Parallel Acquisition Technique Research Articles

Whole-body MR and cysticercosis: reply to Wiwanitkit

We thank Dr. Wiwanitkit for interest expressed in our article [1]. Whole-body MR (WB-MR) is a recent development that refers to simultaneous whole-body coverage by acquiring multiple overlapping stations with the use of parallel acquisition technique (PAT) [2]. It is not the same as separate and non-contiguous conventional scanning of different body regions, which Dr. Wiwanitkit seems to have inferred. This distinction has been adequately emphasized in the article [1] and in the literature [2]. To the best of our knowledge, use of whole-body MR in the diagnosis of a disseminated parasitic disease has not been previously reported and hence, in our opinion, it is unique in the given scenario. Hydatid cysts have been described in multiple locations besides liver. The unusual locations include lung, kidney, bone, brain, heart, spleen, pancreas, muscle, adrenal, ovary and peritoneum [3, 4]. The imaging appearances of hydatid are distinctly different from cysticercosis, with the hydatid disease primarily consisting of large cysts (size usually of few centimeters to more than 15 cm) that do not show any enhancement except for a thin rim of enhancement in few cases. Even when there is disseminated hydatid disease, the cysts are usually of large size and contain multiple small daughter cysts [5]. The muscle hydatids are extremely rare and have been reported as single or few conglomerate cysts, typically in one location [3–5]. In contrast, cysticercus cysts are typically very small, usually only a few millimeters. The cysticerci primarily occur in the brain or muscles. They are extremely unusual in liver and other solid abdominal organs, which are the usual sites of hydatid involvement. Such extensive involvement of the muscles of the whole body with involvement of practically every muscle fibre as seen in our case has been described in literature in disseminated cysticerci (but not by whole-body MRI) and has not been described in hydatid disease. In our patient, the differential of hydatid disease of disseminated cysticercosis is therefore inconceivable.

CMR analysis of global and regional left ventricular function in a single breath-hold

Introduction Cardiac magnetic resonance (CMR) steady-state free precession (SSFP) images are the reference standard for measuring left ventricular function (LVF) using section summation of short axis images and for analysis of regional wall motion abnormalities (RWMA). Acceleration of this multiple (typically 10-15) breath-hold approach is desirable. Temporal Parallel Acquisition Technique (TPAT) acceleration allows for acquisition of a complete short axis stack in a single breath-hold with limited resolution.

Contrast-enhanced MR angiography utilizing parallel acquisition techniques in renal artery stenosis detection

Significant renal artery stenosis (RAS) is a potentially curable cause of renovascular hypertension and/or renal impairment. It is caused by either atherosclerosis or fibromuscular dysplasia. Correct and timely diagnosis remains a diagnostic challenge. MR angiography (MRA) as a minimally invasive method seems to be suitable for RAS detection, however, its diagnostic value widely differs in the literature (sensitivity 62–100% and specificity 75–100%). The aim of our prospective study was to compare the diagnostic value of contrast-enhanced MRA utilizing parallel acquisition techniques in the detection of significant RAS with digital subtraction angiography (DSA). A total of 78 hypertensive subjects with suspected renal artery stenosis were examined on a 1.5 Tesla MR system using a body array coil. Bolus tracking was used to monitor the arrival of contrast agent to the abdominal aorta. The MRA sequence parameters were as follows: TR 3.7 ms; TE 1.2 ms; flip angle 25°; acquisition time 18 s; voxel size 1.1 mm × 1.0 mm × 1.1 mm; centric k-space sampling; parallel acquisition technique with acceleration factor of 2 (GRAPPA). Renal artery stenosis of 60% and more was considered hemodynamically significant. The results of MRA were compared to digital subtraction angiography serving as a standard of reference. Sensitivity and specificity of MRA in the detection of hemodynamically significant renal artery stenosis were 90% and 96%, respectively. Prevalence of RAS was 39% in our study population. Contrast-enhanced MRA with high spatial resolution offers sufficient sensitivity and specificity for screening of RAS.

Rapid MR assessment of left ventricular systolic function after acute myocardial infarction using single breath-hold cine imaging with the temporal parallel acquisition technique (TPAT) and 4D guide-point modelling analysis of left ventricular function

We compared four-dimensional guide-point modelling left ventricular function analysis (4DVF) results of cine images in four short-axis and two long-axis slices acquired in a single breath-hold, obtained with the temporal parallel acquisition technique (TPAT), with standard left ventricular function (LVF) analysis results determined by the summation of discs method, in patients who had recently suffered myocardial infarction. Despite wall motion abnormalities, 4DVF yields results for left ventricular ejection fractions and end-diastolic and end-systolic volumes that are in excellent agreement with standard LVF analysis results in these patients. A shortened cardiac magnetic resonance (CMR) protocol using single breath-hold cine image acquisition could facilitate the assessment of left ventricular function soon after myocardial infarction in critically ill patients who are unable to comply with the multiple breath-holds required for standard LVF analysis.

