• Neuroradiology · Feb 2011

    Subtraction of unidirectionally encoded images for suppression of heavily isotropic objects (SUSHI) for selective visualization of peripheral nerves.

    • Taro Takahara, Thomas C Kwee, Jeroen Hendrikse, Marc Van Cauteren, Dow-Mu Koh, Tetsu Niwa, Willem P T M Mali, and Peter R Luijten.
    • Department of Radiology, University Medical Center Utrecht, Heidelberglaan 100, 3508GX Utrecht, The Netherlands. tarorin@rr.iij4u.or.jp
    • Neuroradiology. 2011 Feb 1;53(2):109-16.

    IntroductionThe aim of this study was to introduce and assess a new magnetic resonance (MR) technique for selective peripheral nerve imaging, called "subtraction of unidirectionally encoded images for suppression of heavily isotropic objects" (SUSHI).MethodsSix volunteers underwent diffusion-weighted MR neurography (DW-MRN) of the brachial plexus, and seven volunteers underwent DW-MRN of the sciatic, common peroneal, and tibial nerves at the level of the knee, at 1.5 T. DW-MRN images with SUSHI (DW-MRN(SUSHI)) and conventional DW-MRN images (DW-MRN(AP)) were displayed using a coronal maximum intensity projection and evaluated by two independent observers regarding signal suppression of lymph nodes, bone marrow, veins, and articular fluids and regarding signal intensity of nerves and ganglia, using five-point grading scales. Scores of DW-MRN(SUSHI) were compared to those of DW-MRN(AP) using Wilcoxon tests.ResultsSuppression of lymph nodes around the brachial plexus and suppression of articular fluids at the level of the knee at DW-MRN(SUSHI) was significantly better than that at DW-MRN(AP) (P < 0.05). However, overall signal intensity of brachial plexus nerves and ganglia at DW-MRN(SUSHI) was significantly lower than that at DW-MRN(AP) (P < 0.05). On the other hand, signal intensity of the sciatic, common peroneal, and tibial nerves at the level of the knee at DW-MRN(SUSHI) was judged as significantly better than that at DW-MRN(AP) (P < 0.05).ConclusionThe SUSHI technique allows more selective visualization of the sciatic, common peroneal, and tibial nerves at the level of the knee but is less useful for brachial plexus imaging because signal intensity of the brachial plexus nerves and ganglia can considerably be decreased.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…