ObjectiveThe purpose of this study was to compare two short-tau inversion recovery
(STIR) sequences, Cartesian and radial (BLADE) acquisitions, for breast
magnetic resonance imaging (MRI) examinations.Materials and MethodsNinety-six women underwent 1.5 T breast MRI exam (48 Cartesian and 48 BLADE).
Qualitative analysis including image artifacts, image quality,
fat-suppression, chest-wall depiction, lesion detection, lymph node
depiction and overall impression were evaluated by three blinded readers.
Signal to noise ratios (SNRs) were calculated. Cronbach's alpha test was
used to assess inter-observer agreement. Subanalyses of image quality,
chest-wall depiction and overall impression in 15 patients with implants and
image quality in 31 patients with clips were correlated using Pearson test.
Wilcoxon rank sum test and t-test were performed.ResultsMotion artifacts were present in 100% and in 0% of the Cartesian and the
BLADE exams, respectively. Chemical-shift artifacts were present in 8% of
the Cartesian exams. Flow artifacts were more frequent on BLADE. BLADE
sequence was statistically superior to Cartesian for all qualitative
features (p < 0.05) except for fat-suppression
(p = 0.054). In the subanalysis, BLADE was superior for
implants and clips (p < 0.05). SNR was statistically
greater for BLADE (48.35 vs. 16.17). Cronbach ranged from 0.502 to
0.813.ConclusionBLADE appears to be superior to Cartesian acquisition of STIR imaging as
measured by improved image quality, fewer artifacts, and improved chest wall
and lymph node depiction.