MR angiography with parallel acquisition for assessment of the visceral arteries: comparison with conventional MR angiography and 64-detector-row computed tomography

The purpose of the study was to retrospectively compare three-dimensional gadolinium-enhanced magnetic resonance angiography (conventional MRA) with MRA accelerated by a parallel acquisition technique (fast MRA) for the assessment of visceral arteries, using 64-detector-row computed tomography angiography (MDCTA) as the reference standard. Eighteen patients underwent fast MRA (imaging time 17 s), conventional MRA (29 s) and MDCTA of the abdomen and pelvis. Two independent readers assessed subjective image quality and the presence of arterial stenosis. Data were analysed on per-patient and per-segment bases. Fast MRA yielded better subjective image quality in all segments compared with conventional MRA (P = 0.012 for reader 1, P = 0.055 for reader 2) because of fewer motion-induced artefacts. Sensitivity and specificity of fast MRA for the detection of arterial stenosis were 100% for both readers. Sensitivity of conventional MRA was 89% for both readers, and specificity was 100% (reader 1) and 99% (reader 2). Differences in sensitivity between the two types of MRA were not significant for either reader. Interobserver agreement for the detection of arterial stenosis was excellent for fast (kappa = 1.00) and good for conventional MRA (kappa = 0.76). Thus, subjective image quality of visceral arteries remains good on fast MRA compared with conventional MRA, and the two techniques do not differ substantially in the grading of arterial stenosis, despite the markedly reduced acquisition time of fast MRA.

Optimisation of a high-resolution whole-body MR angiography protocol with parallel imaging and biphasic administration of a single bolus of Gd-BOPTA: preliminary experience in the systemic evaluation of atherosclerotic burden in patients referred for endovascular procedures

This study was performed to validate a high-resolution whole-body magnetic resonance angiography (MRA) protocol with parallel imaging and biphasic administration of a single bolus of contrast agent in the preliminary assessment of systemic atherosclerotic burden in patients referred for endovascular procedures. Forty patients referred for endovascular treatment of atherosclerotic disease of the carotid arteries (n=23), peripheral vessels (n=14) or aorta (n=3) on the basis of previous clinical and diagnostic examinations underwent high-resolution whole-body MRA at 1.5 T with 3D spoiled gradient recalled echo (GRE) sequences, featuring parallel imaging acquisition technique with x2 acceleration factor. Sixty-eight surface coil elements and a four-station imaging protocol were employed. Biphasic intravenous administration of a paramagnetic contrast agent [gadolinium benzyloxyproprionic-tetraacetic acid (Gd-BOPTA)] was performed with the following protocol: 10 ml at a speed of 1 ml/s followed by further 10 ml at a speed of 0.5 ml/s. For image analysis, the arterial system was divided into 42 segments for evaluation. The presence or absence of atherosclerotic lesions was evaluated by two observers in consensus; segments were classified as having clinically significant disease (>or=50% stenosis or an aneurysmal dilatation) or no significant disease (<50% stenosis). The presence of stenoocclusive disease, determined at all segments, was compared with findings on digital subtraction angiography (DSA), which were interpreted by a third independent reader. Sensitivity, specificity and concordance of whole-body MRA findings with DSA were calculated, and receiver operating characteristic (ROC) analysis was performed for all vascular territories. A total of 1,680 arterial segments was evaluated; 138 (8.3%) were affected by atherosclerotic alterations. Carotid lesions were confirmed in 23 patients (34 segments), involvement of peripheral vessels in 14 (57 segments) and abdominal aneurysms in three. Sensitivity and specificity of whole-body MRA were, respectively, 95%-97% for head and neck vessels, 100%-100% for thoracoabdominal vessels, 98%-97% for thigh vessels and 84%-88% for calf vessels; concordance with the DSA findings was significant (p<0.05). Subclinical atherosclerotic lesions were evidenced in 25 patients, involving carotid arteries (12 segments), peripheral vessels (21 segments) and abdominal aorta (one segment). All these lesions were confirmed by a second modality, and ten of these patients required further care. High-resolution whole-body MRA with Gd-BOPTA may be considered a reliable modality for imaging systemic atherosclerosis in candidates for endovascular procedures. The subclinical detection of the total atherosclerotic burden has potential implications for secondary care in this population.

