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2D Thick-Slab MR Cholangiopancreatography: Does Parallel Imaging with Sensitivity Encoding Improve Image Quality and Duct Visualization?

Keyanoosh Hosseinzadeh1, Alessandro Furlan1,2 and Omar Almusa1

1 Department of Radiology (Abdominal Imaging), University of Pittsburgh Medical Center, Presbyterian Campus, 200 Lothrop St., Pittsburgh, PA 15213.
2 Instituto di Radiologia Universitaria, Azienda Ospedaliero Universitaria di Udine, Udine, Italy.


Figure 1
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Fig. 1A 35-year-old woman with remote cholecystectomy who was referred for abdominal pain. Coronal 2D thick-slab conventional (A) and SENSE-implemented (B) single-shot fast spin-echo (SSFSE) images show normal biliary system. Note increased background noise in SENSE-implemented image (B) obscuring right posterior hepatic duct and segmental branches of left hepatic duct.

 

Figure 2
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Fig. 1B 35-year-old woman with remote cholecystectomy who was referred for abdominal pain. Coronal 2D thick-slab conventional (A) and SENSE-implemented (B) single-shot fast spin-echo (SSFSE) images show normal biliary system. Note increased background noise in SENSE-implemented image (B) obscuring right posterior hepatic duct and segmental branches of left hepatic duct.

 

Figure 3
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Fig. 2A 23-year-old man who presented with suspected pancreatitis. Coronal 2D thick-slab conventional (A) and SENSE-implemented (B) single-shot fast spin-echo (SSFSE) images show normal biliary system. Note increased background noise in SENSE-implemented image (B) with corresponding increase in edge enhancement of right hepatic ducts (arrowheads, B).

 

Figure 4
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Fig. 2B 23-year-old man who presented with suspected pancreatitis. Coronal 2D thick-slab conventional (A) and SENSE-implemented (B) single-shot fast spin-echo (SSFSE) images show normal biliary system. Note increased background noise in SENSE-implemented image (B) with corresponding increase in edge enhancement of right hepatic ducts (arrowheads, B).

 

Figure 5
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Fig. 3A 49-year-old woman after cholecystectomy who presented with elevated liver function enzymes. Coronal 2D thick-slab conventional (A) and SENSE-implemented (B) single-shot fast spin-echo (SSFSE) images show normal biliary system and pancreatic duct. Two-dimensional thick-slab SENSE-implemented sequence (B) depicts medial segment of left hepatic duct (arrow, B).

 

Figure 6
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Fig. 3B 49-year-old woman after cholecystectomy who presented with elevated liver function enzymes. Coronal 2D thick-slab conventional (A) and SENSE-implemented (B) single-shot fast spin-echo (SSFSE) images show normal biliary system and pancreatic duct. Two-dimensional thick-slab SENSE-implemented sequence (B) depicts medial segment of left hepatic duct (arrow, B).

 

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