Optimizing cine MRI for uterine peristalsis: A comparison of three different single shot fast spin echo techniques

Asako Nakai, Caroline Reinhold, Patricia Noël, Aki Kido, Khashayar Rafatzand, Isao Ito, Kaori Togashi
In: Journal of Magnetic Resonance Imaging · 2012 · vol. 38(1) , pp. 161–167 · doi:10.1002/jmri.23946 · PMID:23197447 · W1524373691
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Abstract

PURPOSE: To determine the optimal single shot fast spin echo (SSFSE) technique by varying interval between image acquisitions for cine MRI of uterine peristalsis. MATERIALS AND METHODS: MRI was performed in 13 premenopausal women (4 normal and 9 with benign pelvic pathology) in various phases of their menstrual cycle. Midsagittal uterus was scanned using a multiphasic SSFSE technique at 2-, 3-, and 4-s intervals over 2 min. Three readers independently and randomly evaluated for peristaltic frequency/2 min, longitudinal direction and intensity of peristalsis in three imaging parameters. Contrast-to-noise ratios (CNRs) were also obtained. RESULTS: Peristaltic frequency for the 2, 3, and 4 s was 2.2 ± 2.3, 3.3 ± 1.5, and 3.6 ± 1.3 waves/2 min, respectively. It increased by 1.5 (95% confidence interval [CI]: 0.31-2.64) waves/2 min with 4 s compared with 2 s. Direction was detected for the 2, 3, and 4 s in 5/13(38%), 9/13(69%) and 12/13(92%) women. Compared with 2 s, intensity of peristalsis in endometrial movement (P = 0.04), signal change of the JZ (P = 0.03), and spread into outer myometrium (P = 0.02), CNRendometrium-JZ by 57% (P < 0.001), and CNRouter myometrium-JZ by 45% (P < 0.01) increased with 4 s. CONCLUSION: Cine MRI with SSFSE sequence for uterine peristaltism is best performed using a 4-s scan interval.

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