Clinical validation of Wave-CAIPI susceptibility-weighted imaging for routine brain MRI at 1.5 T

Abstract Objectives Wave-CAIPI (Controlled Aliasing in Parallel Imaging) enables dramatic reduction in acquisition time of 3D MRI sequences such as 3D susceptibility-weighted imaging (SWI) but has not been clinically evaluated at 1.5 T. We sought to...

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Main Authors: Conklin, John, Figueiro Longo, Maria G., Tabari, Azadeh, Lio Goncalves Filho, Augusto, Liu, Wei, Splitthoff, Daniel N., Lo, Wei-Ching, Cauley, Stephen F., Setsompop, Kawin, Schaefer, Pamela W., Kirsch, John E., Rapalino, Otto, Huang, Susie Y.
Other Authors: Harvard-MIT Program in Health Sciences and Technology
Format: Article
Language:English
Published: Springer Berlin Heidelberg 2022
Online Access:https://hdl.handle.net/1721.1/145422
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author Conklin, John
Figueiro Longo, Maria G.
Tabari, Azadeh
Lio Goncalves Filho, Augusto
Liu, Wei
Splitthoff, Daniel N.
Lo, Wei-Ching
Cauley, Stephen F.
Setsompop, Kawin
Schaefer, Pamela W.
Kirsch, John E.
Rapalino, Otto
Huang, Susie Y.
author2 Harvard-MIT Program in Health Sciences and Technology
author_facet Harvard-MIT Program in Health Sciences and Technology
Conklin, John
Figueiro Longo, Maria G.
Tabari, Azadeh
Lio Goncalves Filho, Augusto
Liu, Wei
Splitthoff, Daniel N.
Lo, Wei-Ching
Cauley, Stephen F.
Setsompop, Kawin
Schaefer, Pamela W.
Kirsch, John E.
Rapalino, Otto
Huang, Susie Y.
author_sort Conklin, John
collection MIT
description Abstract Objectives Wave-CAIPI (Controlled Aliasing in Parallel Imaging) enables dramatic reduction in acquisition time of 3D MRI sequences such as 3D susceptibility-weighted imaging (SWI) but has not been clinically evaluated at 1.5 T. We sought to compare highly accelerated Wave-CAIPI SWI (Wave-SWI) with two alternative standard sequences, conventional three-dimensional SWI and two-dimensional T2*-weighted Gradient-Echo (T2*w-GRE), in patients undergoing routine brain MRI at 1.5 T. Methods In this study, 172 patients undergoing 1.5 T brain MRI were scanned with a more commonly used susceptibility sequence (standard SWI or T2*w-GRE) and a highly accelerated Wave-SWI sequence. Two radiologists blinded to the acquisition technique scored each sequence for visualization of pathology, motion and signal dropout artifacts, image noise, visualization of normal anatomy (vessels and basal ganglia mineralization), and overall diagnostic quality. Superiority testing was performed to compare Wave-SWI to T2*w-GRE, and non-inferiority testing with 15% margin was performed to compare Wave-SWI to standard SWI. Results Wave-SWI performed superior in terms of visualization of pathology, signal dropout artifacts, visualization of normal anatomy, and overall image quality when compared to T2*w-GRE (all p < 0.001). Wave-SWI was non-inferior to standard SWI for visualization of normal anatomy and pathology, signal dropout artifacts, and overall image quality (all p < 0.001). Wave-SWI was superior to standard SWI for motion artifact (p < 0.001), while both conventional susceptibility sequences were superior to Wave-SWI for image noise (p < 0.001). Conclusions Wave-SWI can be performed in a 1.5 T clinical setting with robust performance and preservation of diagnostic quality. Key Points • Wave-SWI accelerated the acquisition of 3D high-resolution susceptibility images in 70% of the acquisition time of the conventional T2*GRE. • Wave-SWI performed superior to T2*w-GRE for visualization of pathology, signal dropout artifacts, and overall diagnostic image quality. • Wave-SWI was noninferior to standard SWI for visualization of normal anatomy and pathology, signal dropout artifacts, and overall diagnostic image quality.
