Clinical feasibility and validation of the accelerated T2 mapping sequence GRAPPATINI in brain imaging

Rationale and objectives: To prospectively evaluate feasibility and robustness of an accelerated T2 mapping sequence (GRAPPATINI) in brain imaging and to assess its synthetic T2-weighted images (sT2w) in comparison with a standard T2-weighted sequence (T2 TSE). Material and methods: Volunteers were...

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Main Authors: Natascha Gruenebach, Mario Alberto Abello Mercado, Nils F. Grauhan, Antoine Sanner, Andrea Kronfeld, Sergiu Groppa, Vanessa Ines Schoeffling, Tom Hilbert, Marc A. Brockmann, Ahmed E. Othman
Format: Article
Language:English
Published: Elsevier 2023-04-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844023022715
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author Natascha Gruenebach
Mario Alberto Abello Mercado
Nils F. Grauhan
Antoine Sanner
Andrea Kronfeld
Sergiu Groppa
Vanessa Ines Schoeffling
Tom Hilbert
Marc A. Brockmann
Ahmed E. Othman
author_facet Natascha Gruenebach
Mario Alberto Abello Mercado
Nils F. Grauhan
Antoine Sanner
Andrea Kronfeld
Sergiu Groppa
Vanessa Ines Schoeffling
Tom Hilbert
Marc A. Brockmann
Ahmed E. Othman
author_sort Natascha Gruenebach
collection DOAJ
description Rationale and objectives: To prospectively evaluate feasibility and robustness of an accelerated T2 mapping sequence (GRAPPATINI) in brain imaging and to assess its synthetic T2-weighted images (sT2w) in comparison with a standard T2-weighted sequence (T2 TSE). Material and methods: Volunteers were included to evaluate the robustness and consecutive patients for morphological evaluation. They were scanned on a 3 T MR-scanner. Healthy volunteers underwent GRAPPATINI of the brain three times (day 1: scan/rescan; day 2: follow-up). Patients between the ages of 18 and 85 years who were able to provide written informed consent and who had no MRI contraindications were included. For morphological comparison two radiologists with 5 and 7 years of experience in brain MRI evaluated image quality using a Likert scale (1 being poor, 4 being excellent) in a blinded and randomized fashion. Results: Images were successfully acquired in ten volunteers with a mean age of 25 years (ranging from 22 to 31 years) and 52 patients (23 men/29 women) with a mean age of 55 years (range of 22–83 years). Most brain regions showed repeatable and reproducible T2 values (rescan: CoV 0.75%–2.06%, ICC 69%–92.3%; follow-up: CoV 0.41%–1.59%, ICC 79.4%–95.8%), except for the caudate nucleus (rescan: CoV 7.25%, ICC 66.3%; follow-up: CoV 4.78%, ICC 80.9%). Image quality of sT2w was rated inferior to T2 TSE (median for T2 TSE: 3; sT2w: 1–2), but measurements revealed good interrater reliability of sT2w (lesion counting: ICC 0.85; diameter measure: ICC 0.68 and 0.67). Conclusion: GRAPPATINI is a feasible and robust T2 mapping sequence of the brain on intra- and intersubject level. The resulting sT2w depict brain lesions comparable to T2 TSE despite its inferior image quality.
