Purpose: To compare the quality of dynamic imaging between stack-of-stars acquisition without breath-holding (
DISCO
-Star) and the breath-holding method (Cartesian LAVA and
DISCO
).
Methods: This retrospective study was conducted between October 2019 and February 2020. Two radiologists performed visual assessments of respiratory motion or pulsation artifacts, streak artifacts, liver edge sharpness, and overall image quality using a 5-point scale for two datasets: Dataset 1 (n = 107), patients with Cartesian LAVA and
DISCO
-Star; Dataset 2 (n = 41), patients with
DISCO
and
DISCO
-Star at different time points. Diagnosable image quality was defined as ≥ 3 points in overall image quality. Whether the scan timing of the arterial phase (AP) was appropriate was evaluated, and results between the pulse sequences were compared. In cases of inappropriate scan timing in the
DISCO
-Star group, retrospective reconstruction with a high frame rate (80 phases, 3 s/phase) was added.
Results: The overall image quality of Cartesian LAVA was better than that of
DISCO
-Star in AP. However, noninferiority was shown in the ratio of diagnosable images between Cartesian LAVA and
DISCO
-Star in AP. There was no significant difference in the ratio of appropriate scan timing between
DISCO
-Star and Cartesian LAVA; however, the ratio of appropriate scan timing in
DISCO
-Star with high frame rate reconstruction was significantly higher than that in Cartesian LAVA in both readers. Overall image quality scores between
DISCO
and
DISCO
-Star were not significantly different in AP. There was no significant difference in the ratio of appropriate scan timing between
DISCO
-Star with high frame rate reconstruction and
DISCO
in both readers.
Conclusion: The use of
DISCO
-Star with high frame rate reconstruction is a good solution to obtain appropriate AP scan timing compared with Cartesian LAVA.
DISCO
-Star showed equivalent image quality in all phases and in the ratio of appropriate AP scan timing compared with
DISCO
.
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