Modified respiratory-triggered SPACE sequences for magnetic resonance cholangiopancreatography

Background: Respiratory-triggered (RT) and breath-hold are the most common acquisition modalities for magnetic resonance cholangiopancreatography (MRCP). The present study compared the three different acquisition modalities for optimizing the use of MRCP in patients with diseases of the pancreatic a...

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Main Authors: Dayong Jin, Xin Li, Yifan Qian, Yanqiang Qiao, Liyao Liu, Juan Tian, Lei Wang, Yongli Ma, Yue Qin, Yinhu Zhu
Format: Article
Language:English
Published: Elsevier 2024-06-01
Series:European Journal of Radiology Open
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352047724000194
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author Dayong Jin
Xin Li
Yifan Qian
Yanqiang Qiao
Liyao Liu
Juan Tian
Lei Wang
Yongli Ma
Yue Qin
Yinhu Zhu
author_facet Dayong Jin
Xin Li
Yifan Qian
Yanqiang Qiao
Liyao Liu
Juan Tian
Lei Wang
Yongli Ma
Yue Qin
Yinhu Zhu
author_sort Dayong Jin
collection DOAJ
description Background: Respiratory-triggered (RT) and breath-hold are the most common acquisition modalities for magnetic resonance cholangiopancreatography (MRCP). The present study compared the three different acquisition modalities for optimizing the use of MRCP in patients with diseases of the pancreatic and biliary systems. Materials and methods: Three MRCP acquisition modalities were used in this study: conventional respiratory-triggered sampling perfection with application-optimized contrasts using different flip evolutions (RT-SPACE), modified RT-SPACE, and breath-hold (BH)-SPACE. Fifty-eight patients with clinically suspected pancreatic and biliary system disease were included. All image data were acquired on a 1.5 T MR. Scan time and image quality were compared between the three acquisition modalities. Friedman test, which was followed by post-hoc analysis, was performed among triple-scan protocol. Results: There was a significant difference in the mean acquisition time among conventional RT-SPACE, modified RT-SPACE, and BH-SPACE (167.41±32.11 seconds vs 50.84±73.78 seconds vs 18.00 seconds, P <0.001). Signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) were also significantly different among the three groups (P <0.001). The SNR and CNR were higher in the RT-SPACE group than in the BH-SPACE group (P <0.05). However, there were no statistically significant differences (P >0.05) among the 3 groups regarding quality of overall image, image clarity, background inhibition, and visualization of the pancreatic and biliary system. Conclusions: MRCP acquisition with the modified RT-SPACE sequence greatly shortens the acquisition time with comparable quality images. The MRCP acquisition modality could be designed based on the patient's situation to improve the examination pass rate and obtain excellent images for diagnosis.
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spelling doaj.art-6f0a8eb5bc4745548e31d37550e891ef2024-04-22T04:11:45ZengElsevierEuropean Journal of Radiology Open2352-04772024-06-0112100564Modified respiratory-triggered SPACE sequences for magnetic resonance cholangiopancreatographyDayong Jin0Xin Li1Yifan Qian2Yanqiang Qiao3Liyao Liu4Juan Tian5Lei Wang6Yongli Ma7Yue Qin8Yinhu Zhu9Department of Radiology, Xi’an Daxing Hospital, Xi’an, ChinaDepartment of Radiology, Xi’an Daxing Hospital, Xi’an, ChinaDepartment of Radiology, Xi’an Daxing Hospital, Xi’an, ChinaDepartment of Radiology, Xi’an Daxing Hospital, Xi’an, ChinaDepartment of Radiology, Xi’an Daxing Hospital, Xi’an, ChinaDepartment of Radiology, Xi’an Daxing Hospital, Xi’an, ChinaDepartment of Radiology, Xi’an Daxing Hospital, Xi’an, ChinaDepartment of Radiology, Xi’an Daxing Hospital, Xi’an, ChinaCorrespondence to: Department of Radiology, Xi’an Daxing Hospital, No. 353 Laodong Rd, Lianhu District, Xi’an 710016, China.; Department of Radiology, Xi’an Daxing Hospital, Xi’an, ChinaCorrespondence to: Department of Radiology, Xi’an Daxing Hospital, No. 353 Laodong Rd, Lianhu District, Xi’an 710016, China.; Department of Radiology, Xi’an Daxing Hospital, Xi’an, ChinaBackground: Respiratory-triggered (RT) and breath-hold are the most common acquisition modalities for magnetic resonance cholangiopancreatography (MRCP). The present study compared the three different acquisition modalities for optimizing the use of MRCP in patients with diseases of the pancreatic and biliary systems. Materials and methods: Three MRCP acquisition modalities were used in this study: conventional respiratory-triggered sampling perfection with application-optimized contrasts using different flip evolutions (RT-SPACE), modified RT-SPACE, and breath-hold (BH)-SPACE. Fifty-eight patients with clinically suspected pancreatic and biliary system disease were included. All image data were acquired on a 1.5 T MR. Scan time and image quality were compared between the three acquisition modalities. Friedman test, which was followed by post-hoc analysis, was performed among triple-scan protocol. Results: There was a significant difference in the mean acquisition time among conventional RT-SPACE, modified RT-SPACE, and BH-SPACE (167.41±32.11 seconds vs 50.84±73.78 seconds vs 18.00 seconds, P <0.001). Signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) were also significantly different among the three groups (P <0.001). The SNR and CNR were higher in the RT-SPACE group than in the BH-SPACE group (P <0.05). However, there were no statistically significant differences (P >0.05) among the 3 groups regarding quality of overall image, image clarity, background inhibition, and visualization of the pancreatic and biliary system. Conclusions: MRCP acquisition with the modified RT-SPACE sequence greatly shortens the acquisition time with comparable quality images. The MRCP acquisition modality could be designed based on the patient's situation to improve the examination pass rate and obtain excellent images for diagnosis.http://www.sciencedirect.com/science/article/pii/S2352047724000194Breath-holdRespiratory-triggeredMagnetic resonance cholangiopancreatographyMagnetic resonance imaging
spellingShingle Dayong Jin
Xin Li
Yifan Qian
Yanqiang Qiao
Liyao Liu
Juan Tian
Lei Wang
Yongli Ma
Yue Qin
Yinhu Zhu
Modified respiratory-triggered SPACE sequences for magnetic resonance cholangiopancreatography
European Journal of Radiology Open
Breath-hold
Respiratory-triggered
Magnetic resonance cholangiopancreatography
Magnetic resonance imaging
title Modified respiratory-triggered SPACE sequences for magnetic resonance cholangiopancreatography
title_full Modified respiratory-triggered SPACE sequences for magnetic resonance cholangiopancreatography
title_fullStr Modified respiratory-triggered SPACE sequences for magnetic resonance cholangiopancreatography
title_full_unstemmed Modified respiratory-triggered SPACE sequences for magnetic resonance cholangiopancreatography
title_short Modified respiratory-triggered SPACE sequences for magnetic resonance cholangiopancreatography
title_sort modified respiratory triggered space sequences for magnetic resonance cholangiopancreatography
topic Breath-hold
Respiratory-triggered
Magnetic resonance cholangiopancreatography
Magnetic resonance imaging
url http://www.sciencedirect.com/science/article/pii/S2352047724000194
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