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Shi J, Lin J, Zhou X, Yin N, Wu L, Yu M, Xu M. Comparison of Reduced and Full Field of View in Diffusion-Weighted MRI on Image Quality: A Meta-Analysis. J Magn Reson Imaging 2024. [PMID: 38896049 DOI: 10.1002/jmri.29487] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2024] [Revised: 06/01/2024] [Accepted: 06/03/2024] [Indexed: 06/21/2024] Open
Abstract
BACKGROUND Reduced field of view (rFOV) diffusion-weighted imaging (DWI) in MRI shows potential for enhanced image quality compared with traditional full field of view (fFOV) DWI. Evaluating rFOV DWI's impact on image quality is important for clinical adoption. OBJECTIVE To assess the efficacy of rFOV DWI in improving image quality, focusing on artifact reduction, signal-to-noise ratio (SNR) improvement, and lesion detectability. STUDY TYPE Meta-analysis. POPULATION Systematic literature search was conducted in PubMed, Embase, the Cochrane Library, and Web of Science ending in January 2024. Thirteen studies with 765 participants focusing on DWI quality using rFOV was analyzed. FIELD STRENGTH/SEQUENCE SS-EPI, Rtr-SS-EPI, 2D-SS-EPI at 3.0 T. ASSESSMENT Two investigators performed the data extraction. QUADAS-2 assessed bias. The image quality assessment of rFOV and fFOV DWI were compared. STATISTICAL TESTS Standardized mean difference (SMD) was utilized to evaluate and standardize MRI image quality. Heterogeneity was assessed using the I2 statistic and publication bias was evaluated with Egger's test. RESULTS The QUADAS-2 analysis revealed that most studies exhibited a low risk of bias and minimal concerns regarding applicability. Statistical analysis indicated that rFOV DWI yielded higher subjective image quality scores (SMD = 0.535, 95% CI: 0.339, 0.731, I2 = 45.7%) compared with fFOV DWI and was more effective in reducing artifacts (SMD = 0.44, 95% CI: 0.209, 0.672, I2 = 42.3%) than fFOV DWI. However, a decrease in SNR was noted with rFOV DWI (SMD = -0.670, 95% CI: -1.187 to -0.152, I2 = 87.9%). Additionally, rFOV DWI demonstrated enhancements in lesion visibility (SMD = 0.432, 95% CI: -1.187, -0.152, I2 = 53.1%) and anatomical details (SMD = 0.598, 95% CI: 0.121, 1.075, I2 = 90.8%). DATA CONCLUSION rFOV DWI enhances MRI image quality by reducing artifacts and improving lesion visibility with a SNR trade-off. EVIDENCE LEVEL 3 TECHNICAL EFFICACY: Stage 1.
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Affiliation(s)
- Jingjing Shi
- Department of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, China
- The First School of Clinical Medicine of Zhejiang Chinese Medical University, Hangzhou, China
| | - Jie Lin
- Department of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, China
- The First School of Clinical Medicine of Zhejiang Chinese Medical University, Hangzhou, China
| | - Xinbin Zhou
- The First School of Clinical Medicine of Zhejiang Chinese Medical University, Hangzhou, China
- Department of Cardiology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, China
| | - Ningbo Yin
- The First School of Clinical Medicine of Zhejiang Chinese Medical University, Hangzhou, China
| | - Liyi Wu
- The First School of Clinical Medicine of Zhejiang Chinese Medical University, Hangzhou, China
| | - Mei Yu
- The Xiaoshan Hospital Affiliated of Wenzhou Medical University, Xiaoshan First People's Hospital, Hangzhou, China
| | - Maosheng Xu
- Department of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, China
