Comparison of cervical vertebrae MRI image information between axial T2 Fse and T2 propeller sequences
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Apr 24, 2025
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Abstract
Examinations performed on MRI of cervical vertebrae take a long time and cause patients to feel uncomfortable during the examination. FSE is a technique that can be used to produce fast examination times. Patient discomfort can also cause movement during the examination, which can cause artifacts in the resulting images. These movements can be minimized with the PROPELLER technique. This study is quantitative using an experimental method with a sample size of 15 volunteers who were each scanned with T2 FSE and T2 PROPELLER sequences. This study was conducted using a questionnaire in which each image produced was evaluated by 2 radiology specialist observers using the visual grading analysis (VGA) method to assess each anatomy of the corpus vertebrae, intervertebrae disc, spinal cord, CSF, intraforamen structure, nerve root and artifacts. The statistical results showed that the image quality of T2 FSE and T2 PROPELLER sequences had ap value of 0.000 (p<0.05). The sequence has a difference, namely T2 PROPELLER produces more detailed image quality on anatomy and pathology, and can reduce the occurrence of artifacts due to movement in the cervical area, and T2 FSE produces less informative image quality due to artifacts. In addition, there are differences in MRI scanning time of cervical vertebrae T2 FSE sequences which are faster than T2 PROPELLER and T2 PROPELLER is good at reducing artifacts.
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How to Cite
Husna, M. A., Susanto, F., Fitriana, L., Supriyadi, S. and Samudra, A. (2025) “Comparison of cervical vertebrae MRI image information between axial T2 Fse and T2 propeller sequences”, Science Midwifery, 13(1), pp. 304-311. doi: 10.35335/midwifery.v13i1.1910.
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Shigenaga, Y., Takenaka, D., Hashimoto, T., & Ishida, T. (2021). Robustness of a combined modified dixon and propeller sequence with two interleaved echoes in clinical head and neck mri. Magnetic Resonance in Medical Sciences, 20(1), 76–82. https://doi.org/10.2463/mrms.mp.2019-0161
Shimamoto, H., Tsujimoto, T., Kakimoto, N., Majima, M., Iwamoto, Y., Senda, Y., & Murakami, S. (2018). Effectiveness of the periodically rotated overlapping parallel lines with enhanced reconstruction (PROPELLER) technique for reducing motion artifacts caused by mandibular movements on fat-suppressed T2-weighted magnetic resonance (MR) images. Magnetic Resonance Imaging, 54(July), 1–7. https://doi.org/10.1016/j.mri.2018.07.015
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Song, Y. S., Lee, I. S., Hwang, M., Jang, K., Wang, X., & Fung, M. (2024). Clinical efficacy of motion-insensitive imaging technique with deep learning reconstruction to improve image quality in cervical spine MR imaging, (February), 812–819.
Sriyatun, S., Supriyaningsih, E., & Oktavianti, Y. (2023). Pengaruh Penggunaan T2 Blade terhadap Kualitas Citra MRI Cervical Potongan Sagital pada Pasien Non-Cooperative. Jurnal Imejing Diagnostik (JImeD), 9(2), 62–67. https://doi.org/10.31983/jimed.v9i2.10051
Suteja, G. W., Wulandari, P. I., & Triningsih, T. (2022). Optimalisasi pemeriksaan MRI lumbal pada kasus low back pain dengan protocol wholespine sequen T2 TSE sagital di Rumah Sakit Kasih Ibu Denpasar. Nautical : Jurnal Ilmiah Multidisiplin Indonesia, 1(9), 906–921.
Tasyawati, R. M., & Utami, H. S. (2024). ANALISIS PERBANDINGAN INFORMASI CITRA MRI VERTEBRA ANTARA STIR MAVRIC-SL DAN T2 FSE FATSAT SAGITAL PADA, 5, 2366–2373.
