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Navigator Flip Angle Optimization for Free-Breathing T1-Weighted Hepatobiliary Phase Imaging With Gadoxetic Acid
Journal article   Open access   Peer reviewed

Navigator Flip Angle Optimization for Free-Breathing T1-Weighted Hepatobiliary Phase Imaging With Gadoxetic Acid

Jens-P. Kuehn, James H. Holmes, Anja C. S. Brau, Yuji Iwadate, Diego Hernando and Scott B. Reeder
Journal of magnetic resonance imaging, Vol.40(5), pp.1129-1136
11/01/2014
DOI: 10.1002/jmri.24480
PMID: 24214890
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https://doi.org/10.1002/jmri.24480View
Published (Version of record) Open Access

Abstract

Purpose: To characterize and optimize the navigator-flip angle (FA), and the influence of imaging-FA on optimizing liver/lung contrast of the navigator profile, while avoiding visible navigator saturation artifacts, for hepatobiliary phase gadoxetic acid-enhanced MRI. Materials and Methods: Ten volunteers; six men, four women; ages 37.1 +/- 11.0 years underwent navigator-gated three-dimensional (3D) -spoiled-gradient-echo sequences in randomized combinations of imaging-FA (10 degrees/30 degrees) and navigator-FA (10-90 degrees) before contrast and 20 min after injection of gadoxetic acid at 3 Tesla. The signal intensities of the liver and lung were measured from navigator profiles. Furthermore, the intensity of saturation artifacts for each navigator FA was quantified using measurements of relative contrast at the artifact location. Results: For the postcontrast images, the optimal navigator FA was 90 degrees. However, saturation artifacts were highly dependent on the imaging-FA and the presence of gadolinium contrast. A smaller imaging-FA of 10 degrees led to greater saturation artifacts for both pre- and postcontrast, and saturation artifacts worsen with increasing navigator-FA. Using a higher imaging-FA of 30 degrees, saturation artifacts are ignorable over the entire range of navigator-FA. Conclusion: For navigator-gated gadoxetic acid-enhanced hepatobiliary imaging, navigator-FA of 90 degrees and imaging-FA of 30 degrees provide an optimal balance with maximum navigator liver/lung contrast while avoiding visible imaging saturation artifacts.
Life Sciences & Biomedicine Radiology, Nuclear Medicine & Medical Imaging Science & Technology

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