- The First School of Clinical Medicine of Zhejiang Chinese Medical University, Hangzhou, China
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Ma Y, Cao H, Li J, Lin M, Gong X, Lin Y. Multi-instance learning based lung nodule system for assessment of CT quality after small-field-of-view reconstruction. Sci Rep 2024; 14:3109. [PMID: 38326410 PMCID: PMC10850475 DOI: 10.1038/s41598-024-53797-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2023] [Accepted: 02/05/2024] [Indexed: 02/09/2024] Open
Abstract
Small-field-of-view reconstruction CT images (sFOV-CT) increase the pixel density across airway structures and reduce partial volume effects. Multi-instance learning (MIL) is proposed as a weakly supervised machine learning method, which can automatically assess the image quality. The aim of this study was to evaluate the disparities between conventional CT (c-CT) and sFOV-CT images using a lung nodule system based on MIL and assessments from radiologists. 112 patients who underwent chest CT were retrospectively enrolled in this study between July 2021 to March 2022. After undergoing c-CT examinations, sFOV-CT images with small-field-of-view were reconstructed. Two radiologists analyzed all c-CT and sFOV-CT images, including features such as location, nodule type, size, CT values, and shape signs. Then, an MIL-based lung nodule system objectively analyzed the c-CT (c-MIL) and sFOV-CT (sFOV-MIL) to explore their differences. The signal-to-noise ratio of lungs (SNR-lung) and contrast-to-noise ratio of nodules (CNR-nodule) were calculated to evaluate the quality of CT images from another perspective. The subjective evaluation by radiologists showed that feature of minimal CT value (p = 0.019) had statistical significance between c-CT and sFOV-CT. However, most features (all with p < 0.05), except for nodule type, location, volume, mean CT value, and vacuole sign (p = 0.056-1.000), had statistical differences between c-MIL and sFOV-MIL by MIL system. The SNR-lung between c-CT and sFOV-CT had no statistical significance, while the CNR-nodule showed statistical difference (p = 0.007), and the CNR of sFOV-CT was higher than that of c-CT. In detecting the difference between c-CT and sFOV-CT, features extracted by the MIL system had more statistical differences than those evaluated by radiologists. The image quality of those two CT images was different, and the CNR-nodule of sFOV-CT was higher than that of c-CT.
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Affiliation(s)
- Yanqing Ma
- Department of Radiology, Zhejiang Provincial People's Hospital (Affiliated People's Hospital, Hangzhou Medical College), Hangzhou, 310014, Zhejiang, China
| | - Hanbo Cao
- Department of Radiology, Zhejiang Provincial People's Hospital (Affiliated People's Hospital, Hangzhou Medical College), Hangzhou, 310014, Zhejiang, China
| | - Jie Li
- Department of Radiology, Zhejiang Provincial People's Hospital (Affiliated People's Hospital, Hangzhou Medical College), Hangzhou, 310014, Zhejiang, China
| | - Mu Lin
- Infervision Technology Co. Ltd., Beijing, 100010, China
| | - Xiangyang Gong
- Department of Radiology, Zhejiang Provincial People's Hospital (Affiliated People's Hospital, Hangzhou Medical College), Hangzhou, 310014, Zhejiang, China
| | - Yi Lin
- Department of Radiology, Zhejiang Provincial People's Hospital (Affiliated People's Hospital, Hangzhou Medical College), Hangzhou, 310014, Zhejiang, China.
