Top

European Radiology

Published in:

01-12-2012 | Breast

Combination of chemical suppression techniques for dual suppression of fat and silicone at diffusion-weighted MR imaging in women with breast implants

Authors: Dow-Mu Koh, M. Blackledge, S. Burns, J. Hughes, A. Stemmer, B. Kiefer, M. O. Leach, D. J. Collins

Published in: European Radiology | Issue 12/2012

Abstract

Objectives

Silicone breast prostheses prove technically challenging when performing diffusion-weighted MR imaging in the breasts. We describe a combined fat and chemical suppression scheme to achieve dual suppression of fat and silicone, thereby improving the quality of diffusion-weighted images in women with breast implants.

Methods

MR imaging was performed at 3.0 and 1.5 T in women with silicone breast implants using short-tau inversion recovery (STIR) fat-suppressed echo-planar (EPI) diffusion-weighted MR imaging (DWI) on its own and combined with the slice-select gradient-reversal (SSGR) technique. Imaging was performed using dedicated breast imaging coils.

Results

Complete suppression of the fat and silicone signal was possible at 3.0 T using EPI DWI with STIR and SSGR, evaluated with dedicated breast coils. However, a residual silicone signal was still perceptible at 1.5 T using this combined approach. Nevertheless, a further reduction in silicone signal at 1.5 T could be achieved by employing thinner slice partitions and the addition of the chemical-selective fat-suppression (CHESS) technique.

Conclusions

DWI using combined STIR and SSGR chemical suppression techniques is feasible to eliminate or reduce silicone signal from prosthetic breast implants.

Key Points

• Breast magnetic resonance imaging (MRI) is frequently needed following breast implants

• Unsuppressed signal from silicone creates artefacts on diffusion-weighted MR sequences

• Dual fat/chemical suppression can eliminate signal from fat and silicone

• STIR with slice selective gradient reversal can suppress fat and silicone signal

Sinha S, Lucas-Quesada FA, Sinha U, DeBruhl N, Bassett LW (2002) In vivo diffusion-weighted MRI of the breast: potential for lesion characterization. J Magn Reson Imaging 15:693–704PubMedCrossRef

Heusner TA, Kuemmel S, Koeninger A et al (2010) Diagnostic value of diffusion-weighted magnetic resonance imaging (DWI) compared to FDG PET/CT for whole-body breast cancer staging. Eur J Nucl Med Mol Imaging 37:1077–1086PubMedCrossRef

Ei Khouli RH, Jacobs MA, Mezban SD et al (2010) Diffusion-weighted imaging improves the diagnostic accuracy of conventional 3.0-T breast MR imaging. Radiology 256:64–73PubMedCrossRef

Bogner W, Gruber S, Pinker K et al (2009) Diffusion-weighted MR for differentiation of breast lesions at 3.0 T: how does selection of diffusion protocols affect diagnosis? Radiology 253:341–351PubMedCrossRef

Stadlbauer A, Bernt R, Gruber S et al (2009) Diffusion-weighted MR imaging with background body signal suppression (DWIBS) for the diagnosis of malignant and benign breast lesions. Eur Radiol 19:2349–2356PubMedCrossRef

Fangberget A, Nilsen LB, Hole KH et al (2011) Neoadjuvant chemotherapy in breast cancer-response evaluation and prediction of response to treatment using dynamic contrast-enhanced and diffusion-weighted MR imaging. Eur Radiol 21:1188–1199PubMedCrossRef

The National Resource Center for Women & Families. What You Need to Know About Breast Implants. Accessed online at http://www.breastimplantinfo.org/augment/implantfacts.html

Tsukabe A, Imaoka I, Araki T, et al (2011) Evaluation of the effectiveness of slice selective gradient reversal technique in diffusion weighted imaging of the female pelvis at 3 T MR imaging. Proc Intl Soc Mag Reson Med 19 (2011), Montreal

Blackledge M D, Higgins D, Koh DM, deSouza NM, Leach MO, Collins DJ (2010) Combinatorial fat suppression for diffusion weighted imaging at 3.0 T. Proc Intl Soc Mag Reson Med 18: (2010) Stockholm

10.

Nagy Z, Weiskopf N (2008) Efficient fat suppression by slice-selection gradient reversal in twice-refocused diffusion encoding. Magn Reson Med 60:1256–1260PubMedCrossRef

11.

Tang H, Wu EX, Kennan R, Liu H, Williams DS (2007) Interleaved water and fat imaging and applications to lipid quantitation using the gradient reversal technique. J Magn Reson Imaging 26:1064–1070PubMedCrossRef

12.

Sarlls JE, Pierpaoli C, Lalith Talagala S, Luh WM (2011) Robust fat suppression at 3 T in high-resolution diffusion-weighted single-shot echo-planar imaging of human brain. Magn Reson Med. doi:10.1002/mrm.22940

13.

Park HW, Kim DJ, Cho ZH (1987) Gradient reversal technique and its applications to chemical-shift-related NMR imaging. Magn Reson Med 4:526–536PubMedCrossRef

14.

Takahara T, Zwanenburg J, Fisser F, et al (2009) Fat suppression with slice-selection gradient reversal (SSGR) revisited. Proc Intl Soc Mag Reson Med 17: (2009), Toronto

15.

O’Flynn EA, Morgan VA, Giles SL, Desouza NM (2012) Diffusion weighted imaging of the normal breast: reproducibility of apparent diffusion coefficient measurements and variation with menstrual cycle and menopausal status. Eur Radiol. doi:10.1007/s00330-012-2399-0

16.

Partridge SC, McKinnon GC, Henry RG, Hylton NM (2001) Menstrual cycle variation of apparent diffusion coefficients measured in the normal breast using MRI. J Magn Reson Imaging 14:433–438PubMedCrossRef

17.

Partridge SC, Murthy RS, Ziadloo A, White SW, Allison KH, Lehman CD (2010) Diffusion tensor magnetic resonance imaging of the normal breast. Magn Reson Imaging 28:320–328PubMedCrossRef

Title: Combination of chemical suppression techniques for dual suppression of fat and silicone at diffusion-weighted MR imaging in women with breast implants
Authors: Dow-Mu Koh
M. Blackledge
S. Burns
J. Hughes
A. Stemmer
B. Kiefer
M. O. Leach
D. J. Collins
Publication date: 01-12-2012
Publisher: Springer-Verlag
Published in: European Radiology / Issue 12/2012
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-012-2531-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Combination of chemical suppression techniques for dual suppression of fat and silicone at diffusion-weighted MR imaging in women with breast implants

Abstract

Objectives

Methods

Results

Conclusions

Key Points

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

Key Points

Please log in to get access to this content

Other articles of this Issue 12/2012

Pre-treatment differences and early response monitoring of neoadjuvant chemotherapy in breast cancer patients using magnetic resonance imaging: a systematic review

Can radiographers be trained to triage CT colonography for extracolonic findings?

Value of cardiovascular MR in diagnosing left ventricular non-compaction cardiomyopathy and in discriminating between other cardiomyopathies

Improved detection of focal pneumonia by chest radiography with bone suppression imaging

A comparison of MR elastography and 31P MR spectroscopy with histological staging of liver fibrosis

Evaluation of the female pelvic floor in pelvic organ prolapse using 3.0-Tesla diffusion tensor imaging and fibre tractography