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spelling doaj.art-98cf5b4f3fbc4aa384718a7366fc96da2023-04-29T14:54:54ZengElsevierHeliyon2405-84402023-04-0194e15064Clinical feasibility and validation of the accelerated T2 mapping sequence GRAPPATINI in brain imagingNatascha Gruenebach0Mario Alberto Abello Mercado1Nils F. Grauhan2Antoine Sanner3Andrea Kronfeld4Sergiu Groppa5Vanessa Ines Schoeffling6Tom Hilbert7Marc A. Brockmann8Ahmed E. Othman9Department of Neuroradiology, University Medical Center Mainz, 55131 Mainz, GermanyDepartment of Neuroradiology, University Medical Center Mainz, 55131 Mainz, GermanyDepartment of Neuroradiology, University Medical Center Mainz, 55131 Mainz, GermanyDepartment of Neuroradiology, University Medical Center Mainz, 55131 Mainz, GermanyDepartment of Neuroradiology, University Medical Center Mainz, 55131 Mainz, GermanyDepartment of Neurology, University Medical Center Mainz, 55131 Mainz, GermanyDepartment of Neuroradiology, University Medical Center Mainz, 55131 Mainz, GermanyAdvanced Clinical Imaging Technology, Siemens Healthcare AG, Lausanne, Switzerland; Department of Radiology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland; LTS5, École Polytechnique Fédérale de Lausanne (EPFL), Lausanne, SwitzerlandDepartment of Neuroradiology, University Medical Center Mainz, 55131 Mainz, GermanyDepartment of Neuroradiology, University Medical Center Mainz, 55131 Mainz, Germany; Corresponding author. Department of Neuroradiology, University of Mainz Langenbeckstraße 1 55131 Mainz, Germany.Rationale and objectives: To prospectively evaluate feasibility and robustness of an accelerated T2 mapping sequence (GRAPPATINI) in brain imaging and to assess its synthetic T2-weighted images (sT2w) in comparison with a standard T2-weighted sequence (T2 TSE). Material and methods: Volunteers were included to evaluate the robustness and consecutive patients for morphological evaluation. They were scanned on a 3 T MR-scanner. Healthy volunteers underwent GRAPPATINI of the brain three times (day 1: scan/rescan; day 2: follow-up). Patients between the ages of 18 and 85 years who were able to provide written informed consent and who had no MRI contraindications were included. For morphological comparison two radiologists with 5 and 7 years of experience in brain MRI evaluated image quality using a Likert scale (1 being poor, 4 being excellent) in a blinded and randomized fashion. Results: Images were successfully acquired in ten volunteers with a mean age of 25 years (ranging from 22 to 31 years) and 52 patients (23 men/29 women) with a mean age of 55 years (range of 22–83 years). Most brain regions showed repeatable and reproducible T2 values (rescan: CoV 0.75%–2.06%, ICC 69%–92.3%; follow-up: CoV 0.41%–1.59%, ICC 79.4%–95.8%), except for the caudate nucleus (rescan: CoV 7.25%, ICC 66.3%; follow-up: CoV 4.78%, ICC 80.9%). Image quality of sT2w was rated inferior to T2 TSE (median for T2 TSE: 3; sT2w: 1–2), but measurements revealed good interrater reliability of sT2w (lesion counting: ICC 0.85; diameter measure: ICC 0.68 and 0.67). Conclusion: GRAPPATINI is a feasible and robust T2 mapping sequence of the brain on intra- and intersubject level. The resulting sT2w depict brain lesions comparable to T2 TSE despite its inferior image quality.http://www.sciencedirect.com/science/article/pii/S2405844023022715quantitative Brain mappingProspectiveSynthetic images
spellingShingle Natascha Gruenebach
Mario Alberto Abello Mercado
Nils F. Grauhan
Antoine Sanner
Andrea Kronfeld
Sergiu Groppa
Vanessa Ines Schoeffling
Tom Hilbert
Marc A. Brockmann
Ahmed E. Othman
Clinical feasibility and validation of the accelerated T2 mapping sequence GRAPPATINI in brain imaging
Heliyon
quantitative Brain mapping
Prospective
Synthetic images
title Clinical feasibility and validation of the accelerated T2 mapping sequence GRAPPATINI in brain imaging
title_full Clinical feasibility and validation of the accelerated T2 mapping sequence GRAPPATINI in brain imaging
title_fullStr Clinical feasibility and validation of the accelerated T2 mapping sequence GRAPPATINI in brain imaging
title_full_unstemmed Clinical feasibility and validation of the accelerated T2 mapping sequence GRAPPATINI in brain imaging
title_short Clinical feasibility and validation of the accelerated T2 mapping sequence GRAPPATINI in brain imaging
title_sort clinical feasibility and validation of the accelerated t2 mapping sequence grappatini in brain imaging
topic quantitative Brain mapping
Prospective
Synthetic images
url http://www.sciencedirect.com/science/article/pii/S2405844023022715
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