Non-contrast renal MRA using multi-shot gradient echo EPI at 3-T MRI.

OBJECTIVES The purpose of this study was to investigate the feasibility of non-contrast renal MRA using multi-shot gradient echo planar imaging (MSG-EPI) with a 3-T MRI system. METHODS Seventeen healthy volunteers underwent non-contrast renal MRA using MSG-EPI and balanced steady-state free precession (b-SSFP) sequences on a 3-T MRI system. Two radiologists independently recorded the images' contrast, noise, sharpness, artifacts, and overall quality on 4-point scales. The signal-to-noise ratio (SNR) for the renal artery, the contrast ratio (CR) between the renal artery and erector spinae, and acquisition time were compared between the two sequences. RESULTS The SNR and CR were significantly higher with MSG-EPI than with the b-SSFP sequence (17.80 ± 3.67 vs. 10.84 ± 2.86 and 0.77 ± 0.05 and 0.66 ± 0.09, respectively; p < 0.05), and the acquisition time was significantly lower (164.5 ± 34.0 vs. 261.5 ± 39.3 s, respectively; p < 0.05). There were significant differences in image contrast, noise, sharpness, artifacts, and overall image quality between the two sequences (p < 0.01). CONCLUSIONS The MSG-EPI sequence is a promising technique that can shorten the scan time and improve the image quality of non-contrast renal MRA with a 3-T MRI system. KEY POINTS • The multi-shot gradient echo planar imaging with an inversion pulse is a brand-new fast scan technique for an unenhanced renal MRA. • The image quality of multi-shot gradient echo planar imaging is better than that of b-SSFP for an unenhanced renal MRA.