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Zhang Y, Sheng R, Yang C, Dai Y, Zeng M. Higher field reduced FOV diffusion-weighted imaging for abdominal imaging at 5.0 Tesla: image quality evaluation compared with 3.0 Tesla. Insights Imaging 2023; 14:171. [PMID: 37840062 PMCID: PMC10577120 DOI: 10.1186/s13244-023-01513-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Accepted: 08/27/2023] [Indexed: 10/17/2023] Open
Abstract
OBJECTIVE To evaluate the image quality of reduced field-of-view (rFOV) DWI for abdominal imaging at 5.0 Tesla (T) compared with 3.0 T. METHODS Fifteen volunteers were included into this prospective study. All the subjects underwent the 3.0 T and 5.0 T MR examinations (time interval: 2 ± 1.9 days). Free-breathing (FB), respiratory-triggered (RT), and navigator-triggered (NT) spin-echo echo-planner imaging-based rFOV-DWI examinations were conducted at 3.0 T and 5.0 T (FB3.0 T, NT3.0 T, RT3.0 T, FB5.0 T, NT5.0 T, and RT5.0 T) with two b values (b = 0 and 800 s/mm2), respectively. The signal-to-noise ratio (SNR) of different acquisition approaches were determined and statistically compared. The image quality was assessed and statistically compared with a 5-point scoring system. RESULTS The SNRs of any 5.0 T DWI images were significantly higher than those of any 3.0 T DWI images for same anatomic locations. Moreover, 5.0 T rFOV-DWIs had the significantly higher sharpness scores than 3.0 T rFOV-DWIs. Similar distortion scores were observed at both 3.0 T and 5.0 T. Finally, RT5.0 T displayed the best overall image quality followed by NT5.0 T, FB5.0 T, RT3.0 T, NT3.0 T and FB3.0 T (RT5.0 T = 3.9 ± 0.3, NT5.0 T = 3.8 ± 0.3, FB5.0 T = 3.4 ± 0.3, RT3.0 T = 3.2 ± 0.4, NT3.0 T = 3.1 ± 0.4, and FB3.0 T = 2.7 ± 0.4, p < 0.001). CONCLUSION The 5.0 T rFOV-DWI showed better overall image quality and improved SNR compared to 3.0 T rFOV-DWI, which holds clinical potential for identifying the abdominal abnormalities in routine practice. CRITICAL RELEVANCE STATEMENT This study provided evidence that abdominal 5.0 Tesla reduced field of view diffusion-weighted imaging (5.0 T rFOV-DWI) exhibited enhanced image quality and higher SNR compared to its 3.0 Tesla counterparts, holding clinical promise for accurately visualizing abdominal abnormalities. KEY POINTS • rFOV-DWI was firstly integrated with high-field-MRI for visualizing various abdominal organs. • This study indicated the feasibility of abdominal 5.0 T-rFOV-DWI. • Better image quality was identified for 5.0 T rFOV-DWI.
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Affiliation(s)
- Yunfei Zhang
- Shanghai Institute of Medical Imaging, Fudan University, Shanghai, 200032, China
- Central Research Institute, United Imaging Healthcare, Shanghai, 201800, China
| | - Ruofan Sheng
- Shanghai Institute of Medical Imaging, Fudan University, Shanghai, 200032, China
- Department of Radiology, Zhongshan Hospital, Fudan University, Shanghai, 200032, China
| | - Chun Yang
- Shanghai Institute of Medical Imaging, Fudan University, Shanghai, 200032, China
- Department of Radiology, Zhongshan Hospital, Fudan University, Shanghai, 200032, China
| | - Yongming Dai
- School of Biomedical Engineering, ShanghaiTech Univerisity, Shanghai, 200032, China.
| | - Mengsu Zeng
- Shanghai Institute of Medical Imaging, Fudan University, Shanghai, 200032, China.
