{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T05:07:32Z","timestamp":1783832852445,"version":"3.55.0"},"reference-count":23,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T00:00:00Z","timestamp":1776124800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T00:00:00Z","timestamp":1776124800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100011699","name":"Siemens Healthineers","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100011699","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Magnetic Resonance Imaging"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Slab\u2010selective radiofrequency (RF) pulses are commonly required in three\u2010dimensional (3D) turbo spin echo (TSE) in brachial plexus magnetic resonance neurography (MRN). However, their long selective RF pulses lead to violation of Carr\u2013Purcell\u2013Meiboom\u2013Gill conditions, which might increase imaging artifacts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Hypothesis<\/jats:title>\n                    <jats:p>That VERSE STIR\u2010TSE would yield comparable motion artifact to conventional STIR\u2010TSE with superior nerve conspicuity and greater subjective appeal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Type<\/jats:title>\n                    <jats:p>Prospective, cross\u2010sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Population<\/jats:title>\n                    <jats:p>Twenty\u2010four subjects (16 females; mean age: 43.7\u2009years; range: 19\u201376\u2009years) evaluated for clinical suspicion of brachial plexopathy, undergoing brachial plexus MRI (10 left, 9 right, 5 bilateral, 29 total scans analyzed). Agar phantoms mimicking nerve and muscle were also evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Field Strength\/Sequence<\/jats:title>\n                    <jats:p>3\u2010Tesla, 3D STIR\u2010TSE with and without VERSE.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Assessment<\/jats:title>\n                    <jats:p>Three radiologists, blinded to the sequence type and clinical data, qualitatively evaluated nerve conspicuity, motion, and preferred sequence on a 5\u2010point scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Statistical Tests<\/jats:title>\n                    <jats:p>\n                      Wilcoxon signed\u2010rank tests compared nerve conspicuity (0\u20134 scale), motion artifact (0\u20134 scale), and preferred series between the non\u2010VERSE and VERSE pulse sequences. Gwet's AC2 assessed inter\u2010rater agreement. A\n                      <jats:italic>p<\/jats:italic>\n                      \u2010value &lt;\u20090.05 was considered statistically significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The VERSE STIR\u2010TSE sequence was significantly preferred by all raters. Motion artifact was not significantly different between the sequences (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.11). Conspicuity of the suprascapular nerve was significantly greater with VERSE for both its proximal segments (median: 3, interquartile range: (2, 4), vs. 3 (1, 4)) and distal segments (4 (2, 4) vs. 3 (2, 4)), but conspicuity of the axillary nerve was not significantly different between the sequences (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.27\u20130.61). Phantom scans confirmed a 74% and 49% increase in signal with VERSE in the muscle and nerve\u2010mimicking phantoms, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Conclusion<\/jats:title>\n                    <jats:p>STIR\u2010TSE with VERSE provided overall superior image quality for brachial plexus MRN as compared to conventional STIR\u2010TSE.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Evidence Level<\/jats:title>\n                    <jats:p>2.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Technical Level<\/jats:title>\n                    <jats:p>1.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jmri.70338","type":"journal-article","created":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T03:39:24Z","timestamp":1776224364000},"page":"493-501","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["<scp>3D<\/scp>\n                    Brachial Plexus Neurography With Variable\u2010Rate Selective Excitation\n                    <scp>RF<\/scp>\n                    Pulses"],"prefix":"10.1002","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-1756-2682","authenticated-orcid":false,"given":"Emma J.","family":"McKinney","sequence":"first","affiliation":[{"name":"Department of Radiology and Imaging Hospital for Special Surgery  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoying","family":"Cai","sequence":"additional","affiliation":[{"name":"Siemens Medical Solutions USA, Inc.  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