Navigator-triggered and breath-hold 3D MRCP using compressed sensing: image quality and method selection factor assessment

Abdom Radiol (NY). 2020 Oct;45(10):3081-3091. doi: 10.1007/s00261-020-02403-y.

Abstract

Purpose: To examine whether MRCP using a combination of compressed sensing and sensitivity encoding with navigator-triggered and breath-hold techniques (NT C-SENSE and BH C-SENSE, respectively) have comparable image quality to that of navigator-triggered MRCP using only sensitivity encoding (NT SENSE) at 1.5-T.

Methods: Fifty-one participants were enrolled in this prospective study between July and October 2018 and underwent the three 3D MRCP sequences each. The acquisition time and relative duct-to-periductal contrast ratios (RC values) of each bile duct segment were obtained. Visualization of the bile and main pancreatic ducts, background suppression, artifacts, and overall image quality were scored on 5-point scales. Mean and median differences in RC values and qualitative scores of NT C-SENSE and BH C-SENSE relative to NT SENSE were calculated with 95% confidence intervals (CIs).

Results: Acquisition time of NT SENSE, NT C-SENSE, and BH C-SENSE were 348, 143 (mean for both), and 18 s (for all participants), respectively. The RC value of each bile duct segment was inferior, but the lower limits of the 95% CIs of the mean differences were ≥ - 0.10, for both NT C-SENSE and BH C-SENSE. The visualization score of the intrahepatic duct in BH C-SENSE was inferior to that in NT SENSE (lower 95% CI limit, - 1.5). In both NT C-SENSE and BH C-SENSE, the 95% CIs of the median differences in the other qualitative scores were from - 1.0 to 0.0.

Conclusion: NT C-SENSE and BH C-SENSE have comparable image quality to NT SENSE at 1.5-T.

Keywords: Bile duct; Magnetic resonance cholangiopancreatography; Magnetic resonance imaging; Pancreatic duct.

MeSH terms

  • Breath Holding
  • Cholangiopancreatography, Magnetic Resonance*
  • Humans
  • Imaging, Three-Dimensional
  • Pancreatic Diseases*
  • Prospective Studies