- Department of Radiology, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
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Harder FN, Jung E, Weiss K, Graf MM, Kamal O, McTavish S, Van AT, Demir IE, Friess H, Phillip V, Schmid RM, Lohöfer FK, Kaissis GA, Makowski MR, Karampinos DC, Braren RF. Computed high-b-value high-resolution DWI improves solid lesion detection in IPMN of the pancreas. Eur Radiol 2023; 33:6892-6901. [PMID: 37133518 PMCID: PMC10511579 DOI: 10.1007/s00330-023-09661-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2022] [Revised: 02/15/2023] [Accepted: 02/26/2023] [Indexed: 05/04/2023]
Abstract
OBJECTIVES To examine the effect of high-b-value computed diffusion-weighted imaging (cDWI) on solid lesion detection and classification in pancreatic intraductal papillary mucinous neoplasm (IPMN), using endoscopic ultrasound (EUS) and histopathology as a standard of reference. METHODS Eighty-two patients with known or suspected IPMN were retrospectively enrolled. Computed high-b-value images at b = 1000 s/mm2 were calculated from standard (b = 0, 50, 300, and 600 s/mm2) DWI images for conventional full field-of-view (fFOV, 3 × 3 × 4 mm3 voxel size) DWI. A subset of 39 patients received additional high-resolution reduced-field-of-view (rFOV, 2.5 × 2.5 × 3 mm3 voxel size) DWI. In this cohort, rFOV cDWI was compared against fFOV cDWI additionally. Two experienced radiologists evaluated (Likert scale 1-4) image quality (overall image quality, lesion detection and delineation, fluid suppression within the lesion). In addition, quantitative image parameters (apparent signal-to-noise ratio (aSNR), apparent contrast-to-noise ratio (aCNR), contrast ratio (CR)) were assessed. Diagnostic confidence regarding the presence/absence of diffusion-restricted solid nodules was assessed in an additional reader study. RESULTS High-b-value cDWI at b = 1000 s/mm2 outperformed acquired DWI at b = 600 s/mm2 regarding lesion detection, fluid suppression, aCNR, CR, and lesion classification (p = < .001-.002). Comparing cDWI from fFOV and rFOV revealed higher image quality in high-resolution rFOV-DWI compared to conventional fFOV-DWI (p ≤ .001-.018). High-b-value cDWI images were rated non-inferior to directly acquired high-b-value DWI images (p = .095-.655). CONCLUSIONS High-b-value cDWI may improve the detection and classification of solid lesions in IPMN. Combining high-resolution imaging and high-b-value cDWI may further increase diagnostic precision. CLINICAL RELEVANCE STATEMENT This study shows the potential of computed high-resolution high-sensitivity diffusion-weighted magnetic resonance imaging for solid lesion detection in pancreatic intraductal papillary mucinous neoplasia (IPMN). The technique may enable early cancer detection in patients under surveillance. KEY POINTS • Computed high-b-value diffusion-weighted imaging (cDWI) may improve the detection and classification of intraductal papillary mucinous neoplasms (IPMN) of the pancreas. • cDWI calculated from high-resolution imaging increases diagnostic precision compared to cDWI calculated from conventional-resolution imaging. • cDWI has the potential to strengthen the role of MRI for screening and surveillance of IPMN, particularly in view of the rising incidence of IPMNs combined with now more conservative therapeutic approaches.
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Affiliation(s)
- Felix N Harder
- Institute of Diagnostic and Interventional Radiology, Technical University of Munich, School of Medicine, Munich, Germany.
