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Open Access Original Article Issue
Compressed Sensing‐Accelerated 3.0 T Noncontrast‐Enhanced CMRA: Diagnostic Efficacy for Coronary Artery Stenosis
iRADIOLOGY 2026, 4(4): 329-337
Published: 04 June 2026
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Background

Coronary artery disease is a leading cause of cardiovascular death. Conventional noncontrast‐enhanced 3.0 T coronary magnetic resonance angiography (CMRA) is safe but limited by long scan times and motion artifacts. Compressed sensing (CS) can accelerate imaging, yet the optimal acceleration factor remains undefined. This study aimed to evaluate the diagnostic accuracy of 4.5‐fold CS (4.5 × CS)‐accelerated 3.0 T noncontrast‐enhanced CMRA for detecting coronary artery stenosis, using invasive coronary angiography as the reference standard.

Methods

Thirty patients with suspected coronary artery disease who underwent CMRA, coronary computed tomography angiography, and invasive coronary angiography at the Affiliated Hospital of Guizhou Medical University from December 2022 to November 2024 were enrolled. The diagnostic performance of CMRA for detecting ≥ 50.00% stenosis was evaluated using the kappa test (agreement), Wilcoxon signed‐rank test (continuous variables), and calculations of sensitivity, specificity, and accuracy.

Results

The 4.5 × CS protocol shortened CMRA scan time by 52.30% (to [7.2 ± 1.3] min) while maintaining image quality (signal‐to‐noise ratio, 25.3–30.2; contrast‐to‐noise ratio, 19.6–24.5). CMRA showed excellent agreement with invasive coronary angiography (kappa = 0.905, p < 0.001), with strong diagnostic performance at the segment level (sensitivity 86.90%, specificity 99.01%, accuracy 95.45%), the vessel level (sensitivity 94.59%, accuracy 79.17%), and the patient level (sensitivity 92.00%, accuracy 90.00%).

Conclusions

4.5 × CS‐accelerated 3.0 T noncontrast‐enhanced CMRA achieves a favorable balance between efficiency, image quality, and diagnostic accuracy. As a radiation‐ and contrast‐free modality, it may be particularly valuable for coronary artery disease screening and follow‐up (e.g., in contrast‐allergic or renally impaired patients) and shows strong potential for clinical translation.

Open Access In Memoriam Issue
In Memoriam: Professor Zijiang Liu (1925–2003)
iRADIOLOGY 2025, 3(6): 486-487
Published: 15 January 2026
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Open Access Editorial Issue
Applications and Implications of ChatGPT and GPT‐4 in Radiology
iRADIOLOGY 2025, 3(4): 259-260
Published: 31 July 2025
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Open Access Editorial Issue
Artificial intelligence in medical imaging
iRADIOLOGY 2024, 2(6): 525-526
Published: 15 December 2024
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Downloads:101
Open Access Review Issue
Correlations behind macrotrabecular‐massive and vessels encapsulating tumor cluster patterns in hepatocellular carcinoma
iRADIOLOGY 2023, 1(1): 91-100
Published: 27 March 2023
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Macrotrabecular‐massive hepatocellular carcinoma (MTM‐HCC) is a subtype of HCC with a very poor prognosis and exhibits biological behaviors and clinical presentations that distinguish it from conventional HCC. Vessels encapsulating tumor clusters (VETC) is a unique pattern of vascular growth that is more common in patients with MTM‐HCC. This unique interaction between the angiogenic system and tumor cells is of general interest. Early diagnosis and appropriate treatment of HCC with MTM and VETC patterns help prevent early recurrence and improve prognosis. This review summarizes the existing findings for HCC with MTM and VETC patterns.

Open Access Review Issue
Molecular imaging for cancer immunotherapy
iRADIOLOGY 2023, 1(1): 3-17
Published: 27 March 2023
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The success of immune checkpoint blockade has reaffirmed the importance of the immune system in cancer treatment. Immunotherapy enables the body's own immune system to fight tumor cells. However, the complex tumor microenvironment and its interaction with the immune system remain a mystery. The efficacy of immunotherapy is often affected by tumor heterogeneity. Molecular imaging techniques, such as single photon emission computed tomography and positron emission tomography, enable noninvasive whole‐body imaging of tumor and immune cell signatures. Noninvasive molecular imaging can also be used to monitor the treatment response of tumors, thereby achieving personalized response assessment, which may ultimately lead to improved clinical management, development of individualized treatments, and reliable prognosis. This article reviews recent research in immunotherapy response assessment, immune T‐cell imaging, immune checkpoint imaging, and radiomics/radiogenomics in immunotherapy. To date, these studies have primarily comprised exploratory preclinical imaging with preliminary results indicating that biomarker molecular imaging may have a role to play in the assessment of immunotherapy. Therefore, the principle of selecting patients for immunotherapy based on imaging results is feasible.

Open Access Review Issue
Imaging of pregnancy-related liver diseases
iLIVER 2023, 2(1): 56-66
Published: 04 March 2023
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Pregnancy-related liver diseases are the most frequent cause of liver dysfunction in pregnancy and pose a real threat to fetal and maternal survival. Although hepatobiliary disorders are uncommon in pregnancy, they may be severe enough to cause risk to both the mother and fetus. There are five different types of liver disease that are unique to pregnancy, including hyperemesis gravidarum, intrahepatic cholestasis of pregnancy, preeclampsia, hemolysis, elevated liver enzyme, and low platelet count syndrome, and acute fatty liver of pregnancy. Ultrasound, computed tomography, and magnetic resonance imaging play important roles in the rapid diagnosis and evaluation of complications. An accurate diagnosis can guide further treatment or the induction of labor to prevent intrauterine fetal death. This review highlights the pathogenesis, clinical features, imaging features, and treatment of pregnancy-related liver diseases with the aim of enhancing awareness of these rare but potentially life-threatening diseases of pregnancy.

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