Comparison of spin-echo echoplanar imaging and gradient recalled echo-based MR elastography at 3 Tesla with and without gadoxetic acid administration

作者：Kim Yong Seek; Song Ji Soo^*; Kannengiesser Stephan; Seo Seung Young

来源：European Radiology, 2017, 27(10): 4120-4128.

DOI：10.1007/s00330-017-4781-4

• Magnetic resonance elastography
• Liver fibrosis
• Spin echo
• Gradient recalled echo
• Gadoxetic acid

To compare spin-echo echoplanar imaging (SE-EPI) and gradient recalled echo (GRE) MR elastography (MRE) at 3 T with and without gadoxetic acid administration.
We included 84 patients who underwent MRE before and after gadoxetic acid administration, each time using SE-EPI and GRE sequences. Diagnostic performance for predicting clinical liver cirrhosis and high-risk oesophageal varices was assessed using the area under the receiver-operating characteristic curve (AUC). The relationships between T2* and success of MRE, and correlations of liver stiffness (LS) values between the two sequences or before and after gadoxetic acid administration, were investigated.
SE-EPI-MRE resulted in a significantly lower failure rate than GRE-MRE (1.19% vs. 10.71%, P = 0.018). Increased T2* was related to higher probability of successful LS measurement (odds ratio, 1.426; P = 0.004). The AUC of SE-EPI-MRE was comparable to that of GRE-MRE for the detection of clinical liver cirrhosis (0.938 vs. 0.948, P = 0.235) and high-risk oesophageal varices (0.839 vs. 0.752, P = 0.354). LS values were not significantly different before and after gadoxetic acid administration.
SE-EPI-MRE can substitute for GRE-MRE for the detection of clinical liver cirrhosis and high-risk oesophageal varices. SE-EPI-MRE is particularly useful in patients with iron deposition, with lower failure rates than GRE-MRE.
aEuro cent LS values are comparable between SE-EPI-MRE and GRE-MRE.
aEuro cent Administration of gadoxetic acid does not influence LS measurement.
aEuro cent The failure rate of SE-EPI-MRE is significantly lower than that of GRE-MRE.

• 出版日期2017-10