| | - Eva Jung
- Institute of Diagnostic and Interventional Radiology, Technical University of Munich, School of Medicine, Munich, Germany
| | - Kilian Weiss
- Philips GmbH Market DACH, Röntgenstrasse 22, 22335, Hamburg, Germany
| | - Markus M Graf
- Institute of Diagnostic and Interventional Radiology, Technical University of Munich, School of Medicine, Munich, Germany
| | - Omar Kamal
- Institute of Diagnostic and Interventional Radiology, Technical University of Munich, School of Medicine, Munich, Germany
| | - Sean McTavish
- Institute of Diagnostic and Interventional Radiology, Technical University of Munich, School of Medicine, Munich, Germany
| | - Anh T Van
- Institute of Diagnostic and Interventional Radiology, Technical University of Munich, School of Medicine, Munich, Germany
| | - Ihsan E Demir
- Department of Surgery, Klinikum Rechts Der Isar, School of Medicine, Technical University of Munich, Munich, Germany
| | - Helmut Friess
- Department of Medicine II, University Hospital Rechts Der Isar, Technical University Munich, Munich, Germany
| | - Veit Phillip
- Department of Medicine II, University Hospital Rechts Der Isar, Technical University Munich, Munich, Germany
| | - Roland M Schmid
- Department of Medicine II, University Hospital Rechts Der Isar, Technical University Munich, Munich, Germany
| | - Fabian K Lohöfer
- Institute of Diagnostic and Interventional Radiology, Technical University of Munich, School of Medicine, Munich, Germany
| | - Georgios A Kaissis
- Institute of Diagnostic and Interventional Radiology, Technical University of Munich, School of Medicine, Munich, Germany
- Department of Computing, Faculty of Engineering, Imperial College of Science, Technology and Medicine, London, SW7 2AZ, UK
- Institute for Artificial Intelligence in Medicine, Technical University of Munich, Munich, Germany
| | - Marcus R Makowski
- Institute of Diagnostic and Interventional Radiology, Technical University of Munich, School of Medicine, Munich, Germany
| | - Dimitrios C Karampinos
- Institute of Diagnostic and Interventional Radiology, Technical University of Munich, School of Medicine, Munich, Germany
- Munich Institute of Biomedical Engineering, Technical University of Munich, Garching, Germany
| | - Rickmer F Braren
- Institute of Diagnostic and Interventional Radiology, Technical University of Munich, School of Medicine, Munich, Germany.
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5
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Tang Q, Zhou Q, Chen W, Sang L, Xing Y, Liu C, Wang K, Liu WV, Xu L. A feasibility study of reduced full-of-view synthetic high-b-value diffusion-weighted imaging in uterine tumors. Insights Imaging 2023; 14:12. [PMID: 36645541 PMCID: PMC9842823 DOI: 10.1186/s13244-022-01350-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2022] [Accepted: 12/05/2022] [Indexed: 01/17/2023] Open
Abstract
OBJECTIVES This study aimed to evaluate the feasibility of reduced full-of-view synthetic high-b value diffusion-weighted images (rFOV-syDWIs) in the clinical application of cervical cancer based on image quality and diagnostic efficacy. METHODS We retrospectively evaluated the data of 35 patients with cervical cancer and 35 healthy volunteers from May to November 2021. All patients and volunteers underwent rFOV-DWI scans, including a 13b-protocol: b = 0, 25, 50, 75, 100, 150, 200, 400, 600, 800, 1000, 1200, and 1500 s/mm2 and a 5b-protocol: b = 0, 100, 400, 800,1500 s/mm2. rFOV-syDWIs with b values of 1200 (rFOV-syDWIb=1200) and 1500 (rFOV-syDWIb=1500) were generated from two different multiple-b-value image datasets using a mono-exponential fitting algorithm. According to homoscedasticity and normality assessed by the Levene's test and Shapiro-Wilk test, the inter-modality differences of quantitative measurements were, respectively, examined by Wilcoxon signed-rank test or paired t test and the inter-group differences of ADC values were examined by independent t test or Mann-Whitney U test. RESULTS A higher inter-reader agreement between SNRs and CNRs was found in 13b-protocol and 5b-protocol rFOV-syDWIb=1200/1500 compared to 13b-protocol rFOV-sDWIb=1200/1500 (p < 0.05). AUC of 5b-protocol syADCmean,b=1200/1500 and syADCminimum,b=1200/1500 was equal or higher than that of 13b-protocol sADCmean,b=1200/1500 and sADCminimum,b=1200/1500. CONCLUSIONS rFOV-syDWIs provide better lesion clarity and higher image quality than rFOV-sDWIs. 5b-protocol rFOV-syDWIs shorten scan time, and synthetic ADCs offer reliable diagnosis value as scanned 13b-protocol DWIs.
