{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T01:23:07Z","timestamp":1774056187461,"version":"3.50.1"},"reference-count":38,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,12,27]],"date-time":"2022-12-27T00:00:00Z","timestamp":1672099200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004391","name":"China Medical University Hospital","doi-asserted-by":"publisher","award":["DMR\u2010108\u2010144"],"award-info":[{"award-number":["DMR\u2010108\u2010144"]}],"id":[{"id":"10.13039\/501100004391","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Magnetic Resonance Imaging"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Contrast\u2010enhanced computed tomography angiography (CTA) and magnetic resonance angiography (MRA) are the primary modalities to assess donors' vessels before transplant surgery. Radiation and contrast medium are potentially harmful to donors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To compare the image quality and visualization scores of hepatic arteries on CTA and balanced steady\u2010state free\u2010precession (bSSFP) non\u2010contrast\u2010enhanced MRA (NC\u2010MRA), and to evaluate if bSSFP NC\u2010MRA can potentially be a substitute for CTA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Type<\/jats:title><jats:p>Prospective.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>Fifty\u2010six consecutive potential living\u2010related liver donors (30.9\u2009\u00b1\u20098.4\u2009years; 31 men).<\/jats:p><\/jats:sec><jats:sec><jats:title>Field Strength\/Sequence<\/jats:title><jats:p>1.5T; four bSSFP NC\u2010MRA sequences: respiratory\u2010triggered (Inhance inflow inversion recovery [<jats:styled-content style=\"fixed-case\">IFIR<\/jats:styled-content>]) and three breath\u2010hold (<jats:styled-content style=\"fixed-case\">BH<\/jats:styled-content>); and <jats:styled-content style=\"fixed-case\">CTA<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Assessment<\/jats:title><jats:p>The artery\u2010to\u2010liver contrast (Ca\u2010l) was quantified. Three radiologists independently assigned visualization scores using a four\u2010point scale to potential origins, segments, and branches of the hepatic arteries, determined the anatomical variants based on Hiatt's classification, and assessed the image quality of NC\u2010MRA sequences.<\/jats:p><\/jats:sec><jats:sec><jats:title>Statistical Tests<\/jats:title><jats:p>Fleiss' kappa to evaluate the readers' agreement. Repeat measured ANOVA or Friedman test to compare Ca\u2010l of each NC\u2010MRA. Friedman test to compare overall image quality and visualization scores; post hoc analysis using Wilcoxon signed\u2010rank test. <jats:italic>P\u2010<\/jats:italic>value &lt;0.05 was considered statistically significant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Inhance IFIR Ca\u2010l was significantly higher than all BH bSSFP Ca\u2010l (0.56 [0.45\u20130.64] vs. 0.37 [0.29\u20130.47] to 0.41 [0.23\u20130.51]). Overall image quality score of BH bSSFP TI1200 was significantly higher than other NC\u2010MRA (4 [4\u20134] vs. 4 [3 to 4\u20134]). The median visualization scores of almost all arteries on CTA were significantly higher than on NC\u2010MRA (4 [3 to 4\u20134] vs. 1 [1\u20132] to 4 [4\u20134]). The median visualization scores were all 4 [4\u20134 ] on Inhance IFIR with &gt;92.3% observed scores \u22653, except the segment 4 branch (3 [1\u20134], 53.6%). The identification rates of arterial variants were 92.9%\u201397% on Inhance IFIR.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Conclusions<\/jats:title><jats:p>Although CTA is superior to the NC\u2010MRA, all NC\u2010MRA depict the donor arterial anatomy well. Inhance IFIR can potentially be an alternative image modality for CTA to evaluate the arterial variants of living donors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>3<\/jats:p><\/jats:sec><jats:sec><jats:title>Technical Efficacy<\/jats:title><jats:p>Stage 2<\/jats:p><\/jats:sec>","DOI":"10.1002\/jmri.28571","type":"journal-article","created":{"date-parts":[[2022,12,27]],"date-time":"2022-12-27T16:01:40Z","timestamp":1672156900000},"page":"894-904","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Non\u2010Contrast\u2010Enhanced <scp>MR<\/scp> Arteriography of Potential Living\u2010Related Liver Donor: Using Contrast Enhanced <scp>CT<\/scp> Arteriography as Standard Reference"],"prefix":"10.1002","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2497-1533","authenticated-orcid":false,"given":"Wei\u2010Ching","family":"Lin","sequence":"first","affiliation":[{"name":"Department of Medical Imaging China Medical University Hospital  Taichung Taiwan"},{"name":"Department of Biomedical Imaging and Radiological Science School of Medicine, China Medical University  Taichung Taiwan"},{"name":"AI Innovation Center China Medical University Hospital  Taichung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3660-4511","authenticated-orcid":false,"given":"Chun\u2010Ming","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging China Medical University Hospital  Taichung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio Carlos","family":"Westphalen","sequence":"additional","affiliation":[{"name":"Departments of Radiology, 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