Abstract
Objective
To evaluate the image quality of two fast dynamic magnetic resonance imaging (MRI) sequences: True fast imaging with steady state precession (TrueFisp) was compared with half-Fourier acquired single turbo-spin-echo (HASTE) sequence for the characterization of velopharyngeal insufficiency (VPI) in repaired cleft palate patients.
Methods
Twenty-two patients (10 female and 12 male; mean age, 17.7 ± 10.6 years; range, 9–31) with suspected VPI underwent 3-T MRI using TrueFisp and HASTE sequences. Imaging was performed in the sagittal plane at rest and during phonation of “ee” and “k” to assess the velum, tongue, posterior pharyngeal wall and a potential VP closure. The results were analysed independently by one radiologist and one orthodontist.
Results
HASTE performed better than TrueFisp for all evaluated items, except the tongue evaluation by the orthodontist during phonation of “k” and “ee”. A statistically significant difference in favour of HASTE was observed in assessing the velum at rest and during phonation of “k” and “ee”, and also in assessing VP closure in both raters (p < 0.05). TrueFisp imaging was twice as fast as HASTE (0.36 vs. 0.75 s/image).
Conclusion
Dynamic HASTE images were of superior quality to those obtained with TrueFisp, although TrueFisp imaging was twice as fast.
Key Points
• Dynamic MRI is an invaluable tool for diagnosing VPI.
• Dynamic HASTE images were of superior quality to those obtained with TrueFisp.
• TrueFisp imaging was twice as fast as HASTE imaging.
Similar content being viewed by others
References
Phua YS, de Chalain T (2008) Incidence of oronasal fistulae and velopharyngeal insufficiency after cleft palate repair: an audit of 211 children born between 1990 and 2004. Cleft Palate Craniofac J 45:172–178
Chetpakdeechit W, Hallberg U, Hagberg C, Mohlin B (2009) Social life aspect of young adults with cleft lip and palate: grounded theory approach. Acta Odontol Scand 67:122–128
Conley SF, Gosain AK, Marks SM (1997) Identification and assessment of velopharyngeal inadequacy. Am J Otolaryngol 18:38–46
Lam DJ, Starr JR, Perkins JA, Lewis CW, Eblen LE, Dunlap J et al (2006) A comparison of nasoendoscopy and multiview videofluoroscopy in assessing velopharyngeal insufficiency. Otolaryngol Head Neck Surg 134:394–402
Akgüner M, Karaca C, Barutcu A, Özaksoy D, Yurt H, Vayvada H (1998) Evaluation of velopharyngeal pathophysiology and velopharyngeal insufficiency with magnetic resonance imaging. Eur J Plast Surg 21:118–123
Atik B, Bekerecioglu M, Tan O, Etlik O, Davran R, Arslan H (2008) Evaluation of dynamic magnetic resonance imaging in assessing velopharyngeal insufficiency during phonation. J Craniofac Surg 19:566–572
Sader R, Horch HH, Herzog M, Zeilhofer HF, Hannig C, Hess U et al (1994) High-frequency videocinematography for objective imaging of the velopharyngeal closure mechanism in cleft patients. Fortschr Kieferorthop 55:169–175
Skolnick ML, Cohn ER (1989) Videofluoroscopic studies of speech in patients with cleft palate. Springer Verlag, New York, pp 1–48
Witzel MA, Stringer DA (1990) Methods of assessing velopharyngeal function. In: Bardach J, Morris HL (eds) Secondary surgical treatment of cleft palate. Saunders, Philadelphia, pp 763–773
Zhang S, Olthoff A, Frahm J (2012) Real-time magnetic resonance imaging of normal swallowing. J Magn Reson Imaging 35:1372–1379
Drissi C, Mitrofanoff M, Talandier C, Falip C, Le Couls V, Adamsbaum C (2011) Feasibility of dynamic MRI for evaluating velopharyngeal insufficiency in children. Eur Radiol 21:1462–1469
Perry JL, Sutton BP, Kuehn DP, Gamage JK (2014) Using MRI for assessing velopharyngeal structures and function. Cleft Palate Craniofac J 51:476–485
Beer AJ, Hellerhof P, Zimmermann A, Mady K, Sader R, Rummeny EJ et al (2004) Dynamic near-real time magnetic resonance imaging for analyzing the velopharyngeal closure in comparison with videofluoroscopy. J Magn Reson Imaging 20:791–797