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Affiliation(s)
- Qian Tang
- grid.443573.20000 0004 1799 2448Department of Radiology, Taihe Hospital, Hubei University of Medicine, Shiyan, Hubei China ,grid.443573.20000 0004 1799 2448Biomedical Engineering College, Taihe Hospital, Hubei University of Medicine, Shiyan, Hubei China
| | - Qiqi Zhou
- grid.443573.20000 0004 1799 2448Department of Radiology, Taihe Hospital, Hubei University of Medicine, Shiyan, Hubei China
| | - Wen Chen
- grid.443573.20000 0004 1799 2448Department of Radiology, Taihe Hospital, Hubei University of Medicine, Shiyan, Hubei China
| | - Ling Sang
- grid.443573.20000 0004 1799 2448Department of Radiology, Taihe Hospital, Hubei University of Medicine, Shiyan, Hubei China
| | - Yu Xing
- grid.443573.20000 0004 1799 2448Department of Radiology, Taihe Hospital, Hubei University of Medicine, Shiyan, Hubei China
| | - Chao Liu
- grid.443573.20000 0004 1799 2448Department of Radiology, Taihe Hospital, Hubei University of Medicine, Shiyan, Hubei China
| | - Kejun Wang
- grid.443573.20000 0004 1799 2448Department of Radiology, Taihe Hospital, Hubei University of Medicine, Shiyan, Hubei China
| | | | - Lin Xu
- grid.443573.20000 0004 1799 2448Department of Radiology, Taihe Hospital, Hubei University of Medicine, Shiyan, Hubei China
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Zheng L, Yang C, Liang L, Rao S, Dai Y, Zeng M. T2-weighted MRI and reduced-FOV diffusion-weighted imaging of the human pancreas at 5 T: A comparison study with 3 T. Med Phys 2023; 50:344-353. [PMID: 36107133 DOI: 10.1002/mp.15970] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2022] [Revised: 08/29/2022] [Accepted: 08/29/2022] [Indexed: 01/25/2023] Open
Abstract
PURPOSE The purpose of this study was to explore the feasibility of pancreatic imaging at 5 T and evaluate the practical improvement of T2-weighted MRI and diffusion-weighted imaging (DWI) at 5 T as compared with 3 T. METHODS Eighteen healthy subjects were recruited for this pilot study. MRI examinations were performed using 3 and 5 T scanners. MRI sequences included T2-weighted fast spin-echo and DWI with reduced field-of-view. Subjective image analysis using a four-point Likert scale was performed by two experienced radiologists. The SNR, contrast ratio, and apparent diffusion coefficient (ADC) were measured in the pancreatic head, body, and tail. The coefficient of variation (CV) of the ADC was calculated. A series of paired Wilcoxon tests were used to compare the subjective image quality, mean ADC value, and CV of ADC between the 3 and 5 T measurements. p <0.05 was considered statistically significant. RESULTS For T2-weighted images, there were no significant differences in image quality ratings between 3 and 5 T. On DWI images (b = 0 and 800 s/mm2 ), the image quality ratings were significantly higher at 5 T than at 3 T. The SNRs of both T2-weighted and DWI images were significantly higher at 5 T. There was no significant difference in the mean ADC values and CV of ADC between 3 and 5 T. CONCLUSION This initial study proved that 5 T MRI can be used to acquire pancreatic images with higher SNR and sufficient image quality compared to 3 T MRI.
