ISMRM 24th Annual Meeting & Exhibition • 07-13 May 2016 • Singapore Electronic Poster Session: Body 1
 Exhibition Hall 15:15 - 16:15
 Computer # 2912. 1 Marta Tibiletti1, Martin Tschechne1, Andrea Bianchi2, Detlef Stiller2, and Volker Rasche1,3 1Core Facility Small Animal MRI, Ulm University, Ulm, Germany, 2Target Discovery Research, In-vivo imaging laboratory, Boehringer Ingelheim Pharma GmbH & Co. KG, Biberach an der Riss, Germany,3Department of Internal Medicine II, Ulm University, Ulm, Germany Functional information of the lung is of great importance for staging and monitoring lung disease. Imaging of lung ventilation has been addressed by inhalation of polarized gases like Helium or Xenon. Major limitation of this technique rises from the high costs of equipment and gases. As an efficient alternative to polarized gases, the use of fluorinated gases has been proposed. In pre-clinical application these have always been used in combination with intubation, which does not realistically reflect the ventilation during free breathing. In this contribution the imaging of ventilation in mice with fluorinated gases during free-breathing is addressed. 2913. 2 Andreas Voskrebenzev1,2, Marcel Gutberlet1,2, Frank Wacker1,2, and Jens Vogel-Claussen1,2 1Institute of Diagnostic and Interventional Radiology, Hanover, Germany, 2German Centre for Lung Research, Hanover, Germany Fourier Decomposition (FD) is a lung function imaging technique with a high clinical potential. Nevertheless the 2D acquisition leads to long acquisition times for complete lung scans and the 3D breathing motion might lead to errors in the ventilation measurements. Self-navigated sequences offer the possibility to reconstruct images in different respiratory states. Using a stack-of-stars sequence, a method for 3D fractional ventilation (FV) imaging is demonstrated for six healthy volunteers and compared with FV calculated by 2D FD. The two methods show a good agreement. Additionally, 3D FV depicts 3D lung motion, which is not adequately detected with 2D FD. 2914. 3 Yutaka Natsuaki1, Xiaoming Bi1, Gerhard Laub1, and David Grodzki2 1Siemens Healthcare, Los Angeles, CA, United States, 2Siemens Healthcare, Erlangen, Germany With recent developments in ultra-short TE (UTE) MRI sequences such as PETRA with the respiratory triggering and the segmented acquisition, MRI has shown a potential of being a viable radiation-free alternative to the incumbent gold standard CT lung imaging.  Within a volunteer validation study (n=14), the current work demonstrates a recent progress in the PETRA lung MRI towards its robustness and its applicability to all patient populations. The proposed solution improves patient comfort and image contrast by suppressing the unintended high intensity signals from surrounding tissues. 2915. 4 Nora Kassner1, Meike Weis2, Katrin Zahn3, Thomas Schaible4, Stefan O Schoenberg2, Lothar R Schad1, K Wolfgang Neff2, and Frank G Zöllner1 1Computer Assisted Clinical Medicine, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany, 2Institute of Clinical Radiology and Nuclear Medicine, University Medical Center Mannheim, Heidelberg University, Mannheim, Germany, 3Department of Pediatric Surgery, University Medical Center Mannheim, Heidelberg University, Mannheim, Germany, 4Department of Neonatology, University Medical Center Mannheim, Heidelberg University, Mannheim, Germany Reported measured lung perfusion data of 2-year old children after congenital diaphragmatic hernia repair was evaluated by regions of interest (ROI) within the acquired 3D volume. In this work a histogram based approach is used to characterize the distribution of perfusion in the whole left and right lung, and suitable quantities to characterize the distribution are extracted. 2916. 5 Orso Pusterla1,2, Grzegorz Bauman1,2, and Oliver Bieri1,2 1Radiological Physics, Dep. of Radiology, University of Basel Hospital, Basel, Switzerland, 2Department of Biomedical Engineering, University of Basel, Basel, Switzerland In contrast to the common view that Gd-based contrast agents have only marginal/limited effect on balanced steady state free precession (bSSFP) from its $$T_2/T_1$$$signal properties, we will demonstrate that especially for lung imaging single-dose contrast agent administration increases the parenchymal signal nearly up two fold. 2917. 6 Orso Pusterla1,2, Grzegorz Bauman1,2, Mark Wielpütz3,4, Claus Heussel3,4, and Oliver Bieri1,2 1Radiological Physics, Dep. of Radiology, University of Basel Hospital, Basel, Switzerland, 2Department of Biomedical Engineering, University of Basel, Basel, Switzerland, 3Department of Diagnostic and Interventional Radiology with Nuclear Medicine, Thoraxklinik at University Hospital Heidelberg, Heidelberg, Germany, 4Department of Diagnostic and Interventional Radiology, University Hospital of Heidelberg, Heidelberg, Germany Monitoring lung ventilation is of great interest to assess pulmonary function and disease progression. Here, a novel, fast, and simple three-dimensional (3D) quantitative in vivo 1H imaging method is introduced, reflecting regional ventilation information. To this end, typically five ultra-fast balanced steady state free precession (ufSSFP) scans are repetitively performed in breath-hold from which a respiratory index map, $${\gamma}$$$, is derived. The new measure $${\gamma}$$shows high reproducibility in healthy volunteers and high sensitivity to respiratory defects, such as in patients with COPD. 2918. 