Hosseini ASA, Uhlig J, Streit U, et al. - In this study, researchers investigated the diagnostic potential of real-time MRI for dynamic assessment of gastroesophageal reflux in individuals with gastroesophageal reflux disease (GERD)-like symptoms compared with pH-metry and impedance. In this retrospective study, researchers recruited a total of 91 individuals who underwent real-time MRI and pH-metry between 2015-2018. At a mean examination time of 15 minutes, all MRI studies were successfully performed without adverse events. The reflux was evident in 60 individuals (66%) on real-time MRI. It was noted that pH-metry reported reflux in 41 individuals (45%), and impedance in 54 individuals (59%). The real-time MRI sensitivity was 0.78, specificity 0.67 and PPV 0.87 compared with pH-metry and impedance. For assessment of gastroesophageal reflux, real-time MRI is an imaging technique in individuals with GERD-like symptoms. Considering its high positive predictive value, real-time MRI can accurately distinguish individuals in which further invasive examination with pH-metry and impedance might be considered.