Literature DB >> 21330565

Focal liver lesions at 3.0 T: lesion detectability and image quality with T2-weighted imaging by using conventional and dual-source parallel radiofrequency transmission.

Guido M Kukuk1, Jürgen Gieseke, Sebastian Weber, Dariusch R Hadizadeh, Michael Nelles, Frank Träber, Hans H Schild, Winfried A Willinek.   

Abstract

PURPOSE: To prospectively compare T2-weighted single-shot turbo spin-echo (TSE) sequences performed with parallel and conventional radiofrequency (RF) transmission at 3.0 T for liver lesion detection, image quality, lesion conspicuity, and lesion contrast.
MATERIALS AND METHODS: After written informed consent and institutional review board approval, 52 consecutive patients (32 men, 20 women; mean age, 56.6 years ± 13.7 [standard deviation]) underwent routine magnetic resonance (MR) imaging with a clinical 3.0-T unit. Two independent readers reviewed images acquired with conventional and dual-source parallel RF transmission for detection of focal liver lesions, with separate reading of a third radiologist, including all available imaging findings, clinical history, and histopathologic findings, as reference. Image quality and lesion conspicuity were rated on five- and three-point evaluation scales, respectively. Contrast ratios between focal liver lesions and adjacent liver parenchyma were calculated. Significance was determined by using nonparametric Wilcoxon signed-rank and marginal homogeneity tests.
RESULTS: With the reference standard, 106 index lesions were identified in 22 patients. Detection rate significantly improved from 87% (92 of 106) to 97% (103 of 106) (reader 1) and from 85% (90 of 106) to 96% (102 of 106) (reader 2) with parallel RF transmission (reader 1, P = .0078; reader 2, P = .002). Quality of parallel RF transmission images was assigned scores significantly higher, compared with quality of conventional RF transmission images (mean for reader 1, 2.88 ± 0.73 vs 4.04 ± 0.44; mean for reader 2, 2.81 ± 0.72 vs 4.04 ± 0.39; P < .0001 for both). Lesion conspicuity scores were significantly higher on parallel RF transmission images, compared with conventional RF transmission images (mean for reader 1, 2.02 ± 0.64 vs 2.92 ± 0.27; mean for reader 2, 2.06 ± 0.67 vs 2.90 ± 0.30; P < .0001 for both). Contrast ratios were significantly higher with parallel RF transmission (P < .05).
CONCLUSION: Compared with conventional RF transmission, parallel RF transmission significantly improved liver lesion detection rate, image quality, lesion conspicuity, and lesion contrast. SUPPLEMENTAL MATERIAL: http://radiology.rsna.org/lookup/suppl/doi:10.1148/radiol.11101429/-/DC1. RSNA, 2011

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Year:  2011        PMID: 21330565     DOI: 10.1148/radiol.11101429

Source DB:  PubMed          Journal:  Radiology        ISSN: 0033-8419            Impact factor:   11.105


  12 in total

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