7 Li Feng1, Jean Delacoste2, Hersh Chandarana1, Davide Piccini2,3, Francis Girvin1, Matthias Stuber2,4, Daniel K Sodickson1, and Ricardo Otazo1 1Center for Advanced Imaging Innovation and Research (CAI2R), New York University School of Medicine, New York, NY, United States, 2University Hospital (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland, 3Advanced Clinical Imaging Technology, Siemens Healthcare, Lausanne, Switzerland, 4Center for Biomedical Imaging (CIBM), Lausanne, Switzerland A four-dimensional (4D) respiratory motion-resolved UTE MRI method is presented for free-breathing lung MRI with isotropic spatial resolution. Center-out radial half-projection k-space data are continuously acquired using a 3D golden-angle UTE sequence. The radial k-space data are retrospectively sorted into distinct respiratory states, resulting in an undersampled 4D dataset (kx-ky-kz-respiration) using a respiratory motion signal extracted from the acquired data. The undersampled 4D data are reconstructed by exploiting sparsity along the new respiratory dimension. The proposed approach enables free-breathing lung MRI with 100% scan efficiency, allowing for assessment of lung tissue in arbitrary orientations at different respiratory states. 2919. 8 Simon Veldhoen1, Andreas Max Weng1, Clemens Wirth1, Andreas Steven Kunz1, Janine Nicole Knapp1, Daniel Stäb1,2, Florian Segerer3, Helge Uwe Hebestreit3, Thorsten Alexander Bley1, and Herbert Köstler1 1Department of Diagnostic and Interventional Radiology, University Hospital Würzburg, Würzburg, Germany, 2The Centre for Advanced Imaging, The University of Queensland, Brisbane, Australia,3Department of Pediatrics, University Hospital Würzburg, Würzburg, Germany Fourier Decomposition MRI using the SENCEFUL approach is a recent development in functional lung MRI allowing for site-resolved assessment of lung function. The purpose of the present study is to evaluate its feasibility for ventilation imaging in patients with cystic fibrosis. Seven cystic fibrosis patients and 7 healthy volunteers were examined, lung ventilation maps were reconstructed and quantitative ventilation measurements were performed in tidal and deep breathing. Mean quantitative ventilation was significantly lower for patients with cystic fibrosis when compared to the healthy controls. The ventilation maps indicated increased ventilation inhomogeneity in cystic fibrosis patients. 2920. 9 Daniel Alamidi1, Amir Smailagic2, Abdel Bidar2, Nicole Parker2, Marita Olsson2, Sonya Jacksson2, Linda Swedin2, Paul Hockings3,4, Kerstin Lagerstrand1, and Lars E Olsson5 1Department of Radiation Physics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden, 2AstraZeneca R&D, Mölndal, Sweden, 3Medtech West, Chalmers University of Technology, Gothenburg, Sweden, 4Antaros Medical, BioVenture Hub, Mölndal, Sweden, 5Department of Medical Physics, Lund University, Translational Sciences, Malmö, Sweden Tobacco smoking is the main cause of COPD. MRI may improve the characterization of COPD where lung T1 mapping has been used to study lung disease. We investigated whether tobacco smoke exposure affects lung T1 in a mouse model with repeated T1 readouts and biological measurements. Free breathing 3D-UTE T1 maps of the lungs were weekly performed over one month in mice exposed to air or tobacco smoke. The lung T1 was shortened in the tobacco smoke exposed mice, most likely due to early signs of smoking-induced lung pathology. Consequently, T1 is a potential biomarker of lung disease. 2921. 10 Marta Tibiletti1, Andrea Bianchi2, Åsmund Kjørstad3, Detlef Stiller2, and Volker Rasche1,4 1Core Facility Small Animal MRI, Ulm University, Ulm, Germany, 2Target Discovery Research, In-vivo imaging laboratory, Boehringer Ingelheim Pharma GmbH & Co. KG, Biberach an der Riss, Germany,3Department of Neuroradiology, University Hospital Hamburg-Eppendorf, Hamburg, Germany, 4Department of Internal Medicine II, Ulm University, Ulm, Germany 1D (k-space center) and 3D (sliding window 3D reconstruction) have been evaluated for respiratory retrospective self-gating for Quasi Random UTE-3D lung acquisition in freely breathing rats. Low-resolution 3D GRASP reconstruction allowed the extraction of an effective gating signal from changes in lung-liver interface position. The 1D center-of-k-space method did not yield sufficient gating signal fidelity, most likely caused by the only limited changes of the anatomy in the investigated volume, and to a lesser extent intensity modulations introduced by residual eddy-currents. 2922. 11 Iliyana P Atanasova1, Pauline Desogere1, Clemens K Probst2, Nicholas Rotile1, Andrew M Tager2, and Peter Caravan1 1A. A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, United States, 2Center for Immunology and Inflammatory Diseases, Massachusetts General Hospital, Boston, MA, United States Idiopathic pulmonary fibrosis is a fatal condition without effective treatment. Given evidence that vascular leak promotes fibrosis, we assessed whether pulmonary leak could be quantified using dynamic MRI and an intravascular tracer. In a mouse model we observed that permeability to albumin rose sharply on day 3 after insult, returned to baseline by day 5 and increased moderately between days 5-13. To our knowledge this is the first report of the time course of vascular leak in pulmonary fibrosis. The proposed method could be useful for studying the role of lung permeability in fibrosis and for monitoring of treatment response. 2923. 