Abstract:
OBJECTIVES:The aim of this study was to compare a compressed-sensing free-breathing VIBE (fbVIBE) with a conventional breath-hold VIBE (bhVIBE) for dynamic contrast-enhanced imaging of the upper abdomen. MATERIALS AND METHODS:In total, 70 datasets (bhVIBE, n = 30; fbVIBE n = 40; hard-gated [hg] reconstruction, n = 30; motion-state-resolved [mr] reconstruction, n = 10) were assessed by 2 experienced readers. Both sequences were performed on 1.5-T magnetic resonance imaging scanners. The prototypical fbVIBE sequence acquired a navigation signal along with the imaging data and supported 2 different reconstructions: an hg reconstruction that either accepted or rejected an echo train based on the navigation signal and an mr reconstruction that assigned echo trains to their determined motion states. The hg reconstruction to reduce respiratory motion artifacts was carried out inline on the scanner (duration: approximately 8 minutes on the scanner-integrated CPU). The mr reconstruction delivered better results, but the reconstruction time is multiplied by the number of selected motion states (6 in the current study). Comparable reconstruction times to hg reconstruction can only be achieved on GPU-supported scanners. Therefore, the acquired raw data were selectively reconstructed at a later timepoint (duration: approximately 45 minutes). Welch analysis of variance tests were applied to compare image quality (IQ), delineation of structures, artifacts, and diagnostic confidence, which were rated on Likert-type scales (IQ/delineation of structures/diagnostic confidence: 1 [nondiagnostic] to 5 [perfect]; artifacts: 1 [no artifacts] to 5 [severe artifacts]). Mann-Whitney U tests and Kruskal-Wallis H tests were used to compare the extent of artifacts in older (aged ≥70 years) and younger (aged <70 years) patients. Interobserver agreement was assessed using Cohen κ. RESULTS:Mean ratings for IQ/delineation of structures/diagnostic confidence of fb(hg)VIBE (4.2 ± 0.7/4.3 ± 0.8/4.3 ± 0.7; κ = 0.8/0.7/0.6) and fb(mr)VIBE (4.9 ± 0.3/4.9 ± 0.3/4.9 ± 0.3; κ = 0.3/1/0.9) were higher compared with those of bhVIBE (3.7 ± 0.8/3.8 ± 0.8/3.9 ± 0.9; κ = 0.9/0.9/0.9), whereas artifacts of fb(hg)VIBE/fb(mr)VIBE were rated lower (fb[hg]VIBE/fb[mr]VIBE/bhVIBE = 2.2 ± 0.9/1.3 ± 0.5/2.4 ± 0.9; κ = 0.6/0.6/0.9). The IQ of fb(hg)VIBE was rated significantly higher compared with that of bhVIBE (P = 0.03). All parameters were significantly improved by mr reconstruction compared with fb(hg)VIBE and bhVIBE (P < 0.001). In the fb(hg)VIBE cohort, an insignificant trend toward lower artifacts in the younger age group (≥70 years: 2.5 ± 0.9 vs <70 years: 1.9 ± 0.8) was found, whereas significant differences emerged in the bhVIBE cohort (≥70 years: 3 ± 0.9 vs <70 years: 2.1 ± 0.9; P = 0.02). CONCLUSIONS:Fast fbVIBE using hg and mr reconstructions is technically feasible with improved IQ compared with that of bhVIBE. Free-breathing VIBE may be useful for dynamic contrast-enhanced of the upper abdomen, particularly in older and/or severely ill patients with impaired breath-hold capabilities.
journal_name
Invest Radioljournal_title
Investigative radiologyauthors
Hausmann D,Niemann T,Kreul D,Nocito A,Klarhöfer M,Nickel DM,Kiefer B,Attenberger UI,Zöllner FG,Kubik-Huch RAdoi
10.1097/RLI.0000000000000607subject
Has Abstractpub_date
2019-11-01 00:00:00pages
728-736issue
11eissn
0020-9996issn
1536-0210journal_volume
54pub_type
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journal_title:Investigative radiology
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abstract::A nonionic contrast medium (iohexol) was evaluated for safety and efficacy in pediatric angiocardiography in this study of 15 patients, age 6 to 82 months. Patients carried a preliminary diagnosis of congenital heart disease. Subjects were injected with iohexol, 350 mg iodine/ml of solution with an average volume of 2...
journal_title:Investigative radiology
pub_type: 杂志文章
doi:
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abstract::Radiolabeled ioversol was injected intravenously into two male and two female beagle dogs (6.7 to 10.4 kg) at two dose levels each (0.2 and 1.0 g I/kg). Blood levels of radioactivity were monitored at 2, 5, 10, 20, 40, 60, 90, and 120 minutes and at one and two days. Urine and feces were collected in metabolism cages ...
journal_title:Investigative radiology
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doi:10.1097/00004424-198906001-00005
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journal_title:Investigative radiology
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journal_title:Investigative radiology
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journal_title:Investigative radiology
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1994-05-01 00:00:00
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journal_title:Investigative radiology
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journal_title:Investigative radiology
pub_type: 杂志文章
doi:10.1097/00004424-198601000-00006
更新日期:1986-01-01 00:00:00
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journal_title:Investigative radiology
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doi:10.1097/00004424-197707000-00004
更新日期:1977-07-01 00:00:00
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journal_title:Investigative radiology
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doi:10.1097/RLI.0b013e3182087b03
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doi:10.1097/00004424-199106000-00004
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更新日期:2005-03-01 00:00:00
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更新日期:1997-11-01 00:00:00
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doi:10.1097/00004424-198805000-00005
更新日期:1988-05-01 00:00:00
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更新日期:1987-08-01 00:00:00
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更新日期:2007-06-01 00:00:00
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更新日期:1999-09-01 00:00:00
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更新日期:2013-06-01 00:00:00
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更新日期:2009-09-01 00:00:00
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