Artifacts during the arterial phase of gadoxetate disodium-enhanced MRI: Multiple arterial phases using view-sharing from two different vendors versus single arterial phase imaging

  • Ji Hye Min
  • Young Kon Kim
  • Tae Wook Kang
  • Woo Kyoung Jeong
  • Won Jae Lee
  • Soohyun Ahn
  • Na Young Hwang
Magnetic Resonance
  • 4 Downloads

Abstract

Objectives

To assess the usefulness of multiple arterial phase (AP) of gadoxetic acid-enhanced MRI using view-sharing of two different vendors to reduce transient severe motion (TSM) artifact in the AP.

Methods

This retrospective study included 298 patients (mean age 63 years) who underwent gadoxetic acid MRI with multiple AP from two different vendors; either triple (subcohort A, n=174) or quadruple (subcohort B, n=124) AP. 202 patients (143 vs. 59) underwent follow-up MRI with single AP. To compare multiple AP with single AP and between subcohorts, mean artifact score rated by two observers and frequency of significant artifacts were evaluated. Frequency of acquisition of late AP was also assessed.

Results

There was no difference in mean artifact score (p=0.086) or frequency of significant artifacts (p=0.219) between multiple AP and single AP. For the mean best score with multiple AP, subcohort B was better than subcohort A (p<0.001). Late AP was achieved more often with multiple AP (74.8 %, 98.3 %) than with single AP (64.3 %, 64.4 %).

Conclusion

Multiple AP using different view-sharing failed to show differences in TSM artifacts in AP compared to single AP. Frequency of acquisition of late AP was higher with multiple AP. Mean best artifact score of multiple AP is different depending on view-sharing technique.

Key Points

• TSM artifacts were not significantly different between multiple AP and single AP.

• The frequency of acquiring late AP was higher with multiple AP.

• For multiple APs, TSM artifacts are different according to view-sharing technique.

Keywords

Gadoxetic acid Multiple arterial phase Artifact View-sharing Magnetic resonance imaging 

Abbreviations

AP

Arterial phase

BMI

Body mass index

CAIPRINHA

Controlled aliasing in parallel imaging results in higher acceleration

CENTRA

Contrast-enhanced time robust angiography

COPD

Chronic obstructive pulmonary disease

MRI

Magnetic resonance imaging

SENSE

Sensitivity encoding

TRAK

Time-resolved angiography with keyhole

TSM

Transient severe motion

TWIST

Time-resolved imaging with interleaved stochastic trajectories

VIBE

Volumetric interpolated breath-hold examination

Notes

Acknowledgements

The authors thank Philips and Siemens Research Laboratories for their technical support and advice to perform this study.

Compliance with ethical standards

Guarantor

The scientific guarantor of this publication is Young Kon Kim in Department of Radiology and Center for Imaging Science, Samsung Medical Centre, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea

Conflict of interest

The authors of this manuscript declare no relationships with any companies, whose products or services may be related to the subject matter of the article.

Statistics and biometry

Soohyun Ahn PhD. and Na Young Hwang MS in Biostatistics and Clinical Epidemiology Centre, Research Institute for Future Medicine, Samsung Medical Centre, Seoul, Korea kindly provided statistical advice for this manuscript.

One of the authors has significant statistical expertise.

Ethical approval

Institutional Review Board approval was obtained.

Informed consent

Written informed consent was waived by the Institutional Review Board.

Methodology

• Retrospective

• Observational

• Performed at one institution

Supplementary material

330_2018_5307_MOESM1_ESM.docx (21 kb)
ESM 1 (DOCX 21 kb)

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Copyright information

© European Society of Radiology 2018

Authors and Affiliations

  1. 1.Department of Radiology and Center for Imaging Science, Samsung Medical CenterSungkyunkwan University School of MedicineSeoulKorea
  2. 2.Department of Radiology, Chungnam National University HospitalChungnam National University College of MedicineDaejeonKorea
  3. 3.Biostatics and Clinical Epidemiology Center, Research Institute for Future MedicineSamsung Medical CenterSeoulRepublic of Korea

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