Wen, B., Zhang, Z., Zhu, J., & Liu, L. (2023). Synthetic MRI plus FSE- PROPELLER DWI for differentiating malignant from benign head and neck tumors : a preliminary study, (September), 1–10. https://doi.org/10.3389/fonc.2023.1225420
Catherine Westbrook. (2018). Handbook of MRI Technique. Department of Allied Health and Medicine Faculty of Health, Social Care and Education Anglia Ruskin University Cambridge, UK. 2014. Analytical Biochemistry (Vol. 11).
Jatmiko, A. W., Wandani, C. A., & Istigfarisky, L. W. (2021). Efek Pemakaian Kontras Untuk Optimalisasi Citra Pada Pemeriksaan Diagnostik Magnetic Resonance Imaging (MRI). Jurnal Biosains Pascasarjana, 23(1), 28.
Kartikasari, Y., Kartili, M. I., Rochmayanti, D., & Aprilia, N. (2020). Perbedaan Informasi Citra Anatomi Sekuen Diffusion Weighted Imaging (Dwi) Antara Penggunaan Propeller Dengan Tanpa Propeller Pada Pemeriksaan Mri Brain Dengan Kasus Stroke. Jurnal Imejing Diagnostik (JImeD), 6(1), 36–43. https://doi.org/10.31983/jimed.v6i1.5565
Li, W., Shi, J., Bian, W., Li, J., Chen, X., Feng, J., … Niu, J. (2022). Performance of PROPELLER FSE T2WI in reducing metal artifacts of material porcelain fused to metal crown: a clinical preliminary study. Scientific Reports, 12(1), 1–7. https://doi.org/10.1038/s41598-022-12402-2
Lukito, S. A., Darmini, D., & Murniati, E. (2017). Analisis Informasi Citra Antara Sekuens T2 FRFSE dengan T2 Propeller pada pemeriksaan MRI Cervikal Potongan Axial dengan Pesawat MRI GE Signa 1,5 T. Jurnal Imejing Diagnostik (JImeD), 3(2), 266–270. https://doi.org/10.31983/jimed.v3i2.3197
Malik, D. M. (2023). PERBANDINGAN GAMBARAN MRI DARI PERUBAHAN PATOLOGIS ELEMEN COLLUMNA VERTEBRALIS PADA FRAKTUR VERTEBRA METASTASIS DAN FRAKTUR VERTEBRA INFEKSI. Universitas Hasanuddin.
Masrochah, S., Fatimah, F., & Yunitaningrum, N. (2020). Analisa Informasi Citra MRI Cervical Potongan Sagital Pada Variasi Nilai Time Repetition (TR) Dengan Sekuens Short Tau Inversion Recovery (STIR). Jurnal Imejing Diagnostik (JImeD), 6(2), 79–85. https://doi.org/10.31983/jimed.v6i2.5822
Menchetti, P. P. M. (2022). Cervical Spine: Minimally Invasive and Open Surgery: Second Edition. Cervical Spine: Minimally Invasive and Open Surgery: Second Edition, (January), 1–347. https://doi.org/10.1007/978-3-030-94829-0
Merah Bagus YB, Darmini, S. M. (2020). Analisis Perbedaan Kualitas Citra Dan Informasi Anatomi Pada Pemeriksaan Mri Lumbal Sekuen T2Wi Fast Spin Echo (Fse) Potongan Sagital Dengan Variasi Nilai Time Repetition. JRI (Jurnal Radiografer Indonesia), 3(1), 5–12. https://doi.org/10.55451/jri.v3i1.53
Murniati, E., Rochmayanti, D., & Purnomo, T. (2021). Comparative in anatomical information and artifacts between T2W TSE Cartesian sequences and T2W TSE BLADE sequences on axial cervical MRI examinations. Journal of Physics: Conference Series, 1943(1). https://doi.org/10.1088/1742-6596/1943/1/012051
Muzamil, A., Nurdin, D. Z. I., Rohmah, J., Rulaningtyas, R., & Astuti, S. D. (2023). Cervical MRI Image Quality Optimization based on Repetition Time (TR) and Echo Train Length (ETL) Settings. Hellenic Journal of Radiology, 8(2), 19–27. https://doi.org/10.36162/hjr.v8i2.528
Nadeak, B. (2019). PENEGAKAN DIAGNOSIS DAN PENANGGULANGAN CERVICAL YS HERNIATED NUCLEUS PULPOSUS. Jurnal Pro-Life, 6(2), 191–201.
