Screening applications for MRI in the detection of upper abdominal disease: comparative study of non-contrast-enhanced single-shot MRI and contrast-enhanced helical CT.
OBJECTIVE
To compare the value of 'push-button' single-shot non-contrast-enhanced MRI and contrast-enhanced helical CT for detection of upper abdominal disease.


METHODS
In 120 patients, images obtained with non contrast-enhanced single-shot MRI (T2: double echo HASTE, and T1: turbo FLASH) and contrast-enhanced helical CT were compared. Lesions or abnormalities were divided in 8 anatomical categories (1: liver; 2: pancreatobiliary; 3: kidney/adrenal gland; 4: retroperitoneum; 5: vascular; 6: spleen; 7: gastrointestinal tract and peritoneum; 8: base of thorax) and classified as follows: 2: seen at MRI only; 1: better seen at MRI; 0: no difference; -1: better seen at CT; -2: seen at CT only. Also recorded were the 'door-to-door' examination times.


RESULTS
Of a total of 629 abnormalities, 594 were detected at MRI (94 %) and 536 at CT (85 %). CT offered better results in two categories only: retroperitoneum (mean score: -0.68) and vascular (mean score -0.87). Mean examination times were 19 min for CT and 14.8 min for MRI.


CONCLUSIONS
Unenhanced single-shot MRI is a valuable first step of a comprehensive upper abdominal MR exam and may even be the final step in many patients.
Jaegere
T D
TD
Department of Radiology, U. Z. Gasthuisberg, Herestraat 49, B-3000 Leuven, Belgium.
Van Hoe
L
L
Van Steenbergen
W
W
Van Cutsem
E
E
Bosmans
H
H
Heindryckx
E
E
Loubeyre
P
P
Marchal
G
G
D000005:Abdomen / Q000473:pathology*; D000293:Adolescent; D000307:Adrenal Gland Diseases / Q000175:diagnosis*; D000328:Adult; D000368:Aged; D003287:Contrast Media; D004066:Digestive System Diseases / Q000175:diagnosis*; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted; D007674:Kidney Diseases / Q000175:diagnosis*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011860:Radiography, Abdominal; D012680:Sensitivity and Specificity; D013158:Splenic Diseases / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed
D003287:Contrast Media