• Richard Kijowski, Michael A Woods, Kenneth S Lee, Kuya Takimi, Huanzhou Yu, Ann Shimakawa, Jean H Brittain, and Scott B Reeder.
• Department of Radiology, University of Wisconsin, Madison, Wisconsin, USA. r.kijowski@hosp.wisc.edu
• J Magn Reson Imaging. 2009 Feb 1; 29 (2): 436-42.

PurposeTo evaluate and quantify improvements in the quality of fat suppression for fast spin-echo imaging of the knee using multipeak fat spectral modeling and IDEAL fat-water separation.Materials And MethodsT(1)-weighted and T(2)-weighted fast spin-echo sequences with IDEAL fat-water separation and two frequency-selective fat-saturation methods (fat-selective saturation and fat-selective partial inversion) were performed on 10 knees of five asymptomatic volunteers. The IDEAL images were reconstructed using a conventional single-peak method and precalibrated and self-calibrated multipeak methods that more accurately model the NMR spectrum of fat. The signal-to-noise ratio (SNR) was measured in various tissues for all sequences. Student t-tests were used to compare SNR values.ResultsPrecalibrated and self-calibrated multipeak IDEAL had significantly greater suppression of signal (P < 0.05) within subcutaneous fat and bone marrow than fat-selective saturation, fat-selective partial inversion, and single-peak IDEAL for both T(1)-weighted and T(2)-weighted fast spin-echo sequences. For T(1)-weighted fast spin-echo sequences, the improvement in the suppression of signal within subcutaneous fat and bone marrow for multipeak IDEAL ranged between 65% when compared to fat-selective partial inversion to 86% when compared to fat-selectivesaturation. For T2-weighted fast spin-echo sequences, the improvement for multipeak IDEAL ranged between 21% when compared to fat-selective partial inversion to 81% when compared to fat-selective saturation.ConclusionMultipeak IDEAL fat-water separation provides improved fat suppression for T(1)-weighted and T(2)-weighted fast spin-echo imaging of the knee when compared to single-peak IDEAL and two widely used frequency-selected fat-saturation methods.

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