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Affiliation(s)
- Liyun Zheng
- Shanghai Institute of Medical Imaging, Shanghai, China.,Department of Radiology, Zhongshan Hospital, Fudan University, Shanghai, China.,Shenzhen United Imaging Research Institute of Innovative Medical Equipment, Shenzhen, China
| | - Chun Yang
- Shanghai Institute of Medical Imaging, Shanghai, China.,Department of Radiology, Zhongshan Hospital, Fudan University, Shanghai, China
| | - Liang Liang
- Shanghai Institute of Medical Imaging, Shanghai, China.,Department of Radiology, Zhongshan Hospital, Fudan University, Shanghai, China
| | - Shengxiang Rao
- Shanghai Institute of Medical Imaging, Shanghai, China.,Department of Radiology, Zhongshan Hospital, Fudan University, Shanghai, China
| | - Yongming Dai
- MR Collaboration, Central Research Institute, United Imaging Healthcare, Shanghai, China
| | - Mengsu Zeng
- Shanghai Institute of Medical Imaging, Shanghai, China.,Department of Radiology, Zhongshan Hospital, Fudan University, Shanghai, China
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High-Resolution, High b-Value Computed Diffusion-Weighted Imaging Improves Detection of Pancreatic Ductal Adenocarcinoma. Cancers (Basel) 2022; 14:cancers14030470. [PMID: 35158737 PMCID: PMC8833466 DOI: 10.3390/cancers14030470] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2021] [Accepted: 01/13/2022] [Indexed: 02/04/2023] Open
Abstract
Background: Our purpose was to investigate the potential of high-resolution, high b-value computed DWI (cDWI) in pancreatic ductal adenocarcinoma (PDAC) detection. Materials and Methods: We retrospectively enrolled 44 patients with confirmed PDAC. Respiratory-triggered, diffusion-weighted, single-shot echo-planar imaging (ss-EPI) with both conventional (i.e., full field-of-view, 3 × 3 × 4 mm voxel size, b = 0, 50, 300, 600 s/mm2) and high-resolution (i.e., reduced field-of-view, 2.5 × 2.5 × 3 mm voxel size, b = 0, 50, 300, 600, 1000 s/mm2) imaging was performed for suspected PDAC. cDWI datasets at b = 1000 s/mm2 were generated for the conventional and high-resolution datasets. Three radiologists were asked to subjectively rate (on a Likert scale of 1–4) the following metrics: image quality, lesion detection and delineation, and lesion-to-pancreas intensity relation. Furthermore, the following quantitative image parameters were assessed: apparent signal-to-noise ratio (aSNR), contrast-to-noise ratio (aCNR), and lesion-to-pancreas contrast ratio (CR). Results: High-resolution, high b-value computed DWI (r-cDWI1000) enabled significant improvement in lesion detection and a higher incidence of a high lesion-to-pancreas intensity relation (type 1, clear hyperintense) compared to conventional high b-value computed and high-resolution high b-value acquired DWI (f-cDWI1000 and r-aDWI1000, respectively). Image quality was rated inferior in the r-cDWI1000 datasets compared to r-aDWI1000. Furthermore, the aCNR and CR were higher in the r-cDWI1000 datasets than in f-cDWI1000 and r-aDWI1000. Conclusion: High-resolution, high b-value computed DWI provides significantly better visualization of PDAC compared to the conventional high b-value computed and high-resolution high b-value images acquired by DWI.
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Harder FN, Jungmann F, Kaissis GA, Lohöfer FK, Ziegelmayer S, Havel D, Quante M, Reichert M, Schmid RM, Demir IE, Friess H, Wildgruber M, Siveke J, Muckenhuber A, Steiger K, Weichert W, Rauscher I, Eiber M, Makowski MR, Braren RF. [ 18F]FDG PET/MRI enables early chemotherapy response prediction in pancreatic ductal adenocarcinoma. EJNMMI Res 2021; 11:70. [PMID: 34322781 PMCID: PMC8319249 DOI: 10.1186/s13550-021-00808-4] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2021] [Accepted: 07/08/2021] [Indexed: 12/11/2022] Open
Abstract
Purpose In this prospective exploratory study, we evaluated the feasibility of [18F]fluorodeoxyglucose ([18F]FDG) PET/MRI-based chemotherapy response prediction in pancreatic ductal adenocarcinoma at two weeks upon therapy onset. Material and methods In a mixed cohort, seventeen patients treated with chemotherapy in neoadjuvant or palliative intent were enrolled. All patients were imaged by [18F]FDG PET/MRI before and two weeks after onset of chemotherapy. Response per RECIST1.1 was then assessed at 3 months [18F]FDG PET/MRI-derived parameters (MTV50%, TLG50%, MTV2.5, TLG2.5, SUVmax, SUVpeak, ADCmax, ADCmean and ADCmin) were assessed, using multiple t-test, Man–Whitney-U test and Fisher’s exact test for binary features. Results At 72 ± 43 days, twelve patients were classified as responders and five patients as non-responders. An increase in ∆MTV50% and ∆ADC (≥ 20% and 15%, respectively) and a decrease in ∆TLG50% (≤ 20%) at 2 weeks after chemotherapy onset enabled prediction of responders and non-responders, respectively. Parameter combinations (∆TLG50% and ∆ADCmax or ∆MTV50% and ∆ADCmax) further improved discrimination. Conclusion Multiparametric [18F]FDG PET/MRI-derived parameters, in particular indicators of a change in tumor glycolysis and cellularity, may enable very early chemotherapy response prediction. Further prospective studies in larger patient cohorts are recommended to their clinical impact. Supplementary Information The online version contains supplementary material available at 10.1186/s13550-021-00808-4.