Simultaneous Quantification of Perfusion and Permeability in the Prostate Using Dynamic Contrast-Enhanced Magnetic Resonance Imaging with an Inversion-Prepared Dual-Contrast Sequence

The aim of the present study was to quantify both perfusion and extravasation in the prostate to discriminate tumor from healthy tissue, which might be achieved by dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) using a nonspecific low-molecular-weight contrast medium (CM). To determine extravasation as well as tissue perfusion an inversion-prepared dual-contrast sequence employing a parallel acquisition technique (PAT) was designed for interleaved acquisition of T(1)-weighted images for extravasation measurement and T(2)*-weighted images for determination of the highly concentrated bolus with a sufficiently high temporal and spatial resolution at an acceptable signal-to-noise ratio. Thirteen patients with proven prostate cancer were examined with the sequence using a combined body-array prostate coil. Before pharmacokinetic evaluation the images were intensity-corrected and, if required, motion-corrected. The pharmacokinetic model used to calculate perfusion, permeability, blood volume, interstitial volume, transit time, and vessel size index included two compartments and a correction of delay and dispersion of the arterial input function. The information provided by the dual-contrast sequence allowed application of a more elaborate model for evaluation and enabled quantification of all parameters. Peripheral prostate tumors were found to differ from peripheral healthy prostate tissue in perfusion (1.38 mL/(min cm(3)) vs. 0.23 mL/(min cm(3)), p=0.004), mean transit time (2.88 vs. 4.88 s, p=0.039), and blood volume (1.9 vs. 0.7%, p=0.019). A inversion-prepared dual-contrast sequence acquiring T(1)- and T*(2)-weighted images with sufficient temporal resolution and signal-to-noise ratio was successfully applied in patients with prostate cancer to quantify all pharmacokinetic parameters of inflow and extravasation of a low-molecular-weight inert tracer.

Ultrafast bold fMRI using single-shot spin-echo echo planar imaging

The choice of imaging parameters for functional MRI can have an impact on the accuracy of functional localization by affecting the image quality and the degree of blood oxygenation-dependent (BOLD) contrast achieved. By improving sampling efficiency, parallel acquisition techniques such as sensitivity encoding (SENSE) have been used to shorten readout trains in single-shot (SS) echo planar imaging (EPI). This has been applied to susceptibility artifact reduction and improving spatial resolution. SENSE together with single-shot spin-echo (SS-SE) imaging may also reduce off-resonance artifacts. The goal of this work was to investigate the BOLD response of a SENSE-adapted SE-EPI on a three Tesla scanner. Whole-brain fMRI studies of seven healthy right hand-dominant volunteers were carried out in a three Tesla scanner. fMRI was performed using an SS-SE EPI sequence with SENSE. The data was processed using statistical parametric mapping. Both, group and individual subject data analyses were performed. Individual average percentage and maximal percentage signal changes attributed to the BOLD effect in M1 were calculated for all the subjects as a function of echo time. Corresponding activation maps and the sizes of the activated clusters were also calculated. Our results show that susceptibility artifacts were reduced with the use of SENSE; and the acquired BOLD images were free of the typical quadrature artifacts of SS-EPI. Such measures are crucial at high field strengths. SS SE-EPI with SENSE offers further benefits in this regard and is more specific for oxygenation changes in the microvasculature bed. Functional brain activity can be investigated with the help of single-shot spin echo EPI using SENSE at high magnetic fields.

Rapid MR assessment of left ventricular systolic function early after acute myocardial infarction using single breath-hold cine imaging with temporal parallel acquisition technique (TPAT) and 4D guide-point modeling

Rapid MR assessment of left ventricular systolic function early after acute myocardial infarction using single breath-hold cine imaging with temporal parallel acquisition technique (TPAT) and 4D guide-point modeling

Virtual coil concept for improved parallel MRI employing conjugate symmetric signals

A new approach for utilizing conjugate k-space symmetry for improved parallel MRI performance is presented. By generating virtual coils containing conjugate symmetric k-space signals from actual coils, additional image- and coil-phase information can be incorporated into the reconstruction process for parallel acquisition techniques. In that way the reconstruction conditions are improved, resulting in less noise enhancement. In particular in combination with generalized autocalibrating partially parallel acquisitions (GRAPPA), the virtual coil concept represents a practical approach since no explicit spatial phase information is required. In addition, the influence of phase variations originating from the complex receiver coils as well as from the background is investigated. It is shown that there exist background phase distributions yielding an optimized pMRI reconstruction.

