{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:18:35Z","timestamp":1747149515064,"version":"3.40.5"},"reference-count":35,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2024,8,28]],"date-time":"2024-08-28T00:00:00Z","timestamp":1724803200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Ultrasound"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Single\u2010shot echo\u2010planar imaging (ss\u2010EPI) has limited application in vertebral column imaging due to numerous artifacts. Therefore, we aimed to compare readout\u2010segmented echo\u2010planar imaging (rs\u2010EPI) to ss\u2010EPI and assess its value in the differential diagnosis of vertebral infectious, tumoral infiltrative, and degenerative disorders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Sixty\u2010six adult patients with spondylodiscitis (SD, <jats:italic>n<\/jats:italic>\u2009=\u200926), tumoral infiltration (TI, <jats:italic>n<\/jats:italic>\u2009=\u200920), or Modic type I degeneration (DE, <jats:italic>n<\/jats:italic>\u2009=\u200920) findings on spinal magnetic resonance imaging (MRI) included in this retrospective study. Two radiologists scored images for quality on a 4\u2010point scale (image resolution, degree of geometric distortion, lesion selectivity, and diagnostic reliability) and measured signal intensity (SI), apparent diffusion coefficient (ADC), signal\u2010to\u2010noise ratio (SNR), and contrast\u2010to\u2010noise ratio (CNR). DE and SD groups also united to form the benign group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In all groups, rs\u2010EPI performed better than ss\u2010EPI in image quality, SNR, and CNR (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). The difference between mean pathological ADC (ADC<jats:sub>P<\/jats:sub>) in the two sequences was statistically significant (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). There was no significant difference between the groups in terms of ADC<jats:sub>P<\/jats:sub> in rs\u2010EPI (<jats:italic>p<\/jats:italic>\u2009=\u20090.229), unlike ss\u2010EPI (<jats:italic>p<\/jats:italic>\u2009=\u2009.025). Pathological SI (SI<jats:sub>P<\/jats:sub>) and CNR in rs\u2010EPI were significantly higher in the malignant group than benign group (<jats:italic>p<\/jats:italic>\u2009=\u20090.002, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). In rs\u2010EPI, no significant difference was found between malignant and benign groups' ADC<jats:sub>P<\/jats:sub> (<jats:italic>p<\/jats:italic>\u2009=\u20090.13).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The rs\u2010EPI is a diffusion\u2010weighted imaging (DWI) method with higher image quality that diminishes motion\u2010induced phase errors and increases resolution through phase corrections. However, the distinction of malignant and benign vertebral bone marrow pathologies is unsatisfactory for rs\u2010EPI compared with ss\u2010EPI.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jcu.23779","type":"journal-article","created":{"date-parts":[[2024,8,29]],"date-time":"2024-08-29T01:03:45Z","timestamp":1724893425000},"page":"1329-1337","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Echo\u2010planar DWI variants: A comparative study in vertebral marrow pathology"],"prefix":"10.1002","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6529-9232","authenticated-orcid":false,"given":"Sevcihan","family":"Kesen","sequence":"first","affiliation":[{"name":"Department of Radiology Gazi University Faculty of Medicine  Ankara 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