Comparison of anatomical information of lumbar T2 TSE MRI images with nex variation between use and without sense
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Apr 25, 2025
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Abstract
Due to the long scan time, patients often report pain and discomfort during lumbar MRI examination. NEX and SENSE are two parallel imaging parameters that affect scan time. However, the resulting image information is also affected by NEX and SENSE. Therefore, this study examines the information between NEX variations with and without SENSE on anatomical images and their relationship with scan time on lumbar T2 TSE MRI examinations. This study is quantitative and uses an experimental method. The sample in this study was 10 volunteers who would be given 6 treatments, namely NEX 1 variation without SENSE, NEX 1 with SENSE, NEX 2 without SENSE, NEX 2 with SENSE, NEX 3 without SENSE, and NEX 3 with SENSE on Lumbar T2 TSE MRI examinations in January 2025. Using the Visual Grading Analysis (VGA) method, two radiology specialist observers analyzed the image results. Then the Cohen's Kappa consistency test was carried out and the Friedman test was used to verify the questionnaire results statistically. This study shows that there is a significant difference in the value of image information between NEX 1 variations of vertebral body anatomy with and without SENSE. While in the anatomy of the Intervertebral Disc, Ligament, Spinal Cord, and Spinal Stenosis did not show a significant difference in each variation of NEX with and without SENSE. For scan time, with NEX variations using SENSE requires a shorter scan time compared to without the use of SENSE.
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How to Cite
Safitri, A. N., Susanto, F., Rahardian, A. P., Oviyanti, P. N. and Samudra, A. (2025) “Comparison of anatomical information of lumbar T2 TSE MRI images with nex variation between use and without sense”, Science Midwifery, 13(1), pp. 327-335. doi: 10.35335/midwifery.v13i1.1911.
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Ruel, Lucile, Pierre Brugières, Alain Luciani, Stéphane Breil, Didier Mathieu, and Alain Rahmouni. 2004. “Comparison of In Vitro and In Vivo MRI of the Spine Using Parallel Imaging.” American Journal of Roentgenology 182(3):749–55. doi: 10.2214/ajr.182.3.1820749.
Theodorou, Daphne J., Stavroula J. Theodorou, Sachiko Kakitsubata, Kazuki Nabeshima, and Yousuke Kakitsubata. 2020. “Abnormal Conditions of the Diskovertebral Segment: MRI with Anatomic-Pathologic Correlation.” American Journal of Roentgenology 214(4):853–61. doi: 10.2214/AJR.19.22081.
Zeitoun, Rania, and Mohammed Saleh Ali Mohieddin. 2019. “Coronal STIR Sequence, a Simple Adjustment to Routine MRI Protocol for Extra-Spinal Sciatica and Sciatica-like Symptoms.” Egyptian Journal of Radiology and Nuclear Medicine 50(1):1–9. doi: 10.1186/s43055-019-0096-6.
Agus, Kadek, Cahya Pramana, Ni Putu, Rita Jeniyanthi, I. Bagus, and Gede Dharmawan. 2022. “Magnetic Resonance Imaging: Studi Literature Review.” Jurnal Radiografer Indonesia (JRI) 5(1):48–53.
Anon. 2007. “Two Dimensional Parallel Imaging Acceleration With Autocalibrating Reconstruction.” Imaging 41(9):3345.
Anon. 2011. “1B Anatomi-Dan-Fisiologi-Untuk-Paramedispdf.Pdf.” 66.
Ariadi, Ilham, I. Putu Eka Juliantara, and Nyoman Supriyani. 2023. “Nautical : Jurnal Ilmiah Multidisiplin Pengaruh Variasi NAQ Terhadap Signal To Noise Ratio ( SNR ) Pada MRI Lumbal Sekuen Sagittal T2-FSE ( Speeder ) Dengan Kasus Low Back Pain ( LBP ).” Jurnal Ilmiah Multidisiplin : 2829-632X 1(10):1203–11.
Brau, Anja. 2007. “New Parallel Imaging Method Enhances Imaging Speed and Accuracy.” Magnetic Resonance in Medicine 42(5):952–62.
Citra Latifa, Andi Tenri. 2017. “The Influence of Number of Signal Average Variation to the Scan Time and Anatomic Information of Lumbar MRI on Sagittal Slice with Stir Sequence.” Journal of Medical Science And Clinical Research 05(06):23146–52. doi: 10.18535/jmscr/v5i6.57.
Deshmane, Anagha, Vikas Gulani, Mark A. Griswold, and Nicole Seiberlich. 2012. “Parallel MR Imaging.” Journal of Magnetic Resonance Imaging 36(1):55–72. doi: 10.1002/jmri.23639.
Diana Ega Rani. 2016. “Optimalisasi Number of Excitation (NEX) Terhadap Signal To-Noise Ratio (SNR) Dan Kecepatan Waktu Scanning Pada Pemeriksaan MRI.” Perpustakaan Airlangga.
Fathyan, Azzahra Istna, and Arga Pratama Rahardian. 2024. “Analisis Nilai Signal To Noise Ratio (Snr) Akibat Variasi Nex Pada Pemeriksaan Mri Thoracolumbal Sekuen Sagittal T2 Fat Sat Pada Kasus Low Back Pain (Lbp).” Jurnal Kesehatan Tambusai 5(1):1744–52.
