Usefulness of the SPACE pulse sequence at 1.5T MR cholangiography: comparison of image quality and image acquisition time with conventional 3D-TSE sequence

J Magn Reson Imaging. 2013 Nov;38(5):1014-9. doi: 10.1002/jmri.24033. Epub 2013 Sep 16.

Abstract

Purpose: To prospectively evaluate the image quality and image acquisition time at 3D magnetic resonance cholangiopancreatography (MRCP) using sampling perfection with application optimized contrasts (SPACE) and conventional turbo-spin-echo (TSE) sequences.

Materials and methods: We acquired navigator-triggered SPACE and conventional 3D-TSE MRCP images using the same parameters where possible for 30 patients and compared the image acquisition time, contrast, and contrast-to-noise ratio (CNR) of the common bile duct (CBD). Two radiologists performed qualitative analyses using a 4-point scale.

Results: Image acquisition time was 31% shorter with the SPACE than the conventional TSE sequence (248.9 ± 73.0 sec vs. 360.5 ± 99.9 sec, P < 0.01). The contrast and CNR was significantly higher with the SPACE technique than conventional TSE (39.4 ± 14.7 vs. 33.5 ± 14.2, P < 0.01 and 18.6 ± 7.8 vs. 15.5 ± 9.3, P = 0.03). All visual scores were higher for the SPACE than the conventional TSE sequence; there was a significant difference in motion artifacts and the depiction of the CBD and the left hepatic and main pancreatic duct (P < 0.05).

Conclusion: On the 1.5T MR scanner, 3D-MRCP with the SPACE sequence significantly improved the contrast and CNR of CBD. In addition, it yielded images of better quality at 30% shorter acquisition time than constant refocusing pulse flip angle TSE.

Keywords: MRCP; SPACE; TSE.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Algorithms*
  • Biliary Tract Diseases / pathology*
  • Cholangiopancreatography, Magnetic Resonance / methods*
  • Female
  • Humans
  • Image Enhancement / methods*
  • Image Interpretation, Computer-Assisted / methods*
  • Imaging, Three-Dimensional / methods*
  • Male
  • Middle Aged
  • Pancreatic Diseases / pathology*
  • Reproducibility of Results
  • Sensitivity and Specificity