Document Detail

Free-Breathing Radial 3D Fat-Suppressed T1-Weighted Gradient Echo Sequence: A Viable Alternative for Contrast-Enhanced Liver Imaging in Patients Unable to Suspend Respiration.
MedLine Citation:
PMID:  21577119     Owner:  NLM     Status:  Publisher    
OBJECTIVE:: To compare free-breathing radially sampled 3D fat suppressed T1-weighted gradient-echo acquisitions (radial volumetric interpolated breath-hold examination [VIBE]) with breath-hold (BH) and free-breathing conventional (rectilinearly sampled k-space) VIBE acquisitions for postcontrast imaging of the liver. MATERIALS AND METHODS:: Eighteen consecutive patients referred for clinically indicated liver magnetic resonance imaging were imaged at 3 T. Three minutes after a single dose of gadolinium contrast injection, free-breathing radial VIBE, BH VIBE, and free-breathing VIBE with 4 averages were acquired in random order with matching sequence parameters. Radial VIBE was acquired with the "stack-of-stars" scheme, which uses conventional sampling in the slice direction and radial sampling in-plane.All image data sets were evaluated independently by 3 radiologists blinded to patient and sequence information. Each reader scored the following parameters: overall image quality, respiratory motion artifact, pulsation artifact, liver edge sharpness, and hepatic vessel clarity using a 5-point scale, with the highest score indicating the most optimum examination. Mixed model analysis of variance was used to compare sequences in terms of each measure of image quality. RESULTS:: When scores were averaged over readers, there was no statistically significant difference between radial VIBE and BH VIBE regarding overall image quality (P = 0.1015), respiratory motion artifact (P = 1.0), and liver edge sharpness (P = 0.2955). Radial VIBE demonstrated significantly lower pulsation artifact (P < 0.0001), but had lower hepatic vessel clarity (P = 0.0176), when compared with BH VIBE. Radial VIBE had significantly higher image quality scores for all parameters when compared with free-breathing VIBE (P < 0.0001). Acquisition time for BH VIBE was 14 seconds and that of free-breathing radial VIBE and conventional VIBE with multiple averages was 56 seconds each. CONCLUSION:: Radial VIBE can be performed during free breathing for contrast-enhanced imaging of the liver with comparable image quality to BH VIBE. However, further work is necessary to shorten the acquisition time to perform dynamic imaging.
Hersh Chandarana; Tobias K Block; Andrew B Rosenkrantz; Ruth P Lim; Danny Kim; David J Mossa; James S Babb; Berthold Kiefer; Vivian S Lee
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-5-13
Journal Detail:
Title:  Investigative radiology     Volume:  -     ISSN:  1536-0210     ISO Abbreviation:  -     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-5-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0045377     Medline TA:  Invest Radiol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
From the *New York University Langone Medical Center, Departments of Radiology, 550 First Avenue, New York, NY; and †MR Application and Workflow Development, Siemens AG Healthcare Sector, Erlangen, Germany.
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