12 Ulrich Katscher1 and Peter Börnert1 1Philips Research Europe, Hamburg, Germany Reliable MR imaging of lung tissue could be an important element of diagnosing lung-related diseases. The very short T2 components of lung tissue, one of the main problems of lung imaging, can be visualized using ultrashort echo times (UTE). Furthermore, UTE sequences allow the determination of conductivity of the imaged tissue. This study shows the principle feasibility of UTE to image lung conductivity, examining healthy volunteers. Obtained conductivity was lower for inspiration breath hold than expiration breath hold, which is the expected behaviour due to corresponding fraction of air (with nearly zero conductivity) inside lungs during inspiration and expiration. 2924. 13 Grzegorz Bauman1,2, Sylvia Nyilas2,3,4, Orso Pusterla1,2, Christoph M Heyer5, Cordula Koerner-Rettberg6, Philipp Latzin3,4, and Oliver Bieri1,2 1Division of Radiological Physics, Deparment of Radiology, University Hospital of Basel, Basel, Switzerland, 2Department of Biomedical Engineering, University of Basel, Basel, Switzerland, 3Department of Pediatric Pneumology, University Children's Hospital Basel (UKBB), Basel, Switzerland, 4Division of Respiratory Medicine, Department of Pediatrics, University Children's Hospital of Bern, Bern, Switzerland, 5Institute of Diagnostic Radiology, Interventional Radiology and Nuclear Medicine, Ruhr-University of Bochum, Bochum, Germany, 6Department of Pediatric Pneumology, University Children's Hospital of Ruhr University Bochum at St Josef-Hospital, Bochum, Germany In this work, the feasibility of contrast-media-free pulmonary Fourier decomposition (FD) MRI is assessed in patients with primary ciliary dyskinesia (PCD). An automatic evaluation of regional functional defects on fractional ventilation and perfusion FD maps has been developed. Furthermore, the lung function evaluated using FD MRI is compared to the parameters obtained using multiple breath washout technique and spirometry. Statistical analysis was used to find significant correlations between FD MRI and lung function techniques. 2925. 14 Ho-Fung Chan1, Neil J. Stewart1, Juan Parra-Robles1, Guilhem J. Collier1, and Jim M. Wild1 1Academic Unit of Radiology, University of Sheffield, Sheffield, United Kingdom Compressed sensing (CS) was implemented to reduce scan time and facilitate acquisition of 3D multiple b-value 3He diffusion-weighted (DW) MRI data for whole lung morphometry. A fully-sampled 3D DW-MRI dataset was retrospectively undersampled using CS simulations to determine optimal k-space undersampling patterns. Whole lung morphometry measurements derived from prospective 3-fold undersampled 3D multiple b-value DW-MRI were compared to 3D and 2D fully-sampled equivalents. Good agreement was obtained between lung morphometry measurements indicating 3D multiple b-value 3He DW-MRI with CS can provide reliable measurements of whole lung morphometry within a single breath-hold. 2926. 15 - Permission Withheld Felix C Horn 1 and Jim M Wild1 1University of Sheffield, Sheffield, United Kingdom Single breath washout (SBW) is a whole lung pulmonary function test that has been shown to be sensitive to early changes in lung disease. Of particular clinical interest has been the Phase III slope (SIII) as the concentration decay between 25-75% of the exhaled volume. In this work rapid lung imaging of exhaled hyperpolarized gas is used to acquire 2D images of SBW of subjects expiring to residual lung volume. The ability to calculate regional SIII from those time resolved images is demonstrated in healthy volunteers. 2927. 16 Juan FPJ Abascal1,2, Manuel Desco1,2,3, and Juan Parra-Robles1,2 1Department of Bioengeering and Aerospace Engineering, Universidad Carlos III de Madrid, Madrid, Spain, 2Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain, 3Centro de Investigación en Red de Salud Mental (CIBERSAM), Madrid, Spain Diffusion MRI measurements using hyperpolarized gases are generally acquired during patient breath hold, which yields a compromise between achievable image resolution, lung coverage and number of b-values. In this work, we propose a novel method that incorporates the knowledge of the signal decay into the reconstruction (SIDER) to accelerate the acquisition of MR diffusion data by undersampling in both spatial and b-value dimensions. SIDER is assessed by restrospectively undersampling diffusion datasets of normal volunteers and COPD patients. Results suggest that accelerations of at least x7 are achievable with negligible effect in the estimates of diffusion parameters. 2928. 17 Ho-Fung Chan1, Neil J. Stewart1, Guilhem J. Collier1, and Jim M. Wild1 1Academic Unit of Radiology, University of Sheffield, Sheffield, United Kingdom Whole-lung coverage 3He ventilation images, maps of ADC, alveolar dimension (LmD), and T2* were acquired in a single breath-hold using a multiple-interleaved 3D sequence with compressing sensing (CS). A fully-sampled three-interleaved ADC and T2* dataset was acquired for CS simulations, to determine the optimal k-space undersampling patterns. A prospective, 3-fold undersampled 3D five-interleaved dataset was acquired with CS and parametric maps were compared to those calculated from fully-sampled datasets. CS-derived ADC and LmD values showed good agreement with fully-sampled equivalents. CS-derived T2­* values were lower than fully-sampled ones due to the smoothing process of the CS reconstruction. 2929. 