Non-contrast enhanced, EKG-triggered, navigator MR angiography of the thoracic aorta and proximal pulmonary arteries: initial evaluation of using an abdominal compression band to reduce acquisition times
Bibliographic record
Abstract
Non-contrast enhanced, EKG-triggered, navigator 3D-SSFP magnetic resonance angiography (NCE-MRA) is a robust technique but suffers from long scan acquisition times. Depending on heart and respiratory rates, acquisition times can still be prohibitively long. We describe the use of an abdominal compression band to reduce respiratory motion and image acquisition time with no sacrifice of image quality. Ethics committee approval and informed consent were obtained. 20 normal volunteers (mean age: 39) underwent two NCE-MRA examinations. Both examinations were performed free-breathing, one with an abdominal compression band (band) and one without (no-band). Both examinations were performed on the same 1.5T Aera (Siemens Medical Solutions) with identical scanning parameters within 10 minutes of each other. Each examination duration was recorded. All angiographic data sets were anonymized. Data sets were reviewed in random order by three cardiothoracic radiologists on a single workstation. Motion artifact and overall quality were assessed semi-quantitatively on a scale of 1 - 4 (excellent/no artifact - 1; good/minor artifact/noise - 2; moderate/some noise/artifact - 3; poor/limited diagnostic quality - 4). NCE-MRA was completed successfully with and without an abdominal compression band in all volunteers (40 data sets). There was no difference in global image quality or motion artifact at the aortic root between 'band' and 'no-band' examinations (mean image quality 1.31 and 1.51; mean aortic root artifact 1.25 and 1.44 respectively). No studies in either group were rated moderate or poor. None of the observers could reliably distinguish between 'band' or 'no-band' examinations. Scan times between the 2 groups were, however, significantly different. Scan times ranged from 4.5 - 9.1 minutes (mean 6.7; SD 1.14) in the 'no-band' group and 3.3 to 8.9 minutes (mean 5.0; SD 1.3) in the 'band' group. Mean reduction in acquisition time between the two groups was 1.7 mins or 25% of the standard technique (p = 0.0025). Only 1 data acquisition time increased with the abdominal band. Using an abdominal compression band in non-contrast enhanced, EKG-triggered, navigator 3D-SSFP MRA significantly reduces image acquisition time (25%) without sacrificing image quality. This technique has only been used in volunteers to date. Further study will be needed to see if this benefit is maintained in patients.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.003 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".