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The T2-weighted images acquired with the PSIR-TSE method had good image quality with good contrast between normal and abnormal myocardium in all eight volunteers. The T2-weighted images acquired with the PSIR-TSE method had good image quality with good contrast between normal and abnormal myocardium in all eight volunteers. The T2-weighted images were visually analysed for presence of artefacts (Fig. 4). On conventional T2-weighted sequences, mild to severe myocardial oedema was observed in the volunteers. On PSIR-TSE, severe myocardial oedema in one volunteer was misclassified as an artefact. Of the other seven volunteers, six of them were correctly classified by the observers. This is a promising result, although this issue needs to be further investigated in a study of a larger population.

The visual quality of the T2-weighted images acquired with PSIR-TSE was compared with those acquired with DW-EPI. Both the GE and Philips implementations of DW-EPI produced artefacts in the myocardium. The Philips implementation of DW-EPI produced a dark area in the lower part of the myocardium and a bright area at the base of the heart in four of the eight volunteers (Fig. 5). These images displayed a dark band at the apex of the ventricles, which was not present in the images acquired with PSIR-TSE. This is likely to be caused by incomplete nulling of the blood pool signal, which may occur at both the RF and echo pulses. The dark band in the myocardium was observed to be darker in images acquired with PSIR-TSE than with conventional DW-EPI, suggesting that it may be related to the blurring of the myocardial signal caused by the diffusion-weighted gradients. Other artefacts not related to the diffusion-weighted gradients were seen in the PSIR-TSE images (Fig. 5). This may be due to the fact that the T2-weighted images were acquired with a flip angle of 90°, which means that PSIR-TSE images can be dominated by geometrical distortion in the myocardium.

The T2-weighted images acquired with PSIR-TSE in this study had good image quality with good contrast between normal and abnormal myocardium in all eight volunteers.

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