18 Scott H. Robertson1,2, Elianna A. Bier1,2, Rohan S. Virgincar1,3, and Bastiaan Driehuys1,2,3,4 1Center for In Vivo Microscopy, Duke University Medical Center, Durham, NC, United States, 2Medical Physics Graduate Program, Duke University, Durham, NC, United States, 3Department of Biomedical Engineering, Duke University, Durham, NC, United States, 4Department of Radiology, Duke University Medical Center, Durham, NC, United States Hyperpolarized 129Xe experiences chemical shifts between the lung airspaces, interstitium, and capillary beds, enabling functional information to be directly probed. However, in order to realize the potential of these chemical shifts, the spectrum must be carefully decomposed. Previous methods have assumed only two dissolved-phase resonances exist in the human lung and have used inconsistent 0 ppm reference frequencies. Here we present novel non-linear fitting of complex exponentially decaying FIDs and demonstrate that the dissolved phase signal can be robustly decomposed into three dissolved-phase resonances. We present updated frequencies and widths using and appropriately adjusted 0 ppm reference value. 2930. 19 Scott H. Robertson1,2, Jennifer Wang1, Geoffry Schrank1, Holman P. McAdams3, and Bastiaan Driehuys1,2,4,5 1Center for In Vivo Microscopy, Duke University Medical Center, Durham, NC, United States, 2Medical Physics Graduate Program, Duke University, Durham, NC, United States, 3Department of Radiology, Duke University Medical Center, Durham, NC, United Kingdom, 4Department of Biomedical Engineering, Duke University, Durham, NC, United States, 5Department of Radiology, Duke University Medical Center, Durham, NC, United States While gas-exchange imaging with 129Xe holds great potential for enhancing both the diagnosis and followup of IPF, the quantitative ability of these techniques is currently limited by the SNR and spatial resolution afforded by the limited dissolved-phase signal and highly undersampled acquisition. Here we tune our reconstruction for these challenging conditions, and demonstrate improvements in image quality. We then quantify the loss of gas exchange in the apex and base of the lung and show that there is significantly reduced gas exchange in the basal regions of subjects with IPF relative to healthy controls. 2932. 20 Hooman Hamedani1,2, Yi Xin1, Stephen J Kadlecek1, Heather Gatens1, Maurizio Cereda3, Sarmad M Siddiqui1,2, Mehrdad Pourfathi1,4, Joseph Naji1, Masaru Ishii5, and Rahim R Rizi1 1Radiology, University of Pennsylvania, Philadelphia, PA, United States, 2Bioengineering, University of Pennsylvania, Philadelphia, PA, United States, 3Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, PA, United States, 4Electrical and Systems Engineering, University of Pennsylvania, Philadelphia, PA, United States, 5Johns Hopkins University, Baltimore, MD, United States Aside from the superior diagnostic power that HP gas MRI provides through imaging unique aspects of lung function, it is evident that the underlying mechanisms that lead to subsequently evident global changes in the lung function in future are detectable through regional and functional imaging using HP gas MRI. 2933. 21 Laura L Walkup1, Robert P Thomen1,2, Teckla Akinyi1,3, Wolfgang Loew4, Kai Ruppert1, John P Clancy5, Zackary I Cleveland1, and Jason C Woods1 1Center for Pulmonary Imaging Research, Division of Pulmonary Medicine and Department of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States, 2Department of Physics, Washington University in St. Louis, St. Louis, MO, United States, 3Department of Biomedical Engineering, University of Cincinnati, Cincinnati, OH, United States, 4Imaging Research Center, Department of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States, 5Division of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States We demonstrate hyperpolarized 129Xe MRI in healthy pediatric control subjects and cystic fibrosis patients as young as age 7, for the first time. Subjects experienced a transient nadir in SpO2 that quickly returns to baseline with normal breathing. Despite having similarly high lung function (i.e., normal FEV1), CF patients had nearly 4-fold increase in 129Xe ventilation defect volume compared to their healthy peers, with statistical significance. Importantly, ventilation defects were present even in CF patients with FEV1 near or exceeding 100% predicted, suggesting that 129Xe MRI is more sensitive to early CF lung disease than traditional clinical spirometry. 2931. 22 - Permission Withheld Wei Tang1, Yao Huang1, Ning Wu1, Wenwen Lu1, Linlin Qi1, and Bing Wu2 1Diagnostic Radiology, Cancer Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China, People's Republic of, 2GE heathcare MR research China, Beijing, China, People's Republic of Magnetic resonance (MR) elastography depitcs the elastic properties of tissues of interest has been primarily applied in the work-up of diagnosis for hepatic fibrosis. Theoretically, interference fringes could be visualized on the elastogram due to the miscalculation of the interaction between the attenuated propagations of shear wave and the tissue overlying or surrounding to the investigated subject, which might be one of the main concern that limited the clinical potentials of MRE. We propose an investigation on the feasibility of MR elastography in characterizing the mechanical properties of anterior mediastinal masses with the consideration of the relatively superficial location of these entities, therefore few interactions between the shear wave and subject unexpected were produced during the process of elasticity mapping. It was demonstrated in our study that anterior mediastinal mass in various etiology of thymic carcinoma, thymoma, and lymphoma has distinct elastic properties. MR elastography was helpful in distinguishing the thymic carcinoma from lymphoma. 2934. 