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Final ID: Poster #: SCI-047

3D Gradient Echo mDIXON MRI in Pediatric Osteomyelitis: Initial Experience

Purpose or Case Report: To compare image quality ratings between 3D gradient echo mDIXON (GRE) vs. 2D turbo-spin-echo mDIXON (TSE) in pediatric patients with osteomyelitis.
Methods & Materials: Twenty patients were included in this study. They were imaged with both 3D GRE and 2D TSE after Gadolinium contrast injection. All exams were performed on 3 Tesla Philips Ingenia platforms. All images were retrospectively and independently reviewed by two board certified pediatric body radiologists to compare the conspicuity of lesion borders and quality of fat suppression. The following rating scale was used. -1: GRE superior to TSE, 0: GRE similar to TSE, and 1: TSE superior to GRE. Each radiologist also commented on whether the new GRE approach was “acceptable” or “unacceptable” for diagnostic use.
Results: 10 female and 10 male patients (average age: 11y, range: 6m to 17y) were involved. No 3D GRE images were deemed unacceptable for diagnostic use by either radiologist. For delineation of lesion borders and fat suppression, Radiologist 1 (attending) preferred GRE over TSE in 12 cases, while Radiologist 2 (fellow) preferred GRE in 15 cases. The attending radiologist deemed GRE and TSE similar in 5 cases, while TSE was preferred in the remaining 3 cases. Radiologist 2 preferred TSE in 5 cases.
Conclusions: 3D GRE mDIXON demonstrates clinically acceptable image quality with higher spatial resolution (0.8x0.8x0.8 mm3) and less scan time (0:52) than 2D TSE mDIXON (0.9x0.9x2.5 mm3, 3:51) in a cohort of pediatric patients undergoing osteomyelitis imaging. 3D GRE mDIXON is a viable replacement to 2D mDIXON TSE and may be especially useful in uncooperative patients.
  • Beydoun, Tammam  ( Phoenix Children's Hosptial , Phoenix , Arizona , United States )
  • Pokorney, Amber  ( Phoenix Children's Hosptial , Phoenix , Arizona , United States )
  • Keehn, Brian  ( Phoenix Children's Hosptial , Phoenix , Arizona , United States )
  • Hu, Houchun  ( Phoenix Children's Hosptial , Phoenix , Arizona , United States )
  • Patel, Mittun  ( Phoenix Children's Hosptial , Phoenix , Arizona , United States )
  • Barnes, Craig  ( Phoenix Children's Hosptial , Phoenix , Arizona , United States )
Session Info:

Electronic Exhibits - Scientific

Musculoskeletal

Scientific Exhibits - Scientific

More abstracts on this topic:
Emphysematous Osteomyelitis: The Smoking Gun

Ciotola-koch Jason, Yu Brian, Edquist Mitchell, Thomas Richard, Pierce Drew

Image-guided Percutaneous Bone Biopsy for Pediatric Osteomyelitis: Correlating MRI Findings, Tissue Pathology and Culture, and Effect on Clinical Management

Yen Christopher, Hernandez Alberto, Gardner Gregory, Nazario Maricarmen, Kukreja Kamlesh, Desai Sudhen

More abstracts from these authors:
MRI findings of classic radiographic “Don’t touch lesions”

Keehn Brian, Patel Mittun, Peterson Michael, Dance Logan, Biyyam Deepa, Pokorney Amber, Barnes Craig

MRI Evaluation of Bone and Soft Tissue Lesions Using a 3D mDIXON FFE Technique

Peterson Michael, Patel Mittun, Dance Logan, Keehn Brian, Pokorney Amber, Barnes Craig

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