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Published online before print October 22, 2007, 10.1148/radiol.2453062103
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(Radiology 2007;245:872-880.)
© RSNA, 2007

Technical Developments

Mapping of Hepatic Vascular Anatomy: Dynamic Contrast-enhanced Parallel MR Imaging Compared with 64–Detector Row CT1

Christina Heilmaier, MD, Reto Sutter, MD, Amelie M. Lutz, MD 2, Burkhardt Seifert, PhD, Dominik Weishaupt, MD, Borut Marincek, MD, and Jürgen K. Willmann, MD

1 From the Institute of Diagnostic Radiology, University Hospital Zurich, Zurich, Switzerland (C.H., R.S., A.M.L., D.W., B.M., J.K.W.); and Department of Biostatistics, University of Zurich, Zurich, Switzerland (B.S.). Received December 10, 2006; revision requested February 15, 2007; revision received February 20; accepted March 20; final version accepted April 20. Address correspondence to J.K.W., Molecular Imaging Program at Stanford, Department of Radiology, Stanford University, 318 Campus Dr, E 150 Clark Center, Palo Alto, CA 94305-5427 (e-mail: willmann{at}stanford.edu).

The study was approved by the institutional review board, and informed consent was obtained from all patients. The purpose of this study was to retrospectively evaluate the feasibility, reliability, and accuracy of breath-hold dynamic contrast material–enhanced parallel gradient-echo (GRE) magnetic resonance (MR) imaging for mapping the hepatic vascular anatomy, with contrast-enhanced 64–detector row computed tomography (CT) as the reference standard. The parallel GRE MR data sets of 100 patients acquired at 1.5 T were evaluated independently by two blinded readers with respect to (a) image quality for depiction of the hepatic arteries and the portal and hepatic veins and (b) presence of arterial stenosis and variant hepatic vasculature. The readers rated image quality to be good or excellent for 91.1%–100% of the vessels. At parallel GRE MR imaging, the readers diagnosed variant hepatic vessels and arterial stenosis with 94%–100% accuracy. They concluded that parallel GRE MR imaging, as compared with 64–detector row CT, is feasible for hepatic vascular mapping and enables reliable and accurate detection of variant hepatic vasculature and diagnosis of arterial stenosis.

Supplemental material: http://radiology.rsnajnls.org/cgi/content/full/2453062103/DC1

© RSNA, 2007






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