2014年9月
Non-Contrast-Enhanced MR Portography With Balanced Steady-State Free-Precession Sequence and Time-Spatial Labeling Inversion Pulses: Comparison of Imaging With Flow-In and Flow-Out Methods
JOURNAL OF MAGNETIC RESONANCE IMAGING
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- 巻
- 40
- 号
- 3
- 開始ページ
- 583
- 終了ページ
- 587
- 記述言語
- 英語
- 掲載種別
- 研究論文(学術雑誌)
- DOI
- 10.1002/jmri.24427
- 出版者・発行元
- WILEY-BLACKWELL
Purpose: To compare and evaluate images of non-contrast-enhanced MR portography acquired with two different methods, the flow-in and flow-out methods.
Materials and Methods: Twenty-five healthy volunteers were examined using respiratory-triggered three-dimensional balanced steady-state free-precession (SSFP) with two selective inversion recovery pulses (flow-in method) and one tagging pulse and one nonselective inversion recovery pulse (flow-out method). For quantitative analysis, vessel-to-liver contrast (Cv-l) ratios of the main portal vein (MPV), right portal vein (RPV), and left portal vein (LPV) were measured. The quality of portal vein visualization was scored using a four-point scale.
Results: The Cv-ls of the MPV, RPV, and LPV were all significantly higher with the flow-out than flow-in method (MPV = 0.834 +/- 0.06 versus 0.711 +/- 0.10; RPV = 0.861 +/- 0.04 versus 0.729 +/- 0.11; LPV = 0.786 +/- 0.08 versus 0.545 +/- 0.22; P < 0.0001). In all analyses of vessel visibility, non-contrast-enhanced MR portography with the flow-out method showed higher scores than with the flow-in method. With the flow-out method, visual scores of the MPV, RPV, portal vein branches of segments 4 (P4), and 8 (P8) were significantly better than with the flow-in method (MPV = 3.4 +/- 0.7 versus 2.6 +/- 0.9; RPV = 4.0 +/- 0.0 versus 3.5 +/- 0.9; P4 = 2.8 +/- 1.3 versus 1.6 +/- 1.0; P8 = 4.0 +/- 0.0 versus 2.9 +/- 1.1; P < 0.05).
Conclusion: Non-contrast-enhanced MR portography with the flow-out method improves the visualization of the intrahepatic portal vein in comparison with the flow-in method.
Materials and Methods: Twenty-five healthy volunteers were examined using respiratory-triggered three-dimensional balanced steady-state free-precession (SSFP) with two selective inversion recovery pulses (flow-in method) and one tagging pulse and one nonselective inversion recovery pulse (flow-out method). For quantitative analysis, vessel-to-liver contrast (Cv-l) ratios of the main portal vein (MPV), right portal vein (RPV), and left portal vein (LPV) were measured. The quality of portal vein visualization was scored using a four-point scale.
Results: The Cv-ls of the MPV, RPV, and LPV were all significantly higher with the flow-out than flow-in method (MPV = 0.834 +/- 0.06 versus 0.711 +/- 0.10; RPV = 0.861 +/- 0.04 versus 0.729 +/- 0.11; LPV = 0.786 +/- 0.08 versus 0.545 +/- 0.22; P < 0.0001). In all analyses of vessel visibility, non-contrast-enhanced MR portography with the flow-out method showed higher scores than with the flow-in method. With the flow-out method, visual scores of the MPV, RPV, portal vein branches of segments 4 (P4), and 8 (P8) were significantly better than with the flow-in method (MPV = 3.4 +/- 0.7 versus 2.6 +/- 0.9; RPV = 4.0 +/- 0.0 versus 3.5 +/- 0.9; P4 = 2.8 +/- 1.3 versus 1.6 +/- 1.0; P8 = 4.0 +/- 0.0 versus 2.9 +/- 1.1; P < 0.05).
Conclusion: Non-contrast-enhanced MR portography with the flow-out method improves the visualization of the intrahepatic portal vein in comparison with the flow-in method.
- リンク情報
- ID情報
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- DOI : 10.1002/jmri.24427
- ISSN : 1053-1807
- eISSN : 1522-2586
- Web of Science ID : WOS:000340538200009