Fast dixon‐based multisequence and multiplanar MRI for whole‐body detection of cancer metastases

Purpose To develop and demonstrate the feasibility of multisequence and multiplanar MRI for whole‐body cancer detection. Materials and Methods Two fast Dixon‐based sequences and a diffusion‐weighted sequence were used on a commercially available 1.5 T scanner for whole‐body cancer detection. The study enrolled 19 breast cancer patients with known metastases and in multistations acquired whole‐body axial diffusion‐weighted, coronal T2‐weighted, axial/sagittal pre‐ and postcontrast T1‐weighted, as well as triphasic abdomen images. Three radiologists subjectively scored Dixon images of each series for overall image quality and fat suppression uniformity on a 4‐point scale (1 = poor, 2 = fair, 3 = good, and 4 = excellent). Results Eighteen of the 19 patients completed the whole‐body MRI successfully. The mean acquisition time and overall patient table time were 46 ± 3 and 69 ± 5 minutes, respectively. The average radiologists' scores for overall image quality and fat suppression uniformity were both 3.4 ± 0.5. The image quality was consistent between patients and all completed whole‐body examinations were diagnostically adequate. Conclusion Whole‐body MRI offering essentially all the most optimal tumor‐imaging sequences in a typical 1‐hour time slot can potentially become an appealing “one‐stop‐shop” for whole‐body cancer imaging. J. Magn. Reson. Imaging 2009;29:1154–1162. © 2009 Wiley‐Liss, Inc.