Purpose: This study aims to evaluate the fat suppression effect on images of the head and neck region using chemical shift selective (CHESS), and iterative decomposition of water and fat with echo asymmetry and least-squares estimation (IDEAL).
Method: A self-made phantom containing oil around the simulated bone marrow and muscle was scanned. The signal-to-noise ratio (SNR) was calculated using the National Electrical Manufacturers Association (NEMA) subtraction and pixel shift methods. Thereafter, the fat suppression effect and SNR were calculated in clinical images using the pixel shift method.
Result: In both phantom and clinical images, the fat suppression effect was higher using IDEAL. In addition, the SNR of the NEMA subtraction method and the pixel shift method in phantom images was higher in the simulated bone marrow than in the simulated muscle. The SNR of the vertebral body was higher than that of the tongue in the clinical images using IDEAL, and the same tendency was observed in the phantom image evaluation. However, there was a difference in SNR between the phantom and clinical images.
Conclusion: In the head and neck region, fat-suppressed images using IDEAL showed the same higher fat-suppressing effect as that in a previous study. The SNR for the phantom and the clinical images was different. The SNR calculated using the pixel shift method for the phantom images with IDEAL and the clinical images showed the same tendency. Although there is a difference between the SNRs of phantom and clinical images calculated by the pixel shift method, it is suggested that the method can be used to compare the SNR between tissues such as the vertebral body and the tongue.
Keywords: chemical shift selective (CHESS); fat suppression; head and neck; iterative decomposition of water and fat with echo asymmetry and least-squares estimation (IDEAL); magnetic resonance imaging (MRI); pixel shift.