The objective of this study was to evaluate the diagnostic performance of non–contrast-enhanced magnetic resonance angiography (non–CE-MRA) using SPACE (“Sampling Perfection with Application optimized Contrasts using different flip angle Evolutions”) in comparison with CE-MRA using volume interpolated breath-hold examination (VIBE) in the detection of portosystemic and portohepatic collaterals.
Thirty consecutively enrolled cirrhotic patients with suspicion of portosystemic and portohepatic collaterals underwent SPACE followed by VIBE at 1.5-T magnetic resonance imaging scanner. The contrast-to-noise ratio, signal-to-noise ratio, and scores of the portal vein segments and overall image were used to compare the diagnostic performance of SPACE with that of VIBE. The paired Student t test and the Wilcoxon signed rank test were used for statistical analysis.
Diagnostic results of SPACE were equivalent to those of VIBE. However, both the signal-to-noise ratio and contrast-to-noise ratio of portal vein segments in the former were better than those in the latter (P < 0.0001), and the scores of displaying the portal vein distal branches in SPACE were higher than those in VIBE (P < 0.05).
The SPACE has a comparable ability in demonstrating portosystemic and portohepatic collaterals as well as VIBE does.
From the *Department of Radiology, Zhongshan Hospital, Fudan University, Shanghai; and †Department of Radiology, Zhejiang Provincial People’s Hospital, Hangzhou, People’s Republic of China.
Received for publication May 8, 2012; accepted July 11, 2012.
Reprints: Mengsu Zeng, PhD, MD, Department of Radiology, Zhongshan Hospital, Fudan University, 180 Fenglin Rd, Shanghai, People’s Republic of China 200032 (e-mail: email@example.com).
The authors have no conflicts of interest to declare.