Reproducibility Between Three-Dimensional Turbo Spin-Echo and Two-Dimensional Dual Inversion Recovery Turbo Spin-Echo for Coronary Vessel Wall Imaging in Kawasaki Disease

Background: Magnetic resonance vessel wall imaging is desirable for evaluating Kawasaki disease (KD)-associated coronary arterial lesions. Purpose: To evaluate reproducibility of three-dimensional turbo spin-echo (3D-TSE) and two-dimensional dual inversion-recovery turbo spin-echo (2D-DIR-TSE) for coronary vessel wall imaging in KD.Methods: Ten patients were prospectively enrolled. Coronary vessel wall imaging with axial-slice orientation 3D-TSE and 2D-DIR-TSE were acquired for cross-sectional images in aneurysmal and normal regions. Lumen area (LA), wall area (WA), and normalized wall index (NWI) of cross-sectional images were measured in both regions. Reproducibility between 3D-TSE and 2D-DIR-TSE was evaluated via intraclass correlation coefficients (ICCs) and Bland-Altman plots.Results: 48 points (aneurysmal, 27; normal, 21) were evaluated. There were high ICCs between 3D-TSE and 2D-DIR-TSE in LA (0.95) and WA (0.95). In aneurysmal regions, 95% limits of agreement were LA, WA, and NWI of -29.9–30.4 mm2, -18.8–15.0 mm2, and -0.22–0.20, respectively. In normal regions, the 95% limits of agreement were LA, WA, and NWI of -4.44–4.38 mm2, -3.51–4.30 mm2, and -0.14–0.16, respectively. No fixed and proportional biases between 3D-TSE and 2D-DIR-TSE images in aneurysmal and normal regions were noted.Conclusions: 3D-TSE was reproducible with conventional 2D-DIR-TSE for coronary vessel wall assessment on KD.