Comparison of breath-hold multishot echo-planar and respiratory triggered fast-spin-echo sequences for T2-weighted MRI of liver lesions

J Magn Reson Imaging. 1998 Mar-Apr;8(2):432-7. doi: 10.1002/jmri.1880080225.

Abstract

The purpose of this study was to evaluate the usefulness of multishot echo-planar imaging in detecting liver tumors in comparison with respiratory triggered T2-weighted fast-spin-echo (FSE) imaging. Thirty-two patients with 70 focal liver lesions were imaged using a 1.5-T high speed MR imager. Eight-shot echo-planar images covering the whole liver were acquired during a single breath-hold period. FSE images were acquired with respiratory triggering in approximately 4 minutes. Lesion detectability and image quality of the two pulse sequences were analyzed qualitatively. Quantitative analysis was performed by means of signal-to-noise and tumor-liver contrast-to-noise analysis. Lesion detectability was comparable in both solid (86.3% vs 90.2%: .3 < P < .5) and nonsolid lesions (89.5% vs 100%: .3 < P < .5) between echo-planar and FSE images. Echo-planar imaging provided significantly reduced image artifact, better lesion conspicuity, and anatomic detail compared with FSE imaging. The signal-to-noise and contrast-to-noise ratios of echo-planar images were significantly higher than those of FSE images. Breath-hold eight-shot echo-planar imaging can be an alternative to T2-weighted FSE imaging because it can provide comparable image quality in a substantially decreased acquisition time.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Echo-Planar Imaging / methods*
  • Female
  • Humans
  • Image Processing, Computer-Assisted
  • Liver Neoplasms / diagnosis*
  • Liver Neoplasms / pathology
  • Magnetic Resonance Imaging / methods*
  • Male
  • Middle Aged
  • Statistics, Nonparametric