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World J Radiol. 2016 Jul 28;8(7):707-15. doi: 10.4329/wjr.v8.i7.707.

Free-breathing radial volumetric interpolated breath-hold examination vs breath-hold cartesian volumetric interpolated breath-hold examination magnetic resonance imaging of the liver at 1.5T.

World journal of radiology

Sireesha Yedururi, HyunSeon C Kang, Wei Wei, Nicolaus A Wagner-Bartak, Leonardo P Marcal, R Jason Stafford, Brandy J Willis, Janio Szklaruk

Affiliations

  1. Sireesha Yedururi, HyunSeon C Kang, Nicolaus A Wagner-Bartak, Leonardo P Marcal, Janio Szklaruk, Department of Diagnostic Radiology, the University of Texas MD Anderson Cancer Center, Houston, TX 77030, United States.

PMID: 27551341 PMCID: PMC4965355 DOI: 10.4329/wjr.v8.i7.707

Abstract

AIM: To compare breath-hold cartesian volumetric interpolated breath-hold examination (cVIBE) and free-breathing radial VIBE (rVIBE) and determine whether rVIBE could replace cVIBE in routine liver magnetic resonance imaging (MRI).

METHODS: In this prospective study, 15 consecutive patients scheduled for routine MRI of the abdomen underwent pre- and post-contrast breath-hold cVIBE imaging (19 s acquisition time) and free-breathing rVIBE imaging (111 s acquisition time) on a 1.5T Siemens scanner. Three radiologists with 2, 4, and 8 years post-fellowship experience in abdominal imaging evaluated all images. The radiologists were blinded to the sequence types, which were presented in a random order for each patient. For each sequence, the radiologists scored the cVIBE and rVIBE images for liver edge sharpness, hepatic vessel clarity, presence of artifacts, lesion conspicuity, fat saturation, and overall image quality using a five-point scale.

RESULTS: Compared to rVIBE, cVIBE yielded significantly (P < 0.001) higher scores for liver edge sharpness (mean score, 3.87 vs 3.37), hepatic-vessel clarity (3.71 vs 3.18), artifacts (3.74 vs 3.06), lesion conspicuity (3.81 vs 3.2), and overall image quality (3.91 vs 3.24). cVIBE and rVIBE did not significantly differ in quality of fat saturation (4.12 vs 4.03, P = 0.17). The inter-observer variability with respect to differences between rVIBE and cVIBE scores was close to zero compared to random error and inter-patient variation. Quality of rVIBE images was rated as acceptable for all parameters.

CONCLUSION: rVIBE cannot replace cVIBE in routine liver MRI. At 1.5T, free-breathing rVIBE yields acceptable, although slightly inferior image quality compared to breath-hold cVIBE.

Keywords: Free-breathing magnetic resonance acquisition; Liver magnetic resonance imaging; Radial imaging

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