Nidaa Azmii Susdiningtyas, Farrah Hendara Ningrum, Nanang Sulaksono, & Sudiyono. (2019). Perbedaan Informasi Anatomi Citra Mri Cervical Pada Kasus Hernia Nucleus Pulpopus (Hnp) Dengan Sekuen T2W Fast Spin Echo (Fse) Antara Penggunaan Flow Compensation Dan Tanpa Flow Compensation. JRI (Jurnal Radiografer Indonesia), 2(2), 94–99. https://doi.org/10.55451/jri.v2i2.41
Rochmayanti, D., Murniati, E., Fatimah, F., & Sulistyadi, A. H. (2022). Image Quality of T2W Tse Cartesian Versus T2W Tse Blade, a Quantitative Analysis on Axial Cervical Mri. Jurnal Imejing Diagnostik (JImeD), 8(2), 100–104. https://doi.org/10.31983/jimed.v8i2.8955
Shigenaga, Y., Takenaka, D., Hashimoto, T., & Ishida, T. (2021). Robustness of a combined modified dixon and propeller sequence with two interleaved echoes in clinical head and neck mri. Magnetic Resonance in Medical Sciences, 20(1), 76–82. https://doi.org/10.2463/mrms.mp.2019-0161
Shimamoto, H., Tsujimoto, T., Kakimoto, N., Majima, M., Iwamoto, Y., Senda, Y., & Murakami, S. (2018). Effectiveness of the periodically rotated overlapping parallel lines with enhanced reconstruction (PROPELLER) technique for reducing motion artifacts caused by mandibular movements on fat-suppressed T2-weighted magnetic resonance (MR) images. Magnetic Resonance Imaging, 54(July), 1–7. https://doi.org/10.1016/j.mri.2018.07.015
Soesilo Wibowo Ardi, Kurniawati Ary, & Hernastiti, U. S. (2016). Analysis of Mri Image Information of Cervical Spine Axial Slices Using Flow Compensation Between T2 Weighted Turbo Spin Echo (Tse) and Gradient Echo (Gre) Sequences. JImeD, 2(2), 142–147.
Song, Y. S., Lee, I. S., Hwang, M., Jang, K., Wang, X., & Fung, M. (2024). Clinical efficacy of motion-insensitive imaging technique with deep learning reconstruction to improve image quality in cervical spine MR imaging, (February), 812–819.
Sriyatun, S., Supriyaningsih, E., & Oktavianti, Y. (2023). Pengaruh Penggunaan T2 Blade terhadap Kualitas Citra MRI Cervical Potongan Sagital pada Pasien Non-Cooperative. Jurnal Imejing Diagnostik (JImeD), 9(2), 62–67. https://doi.org/10.31983/jimed.v9i2.10051
Suteja, G. W., Wulandari, P. I., & Triningsih, T. (2022). Optimalisasi pemeriksaan MRI lumbal pada kasus low back pain dengan protocol wholespine sequen T2 TSE sagital di Rumah Sakit Kasih Ibu Denpasar. Nautical : Jurnal Ilmiah Multidisiplin Indonesia, 1(9), 906–921.
Tasyawati, R. M., & Utami, H. S. (2024). ANALISIS PERBANDINGAN INFORMASI CITRA MRI VERTEBRA ANTARA STIR MAVRIC-SL DAN T2 FSE FATSAT SAGITAL PADA, 5, 2366–2373.
Wen, B., Zhang, Z., Zhu, J., & Liu, L. (2023). Synthetic MRI plus FSE- PROPELLER DWI for differentiating malignant from benign head and neck tumors : a preliminary study, (September), 1–10. https://doi.org/10.3389/fonc.2023.1225420