Ultrafast Whole-Body MR Angiography with Two-dimensional Parallel Imaging at 3.0 T: Feasibility Study

The study was approved by the local ethics committee, and informed consent was provided by all participants prior to the examination. The aim of the study was to assess the feasibility of whole-body three-dimensional (3D) contrast material-enhanced magnetic resonance (MR) angiography with parallel imaging in the phase- and section-encoding directions (ie, integrated parallel acquisition technique [iPAT(2); Siemens, Erlangen, Germany]) for all anatomic imaging stations in combination with a single injection of contrast material. Whole-body contrast-enhanced MR angiography was performed in 23 patients at 3.0 T. Images were evaluated by two independent observers for quality on a four-point scale (where a score of 1 indicated poor image quality and a score of 4, excellent image quality); signal-to-noise ratios (SNRs) and contrast-to-noise ratios (CNRs) were calculated for representative vessel regions in each station. Mean image quality scores were 3.13 +/- 1.15 (standard deviation) and 3.17 +/- 1.14 for observers 1 and 2, respectively (kappa = 0.81). Signal intensity measurements revealed mean SNR values between 36.2 +/- 8.0 and 56.2 +/- 17.7 and mean CNR values between 29.0 +/- 7.4 and 48.2 +/- 15.7. The data suggest that contrast-enhanced MR angiography with iPAT(2) is feasible for whole-body applications and allows acquisition of 3D data sets with adequate spatial resolution within short measurement times, facilitating a single injection of contrast material.

Evaluation of motion correction effect and image quality with the periodically rotated overlapping parallel lines with enhanced reconstruction (PROPELLER) (BLADE) and parallel imaging acquisition technique in the upper abdomen

To evaluate motion correction effect and image quality in the upper abdomen with the periodically rotated overlapping parallel lines with enhanced reconstruction (PROPELLER) (BLADE) and parallel imaging acquisition technique. A total of 50 consecutive patients underwent abdominal MR imaging. Fat-saturated T2-weighted turbo spin-echo sequences were obtained by respiratory triggering. The subjects were examined with three different conditions of echo train length (ETL), blade width, and percent k-space coverage in the same scanning time: 19/30/100%, 30/30/100%, and 30/52/175%, which were designated as L/C(1), L/C(2), and L/C(3), respectively. The parallel imaging acquisition technique was used to either reduce ETL from 30 to 19 in L/C(1) or increase k-space coverage from 100% to 175% in L/C(3) compared with L/C(2). Motion and streak artifacts, and overall image quality were evaluated visually by two radiologists, independently. Motion and streak artifacts were mostly reduced in L/C(3) condition. The L/C(3) image also gave the best overall image quality compared with other conditions (P < 0.001). The inter-rater reliability for each evaluation agreed well. In upper abdominal BLADE MRI, it was possible to reduce image artifacts and obtain better image quality by increasing the k-space coverage with parallel imaging in the same scanning time.

Quantitative myocardial perfusion imaging using different autocalibrated parallel acquisition techniques

To compare three different autocalibrated parallel acquisition techniques (PAT) for quantitative and semiquantitative myocardial perfusion imaging. Seven healthy volunteers underwent myocardial first-pass perfusion imaging at rest using an SR-TrueFISP pulse sequence without PAT and while using GRAPPA, mSENSE, and TSENSE. signal-to-noise ratio (SNR), contrast-to-noise ratio (CNR), normalized upslopes (NUS), and myocardial blood flow (MBF) were calculated. Artifacts, image noise, and overall image quality were qualitatively assessed. Furthermore, the relation between signal intensity (SI) and contrast medium (CM) concentration was determined in phantoms. Using PAT the linear range of the SR-TrueFISP sequence was increased about 40%. All three PAT methods introduced significant loss in SNR and CNR. GRAPPA yielded slightly better values then mSENSE and TSENSE. Both SENSE techniques introduced significantly residual aliasing artifacts. Image noise was increased with all three PAT methods. However, overall image quality was reduced only with mSENSE. Even though GRAPPA yielded smaller NUS values than non-PAT, mSENSE, and TSENSE, no differences were found in MBF between all applied techniques. Quantitative and semiquantitative myocardial perfusion imaging can benefit from PAT due to shorter acquisition times and increased linearity of the pulse sequence. GRAPPA and TSENSE turned out to be well suited for quantitative myocardial perfusion imaging.