23 Therese Sjoholm1, Benjamin A Thomas1, Yin Mo2, Louisa Sun2, Ashley St. John3, Paul Anantharajah Tambyah2, and John J Totman1 1A*STAR-NUS Clinical Imaging Research Centre, Singapore, Singapore, 2Department of Medicine, National University Hospital Singapore, Singapore, Singapore, 3Duke-NUS Graduate Medical School, Singapore, Singapore In this study we assess the feasibility of using MRI for measurement of pleural effusion in Dengue Fever. 30 subjects with confirmed Dengue infection were scanned using T2-weighted HASTE MRI and chest x-rays (CXRs) at baseline and 4-8 days follow-up. Fluid accumulation in the pleural cavity was assessed for both modalities. For MRI, significantly different fluid accumulations were measured between baseline and follow-up (p=0.002). The fluid accumulations were all below the detectability limit of CXR. As such, MRI provides a sensitive measurement of pleural effusion in dengue fever and can be used to track fluid accumulation over time.  Exhibition Hall 15:15 - 16:15  Computer # 2935. 25 Lorenzo A Orci1, Graziano Oldani1, Stephanie Lacotte1, Florence Slits1, Iris Friedli2, Wolfgang Wirth3, Jean-Paul Vallée2, Christian Toso1, and Lindsey Alexandra Crowe2 1Division of Abdominal and Transplantation Surgery, Hepato-pancreato-biliary Centre, Department of Surgery, Geneva University Hospital and Faculty of Medicine, Geneva, Switzerland, 2Division of Radiology, Geneva University Hospital and Faculty of Medicine, Geneva, Switzerland, 3Institute of Anatomy, Paracelsus Medical University, Salzburg, Austria In vivo liver cancer research commonly uses rodent models of liver tumor growth. One of the limitations of such models is the lack of accurate and reproducible endpoints for dynamic assessment tumor nodules. We used 3T clinical MRI to quantify tumor volume over time and correlate to gold standard histological volumes and blood levels of α-fetoprotein in two rat orthotopic models of hepatocellular carcinoma (HCC). Combination of 3D isotropic gradient echo for accurate volume and T2 for contrast provided appealing correlation. We have developed a 3D volume quantification method that enables follow-up and analysis of complex tumor morphology. 2936. 26 - Permission Withheld Jeong Hee Yoon1, Jeong Min Lee1, Robert Grimm2, Son Yohan3, Kiefer Berthold2, Tobias Kai Block4, Hearsh Chandarana4, and Joon Koo Han1 1Radiology, Seoul National University Hospital, Seoul, Korea, Republic of, 2Siemens Healthcare, Erlangen, Germany, 3Siemens Healthcare Korea, Seoul, Korea, Republic of, 4Radiology, NYU School of medicine, New York, NY, United States Acquisition of optimal late arterial phase is essential for focal liver lesion diagnosis and detection at gadoxetic acid-enhanced liver magnetic resonance imaging (MRI). However, it is often challenging to obtain late arterial phase due to short arterial window and frequent involuntary motion during arterial phase. We attempted to characterize the frequency, onset, and duration of the involuntary motion after gadoxetic acid injection and whether acceptable quality of late arterial phase can be obtained using incoherent undersampling technique. 2937. 27 Ke Wang1 and Xiaoying Wang2 1Radiology, Peking University First Hospital, Beijing, China, People's Republic of, 2Beijing, China, People's Republic of This study was to compare the category of unenhanced combined contrast enhanced MR imaging (MR) and Multiphasic CT (CT) in the diagnosis of HCC based on LI-RADS 2014 in patients with cirrhosis induced by HBV infection. We restropectively collected patients who had both undergone CT and MR imaging within 30 days and had pathologically proved HCC. A radiologist using LI-RADS 2014 recored the imaging features and the category of all the lesions. The result showed that MR showed higher LI-RADS category compared with CT, and had better ability for the showing of some imaging features. Thus, we concluded that MRI can elevate the LI-RADS category and is recommended in the initial evaluation of suspected HCC priority to CT. 2938. 28 Li Yang1, Ying Ding2, Mengsu Zeng3, Shengxiang Rao3, and Ruofan Sheng3 1Shanghai Institute of Medical Imging, Zhongshan Hospital of Fudan University, Shanghai, China, People's Republic of, 2Zhongshan Hospital of Fudan University,Shanghai Institute of Medical Imging, Shanghai, China, People's Republic of, 3Zhongshan Hospital of Fudan University, Shanghai, China, People's Republic of Hepatobiliary-phase gadoxetic acid-enhanced MR imaging may reflect liver function and was reported to be able to predict liver fibrosis stage with higher reliability. Aspartate aminotransferase-to-platelet ratio index (APRI) and fibrosis-4 (FIB-4) are widely used non-invasive tests that estimate liver fibrosis. We compared the diagnostic performance of T1 mapping on Gd-EOB-DTPA-enhanced 1.5T magnetic resonance imaging (MRI), APRI and FIB-4 for evaluating the severity of liver fibrosis in 118 patients with chronic viral hepatitis B, and the results showed The HBP T1 relaxation time measurement on gadoxetic acid-enhanced appears superior to unenhanced, D% (the reduction rate) of T1 relaxation times, the APRI and FIB-4 index in differentiating advanced liver fibrosis. 2939. 