Navigator-triggered prospective acquisition correction (PACE) technique vs. conventional respiratory-triggered technique for free-breathing 3D MRCP: an initial prospective comparative study using healthy volunteers

J Magn Reson Imaging. 2008 Sep;28(3):673-7. doi: 10.1002/jmri.21485.

Abstract

Purpose: To confirm the superiority of the navigator-triggered prospective acquisition correction (PACE) technique over the conventional respiratory-triggered (RESP) technique, something that has been perceived experimentally but without definite evidence, for free-breathing three-dimensional (3D) magnetic resonance cholangiopancreatography (MRCP) using healthy volunteers.

Materials and methods: Free-breathing 3D turbo spin-echo MRCP using both PACE and RESP techniques were prospectively performed on 25 healthy volunteers. Quantitative analyses of acquisition time, signal-to-noise ratio, contrast-to-noise ratio, and contour sharpness index of each segment of the pancreaticobiliary tree were compared using the paired t-test. Qualitative analyses on a five-point scale (1, excellent; 5, poor) scored by two independent radiologists were compared using the Wilcoxon signed-rank test.

Results: The subjective image quality and contour sharpness index of each segment of the PACE technique were found to be significantly better than those for RESP (P<0.05). No significant difference was observed with regard to signal-to-noise and contrast-to-noise ratios except for the pancreatic duct. No significant difference in acquisition times between PACE and RESP techniques was observed.

Conclusion: We confirmed the superiority of the image quality of the PACE technique compared to conventional RESP technique for free-breathing 3D MRCP in healthy volunteers.

Publication types

  • Comparative Study
  • Evaluation Study

MeSH terms

  • Adolescent
  • Adult
  • Algorithms
  • Artifacts*
  • Cholangiopancreatography, Magnetic Resonance / methods*
  • Female
  • Humans
  • Image Enhancement / methods*
  • Image Interpretation, Computer-Assisted / methods*
  • Imaging, Three-Dimensional / methods*
  • Male
  • Middle Aged
  • Reference Values
  • Reproducibility of Results
  • Respiratory Mechanics*
  • Respiratory-Gated Imaging Techniques / methods*
  • Sensitivity and Specificity
  • Young Adult