Whole-Body MRA

Vascular diseases today constitute a serious health burden, ranking atherosclerosis as number one in the morbidity and mortality statistics of developed countries, with a still-growing incidence. Different treatment options are available for all vascular territories, ranging from conservative pharmacological treatment and catheter-based interventions up to surgical methods with remodelling of the vessels or bypass implantation. For treatment planning, all listed procedures have in common that they rely on initial diagnostic imaging to assess the degree and extent of stenoses. In this respect, imaging of the arterial system from the head down to the feet seems to be reasonable. Up to now no imaging technique allowed the assessment of the complete arterial system in only one exam within a reasonable time and without limiting factors like invasiveness and ionizing radiation. However, recent developments in magnetic resonance (MR) hardware and software, such as dedicated whole-body MR systems with specially designed surface coils, the movement to higher field strength and the implementation of parallel acquisition techniques (PAT), have helped to overcome the long-standing limitations of MR angiography (MRA), like reduced spatial resolution, long acquisition time, the restriction to body parts and only one field of view of a maximum 50 cm.

Abdominal Applications of 3.0-T MR Imaging: Comparative Review versus a 1.5-T System

With the development of dedicated receiver coils and increased gradient performance, 3.0-T magnetic resonance (MR) systems are gaining wider acceptance in clinical practice. The expected twofold increase in signal-to-noise ratio (SNR) compared with that of 1.5-T MR systems may help improve spatial resolution or increase temporal resolution when used with parallel acquisition techniques. Several issues must be considered when applying 3.0-T MR in the abdomen, including the alteration of the radiofrequency field and relaxation time, increase in energy deposition and susceptibility effects, and problems associated with motion artifacts. For the evaluation of liver lesions, higher SNR and greater resolution achieved with the 3.0-T system could translate into better detection of malignant lesions on T2-weighted images obtained with adjusted imaging parameters. For the evaluation of pancreatic and biliary diseases, high-resolution T2-weighted imaging using single-shot turbo spin-echo sequences is useful; improvement in SNR was noticeable on two-dimensional MR cholangiopancreatographic images. For the preoperative imaging of rectal cancer, a single-shot sequence is useful for dramatically decreasing imaging time while maintaining image quality. Substantial modification of examination protocols, with optimized imaging parameters and sequence designs along with ongoing development of hardware, could contribute to an increased role of the 3.0-T system for abdominal MR examinations.

Improvement in B1‐inhomogeneity artifacts in the abdomen at 3T MR imaging using a radiofrequency cushion

To determine the impact of a radiofrequency (RF) cushion on abdominal image quality at 3T. Twenty volunteers were scanned on a 3T system with and without the use of an RF cushion. T2-weighted HASTE and true-FISP sequences were used for coronal imaging, and each sequence was performed with and without integrated parallel acquisition techniques (iPAT). Additionally, axial T2-weighted HASTE and true-FISP imaging without iPAT was performed. The effect on image quality was assessed by subjectively evaluating the presence and severity of RF inhomogeneity artifacts by two independent readers in a side-by-side comparison with a 5-point differential receiver operating characteristics curve. Both readers considered the quality of HASTE images acquired with the RF cushion to be significantly better in all cases. The quality of true-FISP images did not benefit significantly from the use of the RF cushion in any case. The RF cushion significantly improves image quality for abdominal imaging at 3T by reducing or eliminating B1-inhomogenity artifacts. This improved image quality is seen on turbo spin echo-based T2-weighted imaging such as HASTE but does not apply to gradient echo-based T2-weighted imaging such as the true-FISP sequence.

Cross‐validation‐based kernel support selection for improved GRAPPA reconstruction

The extended version of the generalized autocalibrating partially parallel acquisition (GRAPPA) technique incorporates multiple lines and multiple columns of measured k-space data to estimate missing data. For a given accelerated dataset, the selection of the measured data points for fitting a missing datum (i.e., the kernel support) that provides optimal reconstruction depends on coil array configuration, noise level in the acquired data, imaging configuration, and number and position of autocalibrating signal lines. In this work, cross-validation is used to select the kernel support that best balances the conflicting demands of fit accuracy and stability in GRAPPA reconstruction. The result is an optimized tradeoff between artifacts and noise. As demonstrated with experimental data, the method improves image reconstruction with GRAPPA. Because the method is simple and applied in postprocessing, it can be used with GRAPPA routinely.

