HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Figures Only Full Text Full Text (PDF) Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Maas, M. Articles by Akkerman, E. M. Search for Related Content PubMed PubMed Citation Articles by Maas, M. Articles by Akkerman, E. M.

Uniform Fat Suppression in Hands and Feet through the Use of Two-Point Dixon Chemical Shift MR Imaging

¹ Department of Diagnostic Radiology, Academic Medical Center, Meibergdreef 9/G1-231, 1105 AZ Amsterdam, the Netherlands.

PURPOSE: To assess the potential of two-point Dixon chemical shift magnetic resonance imaging to achieve uniform fat suppression in the distal parts of the extremities.

MATERIALS AND METHODS: Two-point Dixon chemical shift imaging was performed in 31 consecutive patients clinically suspected to have bone marrow disease. In some patients, Dixon studies were performed before and after the intravenous administration of gadopentetate dimeglumine, and in some patients follow-up examinations were performed, for a total of 64 studies. Areas of interest were the hand, wrist, foot, ankle, and lower leg. There was a special interest in the neuropathic foot and osteomyelitis. The uniformity of fat suppression in the entire field of view, the frequency of displacement artifacts, and the applicability of the technique in routine patient treatment were evaluated.

RESULTS: In 64 (100%) Dixon studies, uniform fat suppression was achieved. In 59 (92%) studies, there were no displacement artifacts. In five (8%) studies, displacement artifacts occurred; however, in only one (2%) study did they severely hamper the reading. Thus, in 63 (98%) studies, adequate diagnostic quality was obtained.

CONCLUSION: Two-point Dixon chemical shift imaging is a good technique for achieving uniform fat suppression in the distal parts of the extremities. Because the frequency of displacement artifacts is low, the technique is applicable in a routine clinical setting.

Index terms: Bone marrow, MR, 40.121414, 40.121415 • Bones, infection, 40.20 • Bones, neuropathic disorder, 40.821 • Diabetes mellitus, complications, 40.20 • Foot, MR, 46.21 • Hand, MR, 43.21 • Magnetic resonance (MR), chemical shift, 43.121414, 46.121414 • Magnetic resonance (MR), fat suppression, 43.121415, 46.121415

This article has been cited by other articles:

				R. A. W. Verhagen, M. Maas, M. G. W. Dijkgraaf, J. L. Tol, R. Krips, and C. N. van Dijk Prospective study on diagnostic strategies in osteochondral lesions of the talus: IS MRI SUPERIOR TO HELICAL CT? J Bone Joint Surg Br, January 1, 2005; 87-B(1): 41 - 46. [Abstract] [Full Text] [PDF]

				S. A. Bus, M. Maas, P. R. Cavanagh, R. P. J. Michels, and M. Levi Plantar Fat-Pad Displacement in Neuropathic Diabetic Patients With Toe Deformity: A magnetic resonance imaging study Diabetes Care, October 1, 2004; 27(10): 2376 - 2381. [Abstract] [Full Text] [PDF]

				M. Maas, C. E. M. Hollak, E. M. Akkerman, J. M. F. G. Aerts, J. Stoker, and G. J. Den Heeten Quantification of Skeletal Involvement in Adults with Type I Gaucher's Disease: Fat Fraction Measured by Dixon Quantitative Chemical Shift Imaging as a Valid Parameter Am. J. Roentgenol., October 1, 2002; 179(4): 961 - 965. [Abstract] [Full Text] [PDF]

				F. J. Rybicki, T. Chung, J. Reid, D. Jaramillo, R. V. Mulkern, and J. Ma Fast Three-Point Dixon MR Imaging Using Low-Resolution Images for Phase Correction: A Comparison with Chemical Shift Selective Fat Suppression for Pediatric Musculoskeletal Imaging Am. J. Roentgenol., November 1, 2001; 177(5): 1019 - 1023. [Abstract] [Full Text] [PDF]