Comparing SPIR and SPAIR Fat Suppression Techniques in Magnetic Resonance Imaging (MRI) of Wrist Joint
Comparing SPIR and SPAIR Fat Suppression Techniques in Magnetic Resonance Imaging (MRI) of Wrist Joint
Comparing SPIR and SPAIR Fat Suppression Techniques in Magnetic Resonance Imaging (MRI) of Wrist Joint
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DOI: https://dx.doi.org/10.18535/jmscr/v5i6.63
ABSTRACT
Introduction: In many clinical situations, the radiologist wants to eliminate the contributions of fat from
the total signal without affecting the water signal including in wrist joint. Frequency Selective Inversion
Pulse is one of fat suppression methods where SPIR and SPAIR are among the two methods applying
Frequency Selective Inversion Pulse.
Objective: This study aims to compare two fat suppression techniques SPIR and SPAIR in the magnetic
resonance images of the wrist joint and to evaluate the best image quality for the clinical usefulness.
Methods: This is a quantitative research with experimental approaches conducted in Premier Bintaro
Hospital. Data in form of 56 images of coronal T2WI-FSE wrist joint from 28 volunteers with two variations
of the method, SPIR, and SPAIR Fat Suppression are presented. Assessment of anatomical information
carried out by the radiologist and analysed with Wilcoxon Signed-Rank Test at 95 % confidence level.
Results: This research shows that there is a difference of anatomical information in MRI Wrist joint
sequence coronal of T2WI-FSE between SPIR and SPAIR Fat Suppression.
Conclusion: SPAIR is the method which is clearer to show the anatomical information of wrist joint. The
application of selective adiabatic inversion pulse in SPAIR makes suppression of amplitude and modulation
of frequency.
Keywords: Fat Tissue, Wrist Joint MRI, Fat Suppression.
RESULT
Research carried out on 28 (twenty-eight) male and
female volunteers, ranged in age from 20 years to Figure 2. MRI Wrist Joint MRI Image with SPAIR
40 years, with four categories of body mass index
(BMI): underweight, normal, overweight, and Before conducting a statistical test to determine the
obesity. anatomical information differences between SPIR
and SPAIR method, Kappa test was done to
Table1.Volunteers Characteristics by Gender determine the suitability or the common perception
Gender Quantity Percentage of respondents in the questionnaire assessment.
Male 14 50%
The Kappa test results are:
Female 14 50%
Total 28 100%
Table 4.Kappa Test Results in Two Respondents
Table 2.Volunteers Characteristics by Age Fat Suppression Method Value Kappa p-value
Age Quantity Percentage SPIR 0.878 <0.001
20 – 29 16 57% SPAIR 0.837 <0.001
30 – 49 12 43%
Total 28 100% Kappa test results showed The Kappa value on
SPIR method = 0.878 (p-value <0.001) and for
Table 3.Volunteers Characteristics by BMI SPAIR showed the Kappa value = 0.837 (p-value
Body Mass Quantity Percentage <0.00). These results indicate that there is a match
Index
Underweight 7 25% or a shared understanding between the two
Normal 7 25% respondents in assessing the anatomical
Overweight 7 25%
Obesity 7 25%
information of wrist joint either on SPIR or SPAIR
Total 28 100% methods.
Compare-Means test with Wilcoxon Signed-Rank
From the 28 volunteers are obtained anatomical Test. for each anatomical criteria obtained the
information of wrist joint MRI in Coronal T2-FSE following results:
fat suppression sequences between SPIR and
SPAIR. Each fat suppression method produces 56 Table 5. Test of difference Result between SPIR
images that can reveal the anatomy of the cartilage, and SPAIR
TFCC, bone, marrow, fluid, tendons /ligaments, Anatomical Information p-value
joints space on each method of fat suppression.
SPIR vs SPAIR < 0,001
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