Filippi, Christopher G., Morgan Carlson, Jason M. Johnson, Heather N. Burbank, Gary F. Alsofrom, Trevor Andrews, Filippi Cg, M Carlson, Johnson Jm, and Burbank Hn. 2012. “Improvements in Lumbar Spine MRI at 3 T Using Parallel Transmission.” (October):861–67. doi: 10.2214/AJR.11.8139.
Forshult, Stig E. 2007. Magnetic Resonance Imaging, MRI - An Overview.
Frost, Brody A., Sandra Camarero-Espinosa, and E. Johan Foster. 2019. “Materials for the Spine: Anatomy, Problems, and Solutions.” Materials 12(2):1–41. doi: 10.3390/ma12020253.
Glockner, James F., Houchun H. Hu, David W. Stanley, Lisa Angelos, and Kevin King. 2005. “Parallel MR Imaging: A User’s Guide.” Radiographics 25(5):1279–97. doi: 10.1148/rg.255045202.
Indra Wicaksono, Ary, Emi Murniati, Siti Masrochah, and Poltekkes Kemenkes Semarang. 2018. “Nilai Sensitivity Enchoding (Sense) Pada Sekuen T2 Weighted Balance Turbo Field Echo (Btfe) Pada Pemeriksaan Mrcp Di Instalasi Radiologi Siloam Hospital Surabaya Image Information Value of Variation Analysis Value Sensitiviy Enchoding (Sense) Using T2 Wei.” JImeD 4(2):68–72.
Indrati, Rini, Iin Saputri Sahlan, Bambang Satoto, and Siti Daryati. 2020. “Perbedaan Kualitas Citra Mri Lumbal Sekuen Tiwi Tse Potongan Sagital Dengan Dan Tanpa Penggunaan Sensitivity Encoding (Sense) Pada Kasus Hernia Nucleus Pulposus.” Jurnal Imejing Diagnostik (JImeD) 6(1):16–22. doi: 10.31983/jimed.v6i1.5560.
Lenski, Markus, Natalie Büser, and Michael Scherer. 2017. “Concomitant and Previous Osteoporotic Vertebral Fractures.” Acta Orthopaedica 88(2):192–97. doi: 10.1080/17453674.2016.1273644.
Nirmala, Fella Ustia. 2019. “The Effect Of Number Of Excitation (Nex) Variation And Blade Technique On T2 Image Quality TSE Sagital Knee MRI.” Jurnal Biosains Pascasarjana 21(1):32. doi: 10.20473/jbp.v21i1.2019.32-47.
Nuha, M. D., L. Prasetya, and B. G. Dharmawan. 2022. “Pada Pemeriksaan Mri Lumbal T2Wi Tse Fat Saturation Dan T2Wi Tse Dixon Potongan Sagital Pada Klinis Hernia Nucleus Pulposus Di.” Jurnal Riset Rumpun Ilmu … 1(2).
Peschke, Eva, Patricia Ulloa, Olav Jansen, and Jan Bernd Hoevener. 2021. “Metallic Implants in MRI - Hazards and Imaging Artifacts.” RoFo Fortschritte Auf Dem Gebiet Der Rontgenstrahlen Und Der Bildgebenden Verfahren 193(11):1285–93. doi: 10.1055/a-1460-8566.
Pipit Muliyah, Dyah Aminatun, Sukma Septian Nasution, Tommy Hastomo, Setiana Sri Wahyuni Sitepu, Tryana. 2020a. MRI IN PRACTICE. Vol. 7.
Pipit Muliyah, Dyah Aminatun, Sukma Septian Nasution, Tommy Hastomo, Setiana Sri Wahyuni Sitepu, Tryana. 2020b. MRI TECHNIQUE. Vol. 7.
PRASTIWI, ROFIQOH EVI. 2023. “ANALISIS PERBEDAAN KUALITAS CITRA MRI THORACOLUMBAL SEKUEN T2 FSE POTONGAN SAGITTAL ANTARA PENGGUNAAN ARC DAN TANPA PENGGUNAAN ARC PADA KASUS HERNIA NUKLEUS PULPOSUS.” Nucl. Phys. 13(1):104–16.
Ruel, Lucile, Pierre Brugières, Alain Luciani, Stéphane Breil, Didier Mathieu, and Alain Rahmouni. 2004. “Comparison of In Vitro and In Vivo MRI of the Spine Using Parallel Imaging.” American Journal of Roentgenology 182(3):749–55. doi: 10.2214/ajr.182.3.1820749.
Theodorou, Daphne J., Stavroula J. Theodorou, Sachiko Kakitsubata, Kazuki Nabeshima, and Yousuke Kakitsubata. 2020. “Abnormal Conditions of the Diskovertebral Segment: MRI with Anatomic-Pathologic Correlation.” American Journal of Roentgenology 214(4):853–61. doi: 10.2214/AJR.19.22081.
Zeitoun, Rania, and Mohammed Saleh Ali Mohieddin. 2019. “Coronal STIR Sequence, a Simple Adjustment to Routine MRI Protocol for Extra-Spinal Sciatica and Sciatica-like Symptoms.” Egyptian Journal of Radiology and Nuclear Medicine 50(1):1–9. doi: 10.1186/s43055-019-0096-6.