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Research ArticleBrain
Open Access

Characterizing the Mesencephalon Using Susceptibility-Weighted Imaging

E.S. Manova, C.A. Habib, A.S. Boikov, M. Ayaz, A. Khan, W.M. Kirsch, D.K. Kido and E.M. Haacke
American Journal of Neuroradiology March 2009, 30 (3) 569-574; DOI: https://doi.org/10.3174/ajnr.A1401
E.S. Manova
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C.A. Habib
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A.S. Boikov
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M. Ayaz
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A. Khan
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W.M. Kirsch
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D.K. Kido
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E.M. Haacke
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    Fig 1.

    The midbrain as a region-of-interest on 4T SWI magnitude images shown in sagittal and coronal sections, with and without section locators. Arrows 1, 2, and 3 point to the red nucleus, the subthalamic nucleus, and the substantia nigra, respectively.

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    Fig 2.

    A comparison of 1 region of the mesencephalon for different sequences and field strengths with Duvernoy's stained cadaver brain results.16 A, T1 at 1.5T; B, T1 at 4T; C, T2 at 1.5T; D, T2 at 4T; E, Duvernoy's india ink-stained image; F, SWI magnitude at 1.5T; G, SWI HP-filtered phase at 1.5T; H, SWI magnitude at 4T; I, SWI HP-filtered phase at 4T; J, Duvernoy's india ink-stained image. Images E and J reprinted with permission from Duvernoy HM. Human Brain Stem Vessels. 2nd ed. Berlin, Germany: Springer-Verlag; 1999;206–13.

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    Fig 3.

    A comparison of adjacent sections in SWI magnitude and HP-filtered-phase images at 1.5T and 4T with Duvernoy's india ink-stained results.16 A, Magnitude SWI at 1.5T; B, HP-filtered phase at 1.5T; C, Magnitude SWI at 4T; D, HP-filtered phase at 4T; E, Duvernoy's results. Only 3 unique images from Duvernoy are shown here because his section thickness is 3 mm. The third and fourth images from the top are identical. Images in column E reprinted with permission from Duvernoy HM. Human Brain Stem Vessels. 2nd ed. Berlin, Germany: Springer-Verlag; 1999;206–13.

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    Fig 4.

    A comparison of SWI HP-filtered-phase images (B and D) with Duvernoy's india ink–stained results (A and C).16 Anterior (A and B) and posterior (C and D) mesencephalic structures are indicated. Arrow 1 indicates the crus cerebri; 2a, substantia nigra, pars reticulata; 2b, substantia nigra, pars compacta; 3, capsule of the red nucleus; 4a, red nucleus (vascularized region); 4b, red nucleus (nonvascularized region); 5, fascicula nigrale; 6, medial geniculate body; 7, superior colliculus; 8, intermediate area. Images A and C reprinted with permission from Duvernoy HM. Human Brain Stem Vessels. 2nd ed. Berlin, Germany: Springer-Verlag; 1999;206–13.

Tables

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    Table 1:

    1.5T CNR measurements*

    SequenceRed Nucleus CNRSubstantia Nigra CNRMedial Geniculate CNR
    IA/RNIA/RN capsuleRN/RN capsuleIA/SNcCC/SNrSNc/SNrCMG/LMGCMG/IA
    T2 tse4.13––6.19†4.97†–––
    T2 tse SD1.23––1.44†1.48†–––
    SWI5.971.434.545.582.843.741.380.45
    SWI SD1.780.731.620.60.751.461.470.35
    • RN indicates red nucleus; SNc, substantia nigra, pars compacta; SNr, substantia nigra, pars reticulata; IA, intermediate area between the RN and SN; CC, crus cerebri; LMG, lateral aspect of the medial geniculate body; CMG, central aspect of medial geniculate body; tse, turbo spin-echo; CNR, contrast-to-noise ratio.

    • * The first row for each sequence represents the mean in a given region of interest and the second row represents the SD in the same region of interest. HP-filtered-phase data were used for SWI CNR measurements; no contrast for the given regions of interest was observed in the gradient-echo T1 data. Empty data boxes show that CNRs between certain structures could not be calculated because the structures could not be detected.

    • † Because SNc and SNr were not separable for T2, CNR is recorded here for IA/SN and CC/SN.

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    Table 2:

    4T CNR measurements*

    SequenceRed Nucleus CNRSubstantia Nigra CNRMedial Geniculate CNR
    IA/RNIA/RN capsuleRN/RN capsuleIA/SNcCC/SNrSNc/SNrCMG/LMGCMG/IA
    T2 tse3.36––4.53†6.27†–––
    T2 tse SD0.77––0.48†1.64†–––
    SWI6.981.135.858.755.193.564.571.64
    SWI SD2.601.342.231.671.511.082.490.89
    • * The first row for each sequence represents the mean in a given region of interest and the second row represents the SD in the same region of interest. HP-filtered-phase data were used for SWI CNR measurements; no contrast for the given regions of interest was observed in the gradient-echo T1 data. Empty data boxes show that CNRs between certain structures could not be calculated because the structures could not be detected.

    • † Because SNc and SNr were not separable for T2, CNR is recorded here for IA/SN and CC/SN.

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American Journal of Neuroradiology: 30 (3)
American Journal of Neuroradiology
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E.S. Manova, C.A. Habib, A.S. Boikov, M. Ayaz, A. Khan, W.M. Kirsch, D.K. Kido, E.M. Haacke
Characterizing the Mesencephalon Using Susceptibility-Weighted Imaging
American Journal of Neuroradiology Mar 2009, 30 (3) 569-574; DOI: 10.3174/ajnr.A1401

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Characterizing the Mesencephalon Using Susceptibility-Weighted Imaging
E.S. Manova, C.A. Habib, A.S. Boikov, M. Ayaz, A. Khan, W.M. Kirsch, D.K. Kido, E.M. Haacke
American Journal of Neuroradiology Mar 2009, 30 (3) 569-574; DOI: 10.3174/ajnr.A1401
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