29 Qian Ji1, Zhi-Qiang Chu2, Tao Ren1, Pan-Li Zuo3, Thorsten Feiweier4, Andre de Oliveira4, and Wen Shen1 1Radiology, Tianjin First Central Hospital, Tianjin, China, People's Republic of, 2Transplantation, Tianjin First Central Hospital, Tianjin, China, People's Republic of, 3MR Collaborations NE Asia, Siemens Healthcare, Beijing, China, People's Republic of, 4Siemens Healthcare GmbH, Erlangen, Germany Hepatic warm ischemia-reperfusion injury (WIRI) is clinically relevant in liver transplantation. We undertook this study to determine the feasibility of using IVIM, DTI, and BOLD MR imaging for the characterization of hepatic WIRI. 20 hepatic WIRI models and control rabbits were examined using a 3T clinical MR scanner, which followed by biochemical and histopathological analysis. There were significant differences of Dfast, Dslow, PF, ADC, and R2* values between the two groups. There were significant correlations between MR parameters and biochemical parameters. This indicated that multiparametric functional MR imaging are noninvasive and valuable techniques for assessing the pathophysiologic changes of hepatic WIRI. 2940. 30 Yuan Le1 1Radiology and Imaging Science, Indiana University School of Medicine, Indianapolis, IN, United States This paper is to discuss the impact of fat on the Gd-based contrast behavior in a mixture of water based Gd-BOPTA solution and fat. A set of vials, contains such mixtures with various fat fraction and Gd-BOPTA concentration, was constructed and scanned using both Turbo Spin Echo (TSE) with 3 point Dixon, and VIBE-Dixon. With VIBE-Dixon, the slopes of the regression (relaxivity) of R1 vs. [Gd] in water were very close among groups with various fat fraction; while with TSE image, the slopes of R1 vs. [Gd] in whole mixture were close among vial groups. 2941. 31 Chang-Hee Lee1 and Cheol Min Park2 1Radiology, Korea University Guro Hospital, Seoul, Korea, Republic of, 2Korea University Guro Hospital, Seoul, Korea, Republic of The short breath-hold high-resolution MR technique showes better HAP image quality with less degraded HAP and lower incidences of breath-hold difficulty and gadoxetic acid related dyspnea than the conventional long breath-hold MR technique. 2942. 32 Nikhar Kinger1, Sadhna Nandwana1, Courtney Moreno1, Kelly Cox1, and Pardeep Mittal1 1Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, GA, United States The liver is an important oncologic organ. Primary liver tumors can arise from a variety of different liver components such as hepatocytes, bile duct epithelium, neuroendocrine cells, and mesenchymal cells. We will discuss imaging and histopathological features of primary liver tumors and their common and uncommon mimics. 2943. 33 shuangshuang xie1, qing li1, yu zhang2, wenjing hou1, yue cheng1, and wen shen1 1Radiology, Tianjin First Center Hospital, Tianjin, China, People's Republic of, 2Philips healthcare, Beijing, China, People's Republic of This study evaluated the potential of T1rho for liver fibrosis evaluation and to explore the best TSL points with good B0 and B1 inhomogeneity. Thirteen healthy control subjects and eight patients with clinically diagnosed liver fibrosis were scanned 3D b-TEF sequence. T1rho map were constructed by using 7-TSLs, 6-TSLs or 3-TSLs and compared between groups. Our results showed both 7-TSLs and 6-TSLs had moderate diagnostic efficacy, and AUC of 7-TSLs was slightly higher than 6-TSLs. We conclude 7-TSLs and 6-TSLs are recommended for the diagnosis of liver fibrosis, and 7-TSLs has slightly higher diagnostic performance. 2944. 34 Petros Martirosian1, Rolf Pohmann2, Christina Schraml3, Holger Schmidt3, Nina F Schwenzer3, Martin Schwartz1, Klaus Scheffler2, Konstantin Nikolaou3, and Fritz Schick1 1Section on Experimental Radiology, University of Tübingen, Tübingen, Germany, 2Max Planck Institute for Biological Cybernetics, Tübingen, Germany, 3Department of Diagnostic and Interventional Radiology, University Hospital of Tübingen, Tübingen, Germany The separation of portal-venous and hepatic arterial blood supply is important for the evaluation of chronic liver diseases and the characterization of liver lesions. The aim of this study was to investigate the capability of a pseudo-continuous arterial spin labeling sequence, to separate arterial and portal venous perfusion of the liver using a background suppression technique and different tagging plane orientations. It was demonstrated that the presented method provides high quality perfusion images of the liver without application of intravenous contrast agent and offers promising approaches for the separation of arterial and portal-venous perfusion fractions. 2945. 35 Yang Feng1, He Wang1, and Junbo Li1 1Philips Healthcare, shanghai, China, People's Republic of The shape and position of liver is varied through respiratory movement in DCE MR liver images. A robust 3D deformable registration was employed to define the distortion between them and compensate it. As a result, the liver and vessels will be located at the exact position with the exact shape (include vessels) of the reference image after registration. 2946. 36 - Permission Withheld Jing Zhang1, Yikai Xu1, Yihao Guo2, Yanqiu Feng2, Queenie Chen3, Yingjie Mei2,4, Xiangliang Tan1, Jiajun Zhang1, Xixi Zhao1, Zeyu Zheng1, and Chunhong Wang1 1Department of Medical Imaging Center, Nanfang Hospital, Southern Medical University, Guangzhou, China, People's Republic of, 2School of Biomedical Engineering and Guangdong Provincial Key Laboratory of Medical Image Processing, Southern Medical University, Guangzhou, China, People's Republic of, 3Philips Healthcare, Hong Kong, China, People's Republic of, 4Philips Healthcare, Guangzhou, China, People's Republic of The quantitative evaluation of hepatic function is important for monitoring patients and preoperative assessment of the hepatic reserve. This work aims to assess the sensitivity of IVIM in evaluating liver function in patients with chronic liver disease. The results demonstrate that perfusion-related parameters (D* and f) are useful for indicating the severity of liver disease, and may have the potential to become a promising non-invasive tool for monitoring liver function. 