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Technical Article
Comparative study on three kinds of 3.0 T MRI sequences for lumbar facet joint cartilage
LUO Muqing  LI Hongwei  ZHANG Kun  MA Mengtian  LIAO Yunjie  Yan Luyou  GAO Hui  LI Ping 

Cite this article as: Luo MQ, Li HW, Zhang K, et al. Comparative study on three kinds of 3.0 T MRI sequences for lumbar facet joint cartilage[J]. Chin J Magn Reson Imaging, 2022, 13(8): 65-70. DOI:10.12015/issn.1674-8034.2022.08.012.


[Abstract] Objective To compare the image quality and imaging characteristics of three 3.0 T MRI sequences of lumbar facet joint cartilage.Materials and Methods Thirty healthy subjects were studied with four chosen sequences using a 3.0 T MRI scanner. The sequences were T1WI/T2WI, water excitation three-dimensional spoiled gradient echo sequence (3D-WATSc), three-dimensional T1 fast field echo (3D-T1-FFE) and three-dimensional proton density weighted imaging volumetric isotropic turbo spin echo acquisition (3D-PDWI-VISTA). Two radiologists subjectively evaluated these MRI images qualitatively and quantitatively. Qualitative evaluation index including cartilage signal uniformity, cartilage-joint space edge sharpness, cartilage-bone edge sharpness, cartilage-joint space contrast, cartilage-bone contrast. Quantitative indicators include signal to noise ratio (SNR) and contrast to noise ratio (CNR).Results The 3D-WATSc had the highest scores among the 5 qualitative indexes, and the 3D-T1-FFE had the second-highest scores. Only the difference of signal uniformity between the two was statistically significant (P<0.05). The 3D-PDWI-VISTA is almost indistinguishable from the anatomical structure of the lumbar facet joint. The 3D-WATSc showed that cartilage SNR [L4/L5 (70.73±14.86), L5/S1 (73.50±13.63)] and the CNR of cartilage-space [L4/L5 (25.30±8.44), L5/S1 (21.64±13.01)], cartilage-bone [L4/L5 (60.75±14.68), L5/S1 (64.31±12.98)], and cartilage-bone marrow [L4/L5 (50.22±14.33), L5/S1 (54.46±10.99)] were higher than that of 3D-T1-FFE, and the difference were statistically significant (P<0.05).Conclusions The 3D-WATSc can present the anatomical structure of lumbar facet joints in detail, which is superior to 3D-T1-FFE and 3D-PDWI-VISTA. 3D-WATSc has advantage in imaging of lumbar facet joint cartilage and clinical diagnosis of lumbar facet joint degeneration.
[Keywords] magnetic resonance imaging;lumbar facet joint;articular cartilage;degeneration;sequence

LUO Muqing1   LI Hongwei2   ZHANG Kun1*   MA Mengtian3   LIAO Yunjie3   Yan Luyou1   GAO Hui1   LI Ping1  

1 Department of Radiology, First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha 410007, China

2 Department of Radiology, Huaihua Hospital of Traditional Chinese Medicine, Huaihua 418099, China

3 Department of Radiology, the Third Xiangya Hospital of Central South University, Changsha 410003, China

Zhang K, E-mail: kun_zhang0102@163.com

Conflicts of interest   None.

ACKNOWLEDGMENTS National Natural Science Foundation of China (No. 81603482); Key Discipline Construction Project of Hunan University of Chinese Medicine (No. 4901-020000200806).
Received  2022-04-08
Accepted  2022-07-28
DOI: 10.12015/issn.1674-8034.2022.08.012
Cite this article as: Luo MQ, Li HW, Zhang K, et al. Comparative study on three kinds of 3.0 T MRI sequences for lumbar facet joint cartilage[J]. Chin J Magn Reson Imaging, 2022, 13(8): 65-70. DOI:10.12015/issn.1674-8034.2022.08.012.

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