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The previously described 3D volume interpolated gradient echo sequence (VIBE) offers a sufficient spatial resolution with a sensitivity of 79% and a specificity of 98% regarding visual depiction of bronchiectasis compared to CT [3].
After intradermal administration of the contrast material, the same imaging sequence (VIBE) was repeated at 9, 12, 15, 18, 21 and 24 minutes.
During MRI followup, contrast agent was injected intravenously (0.1 mmol/kg; Gadolinium, DOTAREM, Guerbet, France) and gadolinium-enhanced MR images were obtained to evaluate the size and position of the necrotic lesion, using the same T1-weighted 3D sequence (VIBE).
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T1-weighted sequences (VIBE) with intravenous contrast medium administration are performed to assess whether enhancing areas (with more perfusion) are present in the small bowel.
The MR-protocol included axial T1-weighted images (T1WI), T2-weighted images (T2WI), Gadolinium (Gd -enhanced dynamic sequences (VIBE) and additional post-contrast imaGd -enhanced
This extension to the protocol with contrast-enhanced 3D-GRE sequences (VIBE) after contrast medium requires about 5 additional minutes for the procedure.
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For all parameters a water-excitation volumetric interpolated breath-hold examination (3D VIBE) sequence (a gradient echo 3D T1-weighted sequence) was used as a supplement.
Thus, the second VIBE sequence was performed ca. 30 35 s after contrast administration whereas the other two VIBE sequences were performed 60 and 120 s after the contrast was IV given.
Standard MR-based attenuation maps (MR-ACDIXON) were derived using the Dixon VIBE sequence [21].
A 1H-MRI VIBE sequence with parameters as above was obtained as a structural reference.
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