Magnetic resonance cholangiopancreatography using a free-breathing T2-weighted turbo spin-echo sequence with navigator-triggered prospective acquisition correction

Purpose: The objective of this study was to evaluate the image quality of a respiratory-triggered T2-weighted (T2w) turbo spin-echo (TSE) sequence for magnetic resonance cholangiopancreatography (MRCP) using a new method for respiratory triggering by tracking the motion of the right diaphragm [prospective acquisition correction (PACE) technique]. Materials and Methods: Fifty consecutive patients underwent MRCP imaging applying breath-hold half-Fourier single-shot TSE sequences and the respiratory-triggered T2w TSE sequence. Qualitative evaluation grading the depiction of eight segments of the pancreaticobiliary tree and the frequency of artifacts was performed. Quantitative evaluation included calculation of the relative contrast (RC) between fluid-filled ductal structures and organ parenchyma at four segments. Results: A significantly higher (P <.01) RC was measured for the respiratory-triggered T2w TSE sequence [maximum intensity projection (MIP)] for all of the four investigated segments (one of four segments for the MIP) of the pancreaticobiliary tree, as well as a significant (P <.01) improvement of visualization of all ductal segments compared with the breath-hold sequences. The frequency of artifacts was significantly lower (P <.01) compared with the breath-hold sequences. Conclusion: Respiratory-triggered MRCP using a T2w TSE sequence with PACE significantly improves image quality and may be included into the routine MRCP sequence protocol. (c) 2005 Elsevier Inc. All rights reserved.