The proposed method provides abdominal images of viscoelasticity in a short time with spatial resolution comparable to conventional MR images and improved quality without being compromised by ascites. The new setup allows for the integration of abdominal MRE into the clinical workflow.

Purpose:To evaluate a free-breathing navigator triggered T2-weighted turbo spin-echo sequence with prospective acquisition correction (T2w-PACE-TSE) for MRI of the upper abdomen in comparison to a conventional T2-weighted TSE (T2w-CTSE), a single-shot TSE (T2w-HASTE), and a T1-weighted gradient-echo sequence (T1w-FLASH). Materials and Methods:A total of 40 consecutive patients were examined at 1.5 T using free-breathing T2w-PACE-TSE, free-breathing T2w-CTSE, and breath-hold T2w-HASTE and T1w-FLASH acquisition. Images were evaluated qualitatively by three radiologists regarding motion artifacts, liver-spleen contrast, depiction of intrahepatic vessels, the pancreas and the adrenal glands, and overall image quality on a four-point scale. Quantitative analysis of the liver-spleen contrast was performed.Results: Depiction and sharpness of intrahepatic vessels were rated significantly better (P Ͻ 0.01) using T2w-PACE-TSE compared to T2w-CTSE and T2w-HASTE sequences. Significantly higher contrast values were measured for T2w-PACE-TSE images compared to T2w-CTSE, T2w-HASTE, and T1w-FLASH images (P Ͻ 0.01). Mean examination time of the T2w-PACE-TSE was 7.91 minutes, acquisition time of the T2w-CTSE sequence was 4.52 minutes. Conclusion:Prospective acquisition correction is an efficient method for reducing respiratory movement artifacts in T2w-TSE imaging of the upper abdomen. Compared to T2w-CTSE and T2w-HASTE sequences recognition of anatomical details and contrast can be significantly improved.

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Women with leiomyoma infarction above 90% on contrast-enhanced MR images after UAE show significantly better symptom control and fewer reinterventions than do patients with a lower infarction rate.