2947. 37 Shih-Han Hung1, Meng-Chieh Liao1, Cheng-Ping Chien1, Wen-Chau Wu2, and Hsiao-Wen Chung3 1Graduate Institute of Biomedical Electronics and Bioinformatics, National Taiwan University, Taipei, Taiwan, 2Graduate Institute of Oncology, National Taiwan University, Taipei, Taiwan, 3Electrical Engineering, National Taiwan University, Taipei, Taiwan A new scheme was proposed to analyze intravoxel ihcoherent motion MR imaging data of the liver. The method integrated the combined use of single- and bi-exponential signal decaying models to deal with regions with absence of prominent vasculature, and the removal of data obtained at b-values less than 15s/mm2 to avoid contamination from large vessels. Results from ten healthy subjects scanned twice at 3T showed substantially improved reproducibility in the pseudo-diffusion coefficient D*, while those of the true diffusion coefficient and the profusion fraction were unaltered. Using our scheme the estimated D* mostly fall within 38 to 85x10-3 mm2/s. 2948. 38 - Video Not Available Zhaoxia Yang1, Xinxing Hu1, Heyue Liang1, Robert Grimm2, Caixia Fu3, Xu Yan4, Hui Liu4, Mengsu Zeng1, and Shengxiang Rao1 1Department of Radiology, Zhongshan Hospital, Fudan University, Shanghai, China, People's Republic of, 2MR Application Predevelopment, Siemens Healthcare, Erlangen, Germany, 3Application department, Siemens Shenzhen Magnetic Resonance Ltd., Shenzhen, China, People's Republic of, 4MR Collaboration NE Asia, Siemens Healthcare, Shanghai, China, People's Republic of Histogram analysis of whole-liver ADC maps was applied for patients with liver fibrosis to assess its diagnostic value and correlation with fibrosis stages achieved from liver biopsy. Our study shows that the mean and the 75th percentile ADC were significantly lower with the increasing grade of liver fibrosis. The median, standard deviation (SD), 5th, 10th, 25th, 90th and 95th percentiles also showed statistical differences among pathological fibrosis grades. In conclusion, histogram analysis of whole-liver ADC maps has a potential value for quantifying liver fibrosis grades. 2949. 39 - Permission Withheld Takashi Iwanaga1, Yoshihiko Fukukura2, Tomonori Saito1, Masashi Sasaki1, Yuichi Kumagae2, Koji Takumi2, Takuro Fujisaki1, and Takashi Yoshiura2 1Department of Radiological Technology, Kagoshima University Hospital, Kagoshima, Japan, 2Department of Radiology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan When liver MRI is performed using Gd-EOB-DTPA, DWI is often obtained after Gd-EOB-DTPA injection to shorten examination time in the busy clinical practice. We compared malignant tumor conspicuity on low b-value DWI after contrast between chemical shift selective (CHESS) and short inversion time inversion recovery (STIR) sequences. Malignant liver tumors were more conspicuous with STIR than with CHESS. DWI with STIR is useful for visualizing malignant liver tumors after Gd-EOB-DTPA injection, thus decreasing overall scan time. 2950. 40 Yusuke Inoue1, Gou Ogasawara1, Keiji Matsunaga1, Kaoru Fujii1, Hirofumi Hata2, and Yuki Takato2 1Kitasato University School of Medicine, Sagamihara, Japan, 2Kitasato University Hospital, Sagamihara, Japan We evaluated two commercially available methods for non-uniformity correction, an image-based method (SCIC) and a calibration-based method (PURE), in Gd-EOB-DTPA-enhanced MR imaging using a 3T scanner. SCIC improved uniformity for the precontrast images; however, artificial hyperintensity in the liver surface was evident especially in the hepatobiliary-phase images. Quantitative evaluation of contrast effects were severely distorted by SCIC. PURE improved uniformity in the precontrast and hepatobiliary-phase images, and appeared to aid quantitative evaluation of the signal intensity after contrast administration. PURE is indicated to be a useful non-uniformity correction method in Gd-EOB-DTPA-enhanced MR imaging using a 3T scanner. 2951. 41 qing li1, shuangshuang xie1, yu zhang2, wenjing hou1, yue cheng1, and wen shen1 1Radiology, Tianjin First Center Hospital, Tianjin, China, People's Republic of, 2Philips healthcare, Beijing, China, People's Republic of This study investigated the value of multi-parametric analysis using MR IVIM, BOLD MRI and DKI for the diagnosis of liver fibrosis. Eight patients with clinically diagnosed liver fibrosis and thirteen healthy control subjects were scanned with DKI, IVIM, BOLD. IVIM derived D*, D, f, DKI derived MD, K value and BOLD derived R2* were compared between the two groups. Our results showed D*, D, f, MD decreased, R2* and K value increased in patients with liver fibrosis, but only D* and D demonstrated significant difference (P<0.05). We therefore conclude D* and D could be useful in the diagnosis of liver fibrosis. 2952. 42 Takashige Yoshida1,2, Yuki Furukawa1, Hiroaki Tsuchiya1, Kohei Yuda1, Masami Yoneyama3, Nobuo Kawauchi1, and Haruo Saito4 1radiology, Tokyo metropolitan police hospital, Tokyo, Japan, 2Graduate school of Medicine, Tohoku university, Miyagi, Japan, 3Marketing, Philips Electronics Japan, Tokyo, Japan, 4Division of Diagnostic Image Analysis, Graduate school of Medicine, Tohoku University, Miyagi, Japan A extend of slice direction and high resolution imaging cannot help to increase scan time in hepatic MRI. The hepatic MRI is necessary to hold their breath, and breath holding influenced on image quality. Hence improved image quality on hepatic MRI is a required free breath sequence. Our study using 3D stack-of-stars trajectory with respiratory navigator is objective that perfectly eliminate respiratory motion effect. A sequence combined motion averaging by stack-of-stars and correction by navigator is possible to eliminate respiratory motion. 