Wein BB, Drobnitzky M, Klajman S, Angerstein W (1991) Evaluation of functional positions of tongue and soft palate with MR imaging: initial clinical results. J Magn Reson Imaging 1:381–383
Suto Y, Matsuo T, Kato T, Hori I, Inoue Y, Ogawa S et al (1993) Evaluation of the pharyngeal airway in patients with sleep apnea: value of ultrafast MR imaging. Am J Roentgenol 160:311–314
Barchetti F, Stagnitti A, Gloriosos M, Al Ansari N, Barchetti G, Pranno N et al (2014) Static and dynamic MR imaging in the evaluation of temporomandibuar disorders. Eur Rev Med Pharmacol Sci 18:2983–2987
Hollmann K, Hoffmann D (1983) The treatment of labial and palatal clefts in accordance with the Viennese concept. Orthod Fr 54:497–508
Gilbert RJ, Daftary S, Campbell TA, Weiskoff RM (1998) Patterns of lingual tissue deformation associated with bolus containment and propulsion during deglutition as determined by echo-planar MRI. J Magn Reson Imaging 8:554–560
Ahmad M, Dargaud J, Morin A, Cotton F (2006) Functional morphology of phonation evaluated by dynamic MRI. Surg Radiol Anat 28:481–485
Listerud J, Einstein S, Outwater E, Kressl HY (1992) First principles of fast spin echo. Magn Reson Q 8:199–244
Constable RT, Gore JC (1992) The loss of small objects in variable TE imaging: implications for FSE, RARE and EPI. Magn Reson Med 28:9–24
Fuchs F, Laub G, Othomo K (2003) TrueFISP – technical considerations and cardiovascular applications. Eur J Radiol 46:28–32
Hecht E, Lee VS, Tanpitukpongse TP, Babb JS, Taouli B, Wong S et al (2008) MRI of pelvic floor dysfunction: dynamic true fast imaging with steady-state precession versus HASTE. AJR Am J Roentgenol 191:352–358
Haacke EM, Wielopolski PA, Tkach JA, Modic MT (1990) Steady-state free precession imaging in the presence of motion: application for improved visualization of the cerebrospinal fluid. Radiology 175:545–552
Sekihara K (1987) Steady-state magnetizations in rapid NMR imaging using small flip angles and short repetition intervals. IEEE Trans Med Imaging 6:157–164
Niebergall A, Zhang S, Kunay E, Keydana G, Job M, Uecker M et al (2013) Real-time MRI of speaking at a resolution of 33 ms: undersampled radial FLASH with nonlinear inverse reconstruction. Magn Reson Med 69:477–485
Fu M, Zhao B, Carignan C, Shosted RK, Perry JL, Kuehn DP et al (2015) High-resolution dynamic speech imaging with joint low-rank and sparsity constraints. Magn Reson Med 73:1820–1832
Miquel ME, Freitas AC, Wylezinska MW (2015) Evaluating velopharyngeal closure with real-time MRI. Pediatr Radiol 45:941–942
Miquel ME, Wylezinska-Arridge M, Pinkstone M (2013) Assessment of velopharyngeal closure and soft palate anatomy using MRI in cleft palate patients. Med Phys Int 1:459
Acknowledgements
The scientific guarantor of this publication is Christiane Kulinna-Cosentini. The authors of this manuscript declare no relationships with any companies whose products or services may be related to the subject matter of the article. The authors state that this work has not received any funding. Dr. Michael Weber kindly provided statistical advice for this manuscript. Jacqueline C. Hodge kindly provided language advice for this manuscript. Institutional review board approval was obtained. This work was granted by the Medical-Scientific Fund of the Mayor of the federal capital Vienna.
Written informed consent was obtained from all subjects (patients) in this study. No study subjects or cohorts have been previously reported. Methodology: prospective, case-control study, performed at one institution.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Kulinna-Cosentini, C., Czerny, C., Baumann, A. et al. TrueFisp versus HASTE sequences in 3T cine MRI: Evaluation of image quality during phonation in patients with velopharyngeal insufficiency. Eur Radiol 26, 2892–2898 (2016). https://doi.org/10.1007/s00330-015-4115-3
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00330-015-4115-3