Clinical Study
Noninvasive Monitoring of Liver Disease Regression after Hepatitis C Eradication Using Gadoxetic Acid-Enhanced MRI
| MRI unit | 3.0 Tesla, TrioTrim, Siemens, Erlangen, Germany |
| Coil | Combined six-element phased-array abdominal coil and fixed spine coil |
| Axial, three-dimensional breath-hold, T1-weighted, gradient-echo sequences (T1-3D GRE), i.e., VIBE | FOV: 350–400 × 350 mm | FS: SPAIR | AF: 2 | Sequence duration: 18–21 s | Section thickness: 1.7 mm; gap: 0 mm | TR: 2.67 ms; TE: 0.97 ms | FA: 13° |
| Contrast medium | i.v. bolus injection of 0.025 mmol/kg body weight of gadoxetic acid at 1 mL/s and 20 mL saline flush |
| Imaging time points | Unenhanced | AP (immediately) | PVP (70 s) | TP (5 min) | HBP (20 min) |
| T1-weighted axial in-phase | TR: 130; TE: 2.46 | FA: 70° | FOV: 640 × 500 |
| T1-weighted axial opposed-phase | TR: 131; TE: 3.69 | FA: 70° | FOV: 320 × 250 |
| T2 HASTE | TR: 1600; TE: 100 | FA: 150° | FOV: 512 × 448 |
| DWI | B 50–600 and ADC map | TR: 4404, TE: 73 | FA: 90° | VOF: 384 × 288 |
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Individual adjustment depending on patient size and breath hold capability. FOV: field of view; FS: fat sat; SPAIR: spectral adiabatic inversion-recovery technique; AF: acceleration factor; TR: repetition time; TE: echo time; FA: flip angle (anteroposterior phase direction); GRE: gradient-recalled echo; VIBE: volumetric interpolated breath-hold examination; HBP: hepatobiliary phase; AP: arterial phase; PVP: portal venous phase; TP: transitional phase; HBP: hepatobiliary phase; HASTE: half-fourier acquisition single-shot turbo spin-echo; DWI: diffusion-weighted images; ADC: apparent diffusion coefficient. |