2953. 43 Yasuhiro Fujiwara1, Hirotoshi Maruyama2, Nobuyuki Kosaka3, Yoshiyuki Ishimori4, and Noriyuki Furukawa2 1Department of Medical Imaging, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan, 2Radiological Center, National Hospital Organization Kumamoto Medical Center, Kumamoto, Japan,3Department of Radiology, University of Fukui, Fukui, Japan, 4Department of Radiological Sciences, Ibaraki Prefectural University of Health Sciences, Ibaraki, Japan We applied 3D phase-sensitive inversion recovery (PSIR) sequence to liver MR imaging. Experiments with phantom and healthy subjects revealed that this sequence improved contrast enhancements of Gd-based agents and liver-to-spleen or muscle contrasts while simultaneously providing an accurate T1 map of the liver. Better Gd contrast enhancements and liver contrasts may improve tumor-to-liver contrasts in the hepato-biliary phase with Gd-based hepatocyte-specific contrast agents, and the accurate T1 map may be useful for liver-function assessments. Although a clinical study is required to evaluate its utility, this sequence may have potential to improve liver MR imaging. 2954. 44 Pippa Storey1 and Dmitry S. Novikov1 1Radiology Department, New York University School of Medicine, New York, NY, United States T2* measurements in the abdomen are often corrupted by macroscopic magnetic susceptibility effects from air in the lung and bowel. We show that sensitivity to linear B0 variations can be eliminated by tailoring the 2D slice profile appropriately and truncating the echo train where the phase difference between adjacent voxels within or across slices exceeds $$\pi/2$$. This improves T2* accuracy without the need for post hoc corrections. When compared with a conventional approach, the proposed technique demonstrates reduced sensitivity to B0 inhomogeneity in the liver caused by magnetic susceptibility differences in the lung. 2955. 45 Zhuo Shi1, Xinming Zhao1, Ouyang Han1, and Lizhi Xie2 1Department Of Imaging Diagnosis,Cancer Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing China, Beijing, China, People's Republic of, 2GE Healthcare, MR Research China, Beijing, Beijing, China, People's Republic of By comparing the breath-hold, respiratory-triggered, and free-breathing techniques in diffusion-weighted magnetic resonance imaging (MRI) for the evaluation of focal liver lesions on a 3.0T system, we found that:  The free-breathing DWI is better than others for the patients who want to do the whole liver examination; but for the patients with focal liver lesions who need to do the DWI scan to evaluate the local lesions, the breath-hold DWI was optimal. Generally speaking, the respiratory-triggered DWI of the 3T MRI system had higher SNR and CNR in any case, and it was the best DWI acquisition technique. 2956. 46 - Permission Withheld Ijin Joo1, Jeong Min Lee1, Dong Ho Lee1, Su Joa Ahn1, Eun Sun Lee2, and Joon Koo Han1 1Radiology, Seoul National University Hospital, Seoul, Korea, Republic of, 2Radiology, Chung-Ang University Hospital, Seoul, Korea, Republic of The latest Liver Imaging Reporting And Data System (LI-RADS v2014) incorporates gadoxetic acid-enhanced MRI into the diagnostic algorithm of hepatocellular carcinoma (HCC). In this study, we investigated the effects of ancillary features of gadoxetic acid-enhanced MRI in the determination of LI-RADS categories of HCCs. On gadoxetic acid-enhanced MRI, LI-RADS showed sensitivities of 69.0% and 67.8% in the diagnosis of HCCs (LR-5/5v) in two reviewers, respectively. Ancillary features of HCCs on gadoxetic acid-enhanced MRI including hepatobiliary imaging features frequently resulted in upgrade LR-3 to LR-4. 2957. 47 Qungang Shan1, Tianhui Zhang1, Yong Zhang2, Yunhong Shu3, Zhuang Kang1, Bingjun He1, Jingbiao Chen1, Zhenyu Zhou2, and Jin Wang1 1Department of Radiology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China, People's Republic of, 2GE Healthcare China, Beijing, China, People's Republic of, 3Mayo Clinic, Rochester, MN, United States Among the various causes of hepatocellular carcinoma (HCC), hepatitis B virus (HBV) infection is the most common one in Asian countries including China. We assessed the correlation of ADC and IVIM parameters with the histological differentiation of HBV-related HCCs. Our results showed that ADC, D and f coefficients are significantly correlated with histological differentiation of HBV-related HCC. According to ROC analysis, ADC, D and f were useful parameters for the evaluation of histological differentiation of HCCs. ADC showed better diagnostic performance compared with D and f IVIM is a promising tool for predicting histological differentiation of HBV-related HCC. 2958. 48 - Video Not Available Lifang Wu1 1Fudan University, Shanghai, China, People's Republic of More and more studies have been attributed to the evaluation of IVIM analysis for disease characterization or response assessment, but its measurement reproducibility when applied in clinical practice and research still be in controversial. There is only few prior research on repeatability of IVIM-derived parameters of hepatocellular carcinoma (HCC) as well as the choice of free-breathing (FB). In this study we used our own data to explore the reproducibility of IVIM-derived parameters, ADC(0,500) and ADCtotal of HCC.
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