Dynamic contrast-enhanced MR imaging of rectal cancer using a golden-angle radial stack-of-stars VIBE sequence: comparison with conventional contrast-enhanced 3D VIBE sequence

Abdom Radiol (NY). 2020 Feb;45(2):322-331. doi: 10.1007/s00261-019-02225-7.

Abstract

Purpose: To compare conventional 3D volumetric-interpolated breath-hold examination (C-VIBE) sequence image quality to that of golden-angle radial stack-of stars acquisition scheme (R-VIBE) in rectal cancer patients.

Methods: Seventy-eight patients had undergone pre-contrast C-VIBE, followed by DCE-MRI with R-VIBE and post-contrast C-VIBE in the visualization of rectal cancer. The first phase and the last phase of R-VIBE sequence were compared with pre-contrast and post-contrast C-VIBE sequences, respectively. Signal-to-noise ratios (SNRs) and contrast-to-noise ratios (CNRs) of rectal neoplasms, gluteus maximus, and subcutaneous fat were compared between the two different sequences. A further qualitative score system (graded 1-5) was used to evaluate the overall image. Quantitative and qualitative parameters from the two sequences were compared.

Results: In all patients, R-VIBE achieved the same SNR and CNR ratings in pre- and post-contrast (all P > 0.05), with the exception of a higher SNR of fat in pre-contrast images (P = 0.037). In addition, there were no significant differences in scores of overall image quality, lesion conspicuity, and rectal wall boundary (all P > 0.05). There was an improved score in artifacts of post-contrast R-VIBE sequence (P = 0.005).

Conclusion: R-VIBE sequence can provide comparable image quality and less motion artifacts to that of C-VIBE sequence and is feasible for imaging of rectal cancer.

Keywords: Artifacts; Feasibility studies; Magnetic resonance imaging; Rectal cancer; Signal-to-noise ratio.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Artifacts
  • Breath Holding
  • Contrast Media
  • Female
  • Humans
  • Image Enhancement / methods
  • Image Interpretation, Computer-Assisted
  • Imaging, Three-Dimensional
  • Magnetic Resonance Imaging / methods*
  • Male
  • Middle Aged
  • Rectal Neoplasms / diagnostic imaging*
  • Signal-To-Noise Ratio

Substances

  • Contrast Media