [SNR] 163 +/- 28 vs. 70 +/- 7, 3 T vs. 1.5 T) and corona radiata (SNR 214 +/- 35 vs. 82 +/- 10), 3 T markedly outperformed 1.5 T in both SNR and contrast-to-noise ratio (CNR) (51 +/- 14 vs. 12 +/- 5). On axial imaging, despite a reduction in slice thickness (5 to 3 mm) and scan time (5 to 1 minute), there was no significant difference pre- or postcontrast in SNR and CNR comparing 3 and 1.5 T. On blinded film review, 3 T performed slightly better on sagittal scans than 1.5 T in regard to motion artifacts (reduced), gray-white matter differentiation, and overall image quality. On axial scans, 3 T performed markedly better in all 3 categories both pre- and postcontrast. In regard to overall image quality, 3 T was preferred 9:2 precontrast and 4:1 postcontrast.
  
  
  CONCLUSIONS
  High-quality, thin-section (3-mm) T1-weighted imaging can be readily performed at 3 T using a short TE 2-D GRE technique. This approach offers superior SNR and CNR with reduced motion artifacts and scan time as compared with imaging at 1.5 T and is advocated for routine brain imaging at 3 T. It is robust (used in over 1500 patients to date) and does not experience significant specific absorption ratio limitations, poor tissue contrast, or accentuated motion artifacts like encountered with spin echo T1-weighted imaging at 3 T.
authors.affiliation: Department of Diagnostic Radiology, Scott and White Clinic and Hospital, Temple, TX 76508, USA. runge@att.net
authors.forename: Val M
authors.initials: VM
authors.lastname: Runge
authors.forename: Mittun C
authors.initials: MC
authors.lastname: Patel
authors.forename: Shannon S
authors.initials: SS
authors.lastname: Baumann
authors.forename: Alexander B
authors.initials: AB
authors.lastname: Simonetta
authors.forename: John A
authors.initials: JA
authors.lastname: Ponzo
authors.forename: Walter S
authors.initials: WS
authors.lastname: Lesley
authors.forename: Gordon W
authors.initials: GW
authors.lastname: Calderwood
authors.forename: L G
authors.initials: LG
authors.lastname: Naul
mesh_terms: D000328:Adult; D000368:Aged; D016477:Artifacts; D001921:Brain / Q000473:pathology; D001927:Brain Diseases / Q000175:diagnosis*; D005260:Female; D006801:Humans; D007089:Image Enhancement; D007091:Image Processing, Computer-Assisted; D008279:Magnetic Resonance Imaging / Q000295:instrumentation / Q000379:methods*; D008297:Male