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Published in: European Radiology 8/2016

01-08-2016 | Magnetic Resonance

Reduction in respiratory motion artefacts on gadoxetate-enhanced MRI after training technicians to apply a simple and more patient-adapted breathing command

Authors: Andreas Gutzeit, Simon Matoori, Johannes M. Froehlich, Constantin von Weymarn, Carolin Reischauer, Orpheus Kolokythas, Matthias Goyen, Klaus Hergan, Matthias Meissnitzer, Rosemarie Forstner, Jan D. Soyka, Aleksis Doert, Dow-Mu Koh

Published in: European Radiology | Issue 8/2016

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Abstract

Objective

To investigate whether a trained group of technicians using a modified breathing command during gadoxetate-enhanced liver MRI reduces respiratory motion artefacts compared to non-trained technicians using a traditional breathing command.

Materials and methods

The gadoxetate-enhanced liver MR images of 30 patients acquired using the traditional breathing command and the subsequent 30 patients after training the technicians to use a modified breathing command were analyzed. A subgroup of patients (n = 8) underwent scans both by trained and untrained technicians. Images obtained using the traditional and modified breathing command were compared for the presence of breathing artefacts [respiratory artefact-based image quality scores from 1 (best) to 5 (non-diagnostic)].

Results

There was a highly significant improvement in the arterial phase image quality scores in patients using the modified breathing command compared to the traditional one (P < 0.001). The percentage of patients with severe and extensive breathing artefacts in the arterial phase decreased from 33.3 % to 6.7 % after introducing the modified breathing command (P = 0.021). In the subgroup that underwent MRI using both breathing commands, arterial phase image quality improved significantly (P = 0.008) using the modified breathing command.

Conclusion

Training technicians to use a modified breathing command significantly improved arterial phase image quality of gadoxetate-enhanced liver MRI.

Key Points

A modified breathing command reduced respiratory artefacts on arterial-phase gadoxetate-enhanced MRI (P < 0.001).
The modified command decreased severe and extensive arterial-phase breathing artefacts (P = 0.021).
Training technicians to use a modified breathing command improved arterial-phase images.
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Metadata
Title
Reduction in respiratory motion artefacts on gadoxetate-enhanced MRI after training technicians to apply a simple and more patient-adapted breathing command
Authors
Andreas Gutzeit
Simon Matoori
Johannes M. Froehlich
Constantin von Weymarn
Carolin Reischauer
Orpheus Kolokythas
Matthias Goyen
Klaus Hergan
Matthias Meissnitzer
Rosemarie Forstner
Jan D. Soyka
Aleksis Doert
Dow-Mu Koh
Publication date
01-08-2016
Publisher
Springer Berlin Heidelberg
Published in
European Radiology / Issue 8/2016
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-015-4086-4

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