Isotropic High-Spatial-Resolution Contrast-enhanced 3.0-T MR Angiography in Patients Suspected of Having Renal Artery Stenosis

The purpose of this study was to prospectively evaluate the diagnostic performance of contrast material-enhanced magnetic resonance (MR) angiography performed at 3 T for assessment of renal artery stenosis (RAS) by using parallel acquisition techniques with high acceleration factors and with digital subtraction angiography (DSA) as the reference standard. The study was institutional review board approved, and written informed consent was obtained from all patients. Twenty-nine patients (18 men, 11 women; mean age, 57.1 years +/- 14.3 [standard deviation]) suspected of having RAS underwent MR angiography. Images were evaluated qualitatively and quantitatively. The interobserver variability, sensitivity, specificity, and positive and negative predictive values of 3-T MR angiography, as compared with DSA (performed in 15 patients), were calculated. All examinations yielded good or excellent image quality. The sensitivity and specificity of MR angiography in grading significant (>75%) stenosis were 94% and 96%, respectively. Owing to its high sensitivity, contrast-enhanced 3-T MR angiography can be used reliably to exclude RAS and can serve as a useful screening method in the diagnostic work-up of patients with arterial hypertension.

Comparison of parallel acquisition techniques generalized autocalibrating partially parallel acquisitions (GRAPPA) and modified sensitivity encoding (mSENSE) in functional MRI (fMRI) at 3T

To evaluate the parallel acquisition techniques, generalized autocalibrating partially parallel acquisitions (GRAPPA) and modified sensitivity encoding (mSENSE), and determine imaging parameters maximizing sensitivity toward functional activation at 3T. A total of eight imaging protocols with different parallel imaging techniques (GRAPPA and mSENSE) and reduction factors (R = 1, 2, 3) were compared at different matrix sizes (64 and 128) with respect to temporal noise characteristics, artifact behavior, and sensitivity toward functional activation. Echo planar imaging (EPI) with GRAPPA and a reduction factor of 2 revealed similar image quality and sensitivity than full k-space EPI. A higher incidence of artifacts and a marked sensitivity loss occurred at R = 3. Even though the same eight-channel head coil was used for signal detection in all experiments, GRAPPA generally showed more benign patterns of spatially-varying noise amplification, and mSENSE was also more susceptible to residual unfolding artifacts than GRAPPA. At 3T and a reduction factor of 2, parallel imaging can be used with only little penalty with regard to sensitivity. With our implementation and coil setup the performance of GRAPPA was clearly superior to mSENSE. Thus, it seems advisable to pay special attention to the employed parallel imaging method and its implementation.

Preoperative Evaluation of Potential Living Related Kidney Donors with High-Spatial-Resolution Magnetic Resonance (MR) Angiography at 3 Tesla

The purpose of this prospective study was to determine the feasibility and accuracy of high-spatial-resolution MR imaging at 3 Tesla (T) in the preoperative evaluation of potential living related kidney donors. Eighteen potential donors (8 men, 10 women; mean age, 50.1 +/- 14.2 years) for renal transplantation were evaluated with 3 T MR imaging. A high-spatial-resolution 3-dimensional (3D) gradient-echo MR angiography (repetition time/echo time, 3.0/1.14 ms; flip, 19-23 degrees; matrix, 512; slice thickness, 1.0 mm) using parallel acquisition technique (GRAPPA) with an acceleration factor of 3 was performed on a whole body scanner. Images were evaluated in a prospective and blinded fashion by 2 MR radiologists. The number of renal arteries, presence of early branches (defined as a branch arising within 2 cm of the main renal ostium), and renal artery stenosis were analyzed. The renal parenchyma, collecting system and ureters, were evaluated on the MR urograms. Interpretation of MR images were compared with surgical findings. Based on MR angiography data sets, a total of 36 main and 9 accessory renal arteries was found. There were 5 renal arteries presenting an early branching (<or=2 cm). The correct venous anatomy was identified in 13 of 14 patients (93%), including a single left renal vein anterior to the aorta (n = 3), retroaortic left renal vein (n = 2), and single right renal vein (n = 9). A single collecting system in all harvested kidneys was identified correctly with MR imaging. Overall, the sensitivity and positive predictive value of MRI in correctly determining the vascular and parenchymal anatomy in the harvested kidney was 85% and 93%, respectively. High-spatial-resolution contrast-enhanced MR angiography at 3 T can predict successful donor nephrectomy in potential living related kidney donors.