OBJECTIVE: To compare both qualitatively and quantitatively six T2-weigthed turbo spin-echo sequences varying the respiratory compensation technique, associating or not fat tissue suppression and using different types of coils. MATERIALS AND METHODS: We performed a prospective study of 71 consecutive patients that were submitted to MRI of the liver using a 1.5T magnet. The six following pulse sequences were used: 1) fat-suppressed respiratory triggered with conventional body coil; 2) breath-hold fat-suppressed with conventional body coil; 3) non-suppressed respiratory triggered with conventional body coil; 4) breath-hold non fat-suppressed with conventional body coil; 5) fat-suppressed respiratory triggered with phased-array multicoil; 6) breath-hold fat-suppressed with phased-array multicoil. Images were analyzed quantitatively by measuring the signal-to-noise ratios and qualitatively by evaluating the sharpness of hepatic contours, visibility of intrahepatic vessels and other segmental landmarks, and the presence of artifacts. RESULTS: The qualitative analysis showed that the mean values obtained with the six sequences were 7.8, 4.6, 7.9, 5.2, 6.7 and 4.6, respectively. The respiratory-triggered sequences were better than the breath-hold sequences in both qualitative and quantitative analysis (p < 0.001). No significant differences in the values of signal-to-noise ratios and in overall image quality rankings were found between the sequences with and without fat suppression (p > 0.05). The sequences using the body coil were similar in terms of image quality (p > 0.05) and better regarding signal-to-noise ratios than those obtained with the phased-array multicoil (p < 0.001). CONCLUSION: Our qualitative and quantitative results suggest that the best MRI sequences for the evaluation of the liver are the sequences with respiratory triggering using a conventional body coil, with or without fat suppression.

Keywords: Magnetic resonance imaging, Liver, Gastrointestinal diagnostic techniques, Imaging techniques