Improvement of gadoxetate arterial phase capture with a high spatio-temporal resolution multiphase three-dimensional SPGR-dixon sequence

Thomas A. Hope, Manojkumar Saranathan, Iva Petkovska, Brian A. Hargreaves, Robert J. Herfkens, Shreyas S. Vasanawala

Research output: Contribution to journalArticlepeer-review

22 Scopus citations

Abstract

Purpose To determine whether a multiphase method with high spatiotemporal resolution (STR) by means of a combination of parallel imaging, pseudorandom sampling and temporal view sharing improves the capture and intensity of gadoxetate arterial phase images as well as lesion enhancement. Materials and Methods Thirty-seven patients were imaged with a conventional spoiled gradient echo acquisition and 48 with a high STR multiphase acquisition after the administration of gadoxetate. Arterial phase capture, image quality, and quality of fat suppression were qualitatively graded. Fourteen lesions in the conventional group and 28 in the high STR multiphase group were imaged, including 34 focal nodular hyperplasias. The ratio of lesion to parenchyma enhancement as well as relative hepatic artery enhancement were calculated. Chi-squared, Mann-Whitney U and student t-tests were used to compare differences. Results The high STR multiphase acquisition included the arterial phase more frequently than conventional acquisitions (P < 0.001), with the arterial phase missed in 17% (95% CI of 4-28%) of patients with conventional acquisition compared with 2% (95% CI of 0-6%) with the high STR multiphase acquisition. There was no loss of image quality or degree of fat saturation. Additionally, there was increased relative intensity of the hepatic arteries (P < 0.001) as well as lesion enhancement (P = 0.01). Conclusion The high STR multiphase acquisition resulted in more reliable gadoxetate arterial phase capture compared with a conventional acquisition while preserving image quality with robust fat saturation J. Magn. Reson. Imaging 2013;38:938-945. © 2013 Wiley Periodicals, Inc.

Original languageEnglish (US)
Pages (from-to)938-945
Number of pages8
JournalJournal of Magnetic Resonance Imaging
Volume38
Issue number4
DOIs
StatePublished - Oct 2013
Externally publishedYes

Keywords

  • arterial phase
  • FNH
  • gadoxetate
  • view sharing

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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