Diffusion-weighted echo-planar imaging of the head and neck using 3-T MRI: Investigation into the usefulness of liquid perfluorocarbon pads and choice of optimal fat suppression method

Purpose

To investigate whether image quality can be improved using liquid perfluorocarbon pads (Sat Pad) and clarify the optimal fat-suppression method among chemical shift selective (CHESS), water excitation (WEX), and short TI inversion recovery (STIR) methods in diffusion-weighted imaging (DWI) of the head and neck using 3-T magnetic resonance imaging. Correlations between results of visual inspection and quantitative analysis were also examined.

Material and Methods

This study was approved by our Institutional Review Board and informed consent was waived. DWI was performed on 25 subjects with/without Sat Pad and using three fat-suppression methods (6 patterns). Image quality was evaluated visually (4-point scales and lesion-depiction capability) and by quantitative analysis (signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR)). Two-way repeated-measures analysis of variance (ANOVA) was used to detect significant differences in scores of visual evaluation, SNR, and CNR.

Results

Mean visual evaluation scores were significantly higher with Sat Pad using STIR than without Sat Pad for all fat-suppression methods (P < 0.05). DWI with Sat Pad using STIR tended to be useful for depicting lesions. DWI using STIR showed reduced W-SNR (W: whole area of depicted structure) and CNR (between semispinalis capitis muscle and subcutaneous fat) due to fewer artifacts and uniform fat suppression.

Conclusion

Combining Sat Pad with STIR provides good image quality for visual inspections. When numerous artifacts are present and fat suppression is insufficient, higher SNR and CNR do not always provide good diagnostic image quality.     

Fast swelling/deswelling kinetics of comb-type grafted poly(N-isopropylacrylamide) hydrogels

The synthesis and characterization of comb-type grafted thermo-sensitive hydrogels is presented. These hydrogels were synthesized by polymerization of N-isopropylacrylamide (IPAAm) with a PIPAAm macromonomer. This process leads to a crosslinked IPAAm backbone polymer, copolymerized with highly mobile comb-type PIPAAm chains. These new thermo-responsive copolymers displayed higher equilibrium swellings at lower temperatures and rapid deswelling kinetics at elevated temperatures. The swelling/deswelling for comb-type gels is dependent on the graft chain lengths, in contrast to normal PIPAAm gel lacking the graft chains. As the temperature is increased above the critical temperature, the dehydrated graft chains aggregated due to hydrophobic attraction. Rapid and reversible kinetics of the graft-type gel were observed in response to stepwise temperature changes within short time cycles: phenomena not observed in normal crosslinked thermo-sensitive gels. The influence of freely mobile graft chains on both the equilibrium and dynamic properties of comb-type PIPAAm gel is demonstrated. Possible application of graft-type gel is discussed for actuator systems.