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Affiliation(s)
- Felix N Harder
- Institute of Diagnostic and Interventional Radiology, School of Medicine, Technical University of Munich, Munich, Germany
| | - Friederike Jungmann
- Institute of Diagnostic and Interventional Radiology, School of Medicine, Technical University of Munich, Munich, Germany
| | - Georgios A Kaissis
- Institute of Diagnostic and Interventional Radiology, School of Medicine, Technical University of Munich, Munich, Germany.,Department of Computing, Faculty of Engineering, Imperial College of Science, Technology and Medicine, London, SW7 2AZ, UK
| | - Fabian K Lohöfer
- Institute of Diagnostic and Interventional Radiology, School of Medicine, Technical University of Munich, Munich, Germany
| | - Sebastian Ziegelmayer
- Institute of Diagnostic and Interventional Radiology, School of Medicine, Technical University of Munich, Munich, Germany
| | - Daniel Havel
- Institute of Diagnostic and Interventional Radiology, School of Medicine, Technical University of Munich, Munich, Germany
| | - Michael Quante
- Internal Medicine II, Faculty of Medicine, Freiburg University Hospital, Freiburg, Germany
| | - Maximillian Reichert
- Klinik und Poliklinik für Innere Medizin II, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.,German Cancer Consortium (DKTK), Partner Site Munich, Munich, Germany
| | - Roland M Schmid
- Klinik und Poliklinik für Innere Medizin II, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.,German Cancer Consortium (DKTK), Partner Site Munich, Munich, Germany
| | - Ihsan Ekin Demir
- Department of Surgery, School of Medicine, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany
| | - Helmut Friess
- Department of Surgery, School of Medicine, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany
| | - Moritz Wildgruber
- Klinik und Poliklinik für Radiologie, Klinikum der Universität München, Munich, Germany
| | - Jens Siveke
- Institute for Developmental Cancer Therapeutics, West German Cancer Center, University Hospital Essen, Essen, Germany
| | | | - Katja Steiger
- Institute of Pathology, Technical University of Munich, Munich, Germany
| | - Wilko Weichert
- Institute of Pathology, Technical University of Munich, Munich, Germany
| | - Isabel Rauscher
- Department of Nuclear Medicine, Technical University Munich, Klinikum rechts der Isar, Munich, Germany
| | - Matthias Eiber
- Department of Nuclear Medicine, Technical University Munich, Klinikum rechts der Isar, Munich, Germany
| | - Marcus R Makowski
- Institute of Diagnostic and Interventional Radiology, School of Medicine, Technical University of Munich, Munich, Germany
| | - Rickmer F Braren
- Institute of Diagnostic and Interventional Radiology, School of Medicine, Technical University of Munich, Munich, Germany. .,German Cancer Consortium (DKTK), Partner Site Munich, Munich, Germany.
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