Naoki Ohno1, Satoshi Kobayashi1, Tosiaki Miyati1, Yu Ueda2, Masami Yoneyama2, and Toshifumi Gabata1
1Kanazawa University, Kanazawa, Japan, 2Philips Japan, Tokyo, Japan
Synopsis
Although sensitivity encoding (SENSE) technique is commonly used to reduce
distortion in diffusion-weighted imaging (DWI), highly accelerated SENSE
results in significantly increased noise, leading to systematic errors to the
quantification of apparent diffusion coefficient. In this study, we proposed a novel method using compressed sensing
combined with a highly accelerated sensitivity encoding (CS-SENSE) to reduce
both the distortion and noise in liver DWI. The CS-SENSE demonstrated the
higher SNR and reduced geometric distortion compared with conventional SENSE
reconstruction. Liver DWI with the proposed method can improve the image
quality with better lesion conspicuity.
INTRODUCTION
Diffusion-weighted
imaging (DWI) of the liver with single-shot echo-planar imaging (SS-EPI) has
been widely used for the detection and diagnosis of hepatic lesions.1 However, SS-EPI is
highly sensitive to magnetic field inhomogeneities, causing severe geometric
distortion.2 To reduce this distortion, sensitivity encoding (SENSE) technique is
commonly used.3,4 Although higher SENSE
acceleration factor is preferable to further improve the distortion, it results
in significantly increased noise at the central parts of the image, that is,
areas with a high geometry factor.5 Moreover, the presence of noise introduces systematic errors to the
quantification of apparent diffusion coefficient (ADC). Therefore, to reduce
both the distortion and noise in liver DWI, we proposed a novel method using
compressed sensing combined with a highly accelerated SENSE (CS-SENSE).MATERIALS AND METHODS
On a 3.0-T MRI, a Quantitative
Imaging Biomarker Alliance (QIBA) diffusion phantom consisting of 13 vials with
various concentrations of polymer polyvinylpyrrolidone in aqueous solution was
scanned using diffusion-weighted (DW) SS-EPI with SENSE factor of 4 and
b-values of 0, 500, and 900 s/mm2. Moreover, the scan with a QIBA
standardized protocol was performed as a reference standard. To minimize the
temperature dependence on ADC quantification, the phantom was filled with ice
water at 0℃. Transverse DW images of the phantom were obtained with
conventional SENSE and CS-SENSE reconstruction, and then the ADC maps were
created. Next, we evaluated the signal-to-noise ratio (SNR) and geometric
distortion of each vial in the phantom according to the National Electrical
Manufacturers Association standards.6 The SNR, distortion, and ADC were compared among CS-SENSE,
conventional SENSE, and QIBA using the Friedman test. Moreover, eight patients
with hepatic lesions were scanned to assess the clinical utility of the
proposed method. Lesion-to-liver contrast ratios (CRL-L) were
measured in DW images obtained with CS-SENSE and conventional SENSE reconstruction
and statistically compared using the Wilcoxon singed-rank test. A P value of <0.05 was considered
statistically significant.RESULTS
In the phantom study, CS-SENSE exhibited a significantly
higher SNR than QIBA protocol and conventional SENSE, and a lower distortion
than QIBA (P < 0.05 for all).
Moreover, the difference in ADC between CS-SENSE and QIBA was not significant.
In this clinical study, CRL-L in CS-SENSE was significantly improved
compared with conventional SENSE because of the substantial noise reduction (P < 0.05).CONCLUSION
A highly accelerated CS-SENSE significantly increased
the SNR and reduced geometric distortion in DW SS-EPI. Liver DWI with the
proposed method can improve the image quality with better lesion conspicuity.Acknowledgements
No acknowledgement found.References
1. Ni P, Lin Y, Zhong
Q, et al. Technical advancements and protocol optimization
of diffusion-weighted imaging (DWI) in liver. Abdom Radiol (NY)
2016;41:189-202.
2. Le Bihan D, Poupon
C, Amadon A, et al. Artifacts and pitfalls in diffusion MRI. J Magn
Reson Imaging 2006;24:478-488.
3. Bammer R, Keeling
SL, Augustin M, et al. Improved diffusion-weighted single-shot echo-planar
imaging (EPI) in stroke using sensitivity encoding (SENSE). Magn Reson Med
2001;46:548-554.
4. Pruessmann KP,
Weiger M, Scheidegger MB, et al. SENSE: sensitivity encoding for fast MRI.
Magn Reson Med 1999;42:952-962.
5. Dietrich O, Heiland
S, Sartor K. Noise correction for the exact determination of apparent diffusion
coefficients at low SNR. Magn Reson Med 2001;45:448-453.
6. National Electrical Manufacturers
Association (NEMA). NEMA Standards Publication MS 1-2008; 2008.