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3T MRI Scans More Sensitive, Reliable than 1.5T
BMC Neurol; ePub 2017 Sep 5; Chu, et al
The cerebral subcortical deep gray matter nuclei (DGM) are a common, early, and clinically-relevant site of atrophy in multiple sclerosis (MS) and a recent study comparing 3T to 1.5T MRI scans for obtaining DGM volumes found that 3T showed a somewhat higher sensitivity and reliability. 14 patients with MS [age (mean, range) 50.2 (32.0–60.8) years, disease duration 18.4 (8.2–35.5) years, Expanded Disability Status Scale score 3.1 (0–6), median 3.0] and 15 normal controls (NC) underwent brain 3D T1-weighted paired scan-rescans at 1.5T and 3T. DGM segmentation was obtained by the fully automated FSL-FIRST pipeline. Both raw and normalized volumes were derived. Researchers found:
- DGM volumes were generally higher at 3T vs 1.5T in both groups.
- For raw volumes, 3T showed slightly better sensitivity than 1.5T for detecting DGM atrophy in MS vs NC.
- For normalized volumes, 3T but not 1.5T detected atrophy in the globus pallidus in the MS group.
- Across all subjects, scan-rescan reliability was generally very high for both platforms, showing slightly higher reliability for some DGM volumes at 3T.
Chu R, Hurwitz Sm Tauhid S, Bakshi R. Automated segmentation of cerebral deep gray matter from MRI scans: effect of field strength on sensitivity and reliability. [Published online ahead of print September 5, 2017]. BMC Neurol. doi:10.1186/s12883-017-0949-4.