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spelling mit-1721.1/1454222023-08-14T05:22:58Z Clinical validation of Wave-CAIPI susceptibility-weighted imaging for routine brain MRI at 1.5 T Conklin, John Figueiro Longo, Maria G. Tabari, Azadeh Lio Goncalves Filho, Augusto Liu, Wei Splitthoff, Daniel N. Lo, Wei-Ching Cauley, Stephen F. Setsompop, Kawin Schaefer, Pamela W. Kirsch, John E. Rapalino, Otto Huang, Susie Y. Harvard-MIT Program in Health Sciences and Technology Abstract Objectives Wave-CAIPI (Controlled Aliasing in Parallel Imaging) enables dramatic reduction in acquisition time of 3D MRI sequences such as 3D susceptibility-weighted imaging (SWI) but has not been clinically evaluated at 1.5 T. We sought to compare highly accelerated Wave-CAIPI SWI (Wave-SWI) with two alternative standard sequences, conventional three-dimensional SWI and two-dimensional T2*-weighted Gradient-Echo (T2*w-GRE), in patients undergoing routine brain MRI at 1.5 T. Methods In this study, 172 patients undergoing 1.5 T brain MRI were scanned with a more commonly used susceptibility sequence (standard SWI or T2*w-GRE) and a highly accelerated Wave-SWI sequence. Two radiologists blinded to the acquisition technique scored each sequence for visualization of pathology, motion and signal dropout artifacts, image noise, visualization of normal anatomy (vessels and basal ganglia mineralization), and overall diagnostic quality. Superiority testing was performed to compare Wave-SWI to T2*w-GRE, and non-inferiority testing with 15% margin was performed to compare Wave-SWI to standard SWI. Results Wave-SWI performed superior in terms of visualization of pathology, signal dropout artifacts, visualization of normal anatomy, and overall image quality when compared to T2*w-GRE (all p < 0.001). Wave-SWI was non-inferior to standard SWI for visualization of normal anatomy and pathology, signal dropout artifacts, and overall image quality (all p < 0.001). Wave-SWI was superior to standard SWI for motion artifact (p < 0.001), while both conventional susceptibility sequences were superior to Wave-SWI for image noise (p < 0.001). Conclusions Wave-SWI can be performed in a 1.5 T clinical setting with robust performance and preservation of diagnostic quality. Key Points • Wave-SWI accelerated the acquisition of 3D high-resolution susceptibility images in 70% of the acquisition time of the conventional T2*GRE. • Wave-SWI performed superior to T2*w-GRE for visualization of pathology, signal dropout artifacts, and overall diagnostic image quality. • Wave-SWI was noninferior to standard SWI for visualization of normal anatomy and pathology, signal dropout artifacts, and overall diagnostic image quality. 2022-09-15T12:02:42Z 2022-09-15T12:02:42Z 2022-08-04 2022-09-15T03:22:15Z Article http://purl.org/eprint/type/JournalArticle https://hdl.handle.net/1721.1/145422 Conklin, J., Figueiro Longo, M.G., Tabari, A. et al. Clinical validation of Wave-CAIPI susceptibility-weighted imaging for routine brain MRI at 1.5 T. Eur Radiol 32, 7128–7135 (2022). en https://doi.org/10.1007/s00330-022-08871-8 European Radiology Article is made available in accordance with the publisher's policy and may be subject to US copyright law. Please refer to the publisher's site for terms of use. The Author(s), under exclusive licence to European Society of Radiology application/pdf Springer Berlin Heidelberg Springer Berlin Heidelberg
spellingShingle Conklin, John
Figueiro Longo, Maria G.
Tabari, Azadeh
Lio Goncalves Filho, Augusto
Liu, Wei
Splitthoff, Daniel N.
Lo, Wei-Ching
Cauley, Stephen F.
Setsompop, Kawin
Schaefer, Pamela W.
Kirsch, John E.
Rapalino, Otto
Huang, Susie Y.
Clinical validation of Wave-CAIPI susceptibility-weighted imaging for routine brain MRI at 1.5 T
title Clinical validation of Wave-CAIPI susceptibility-weighted imaging for routine brain MRI at 1.5 T
title_full Clinical validation of Wave-CAIPI susceptibility-weighted imaging for routine brain MRI at 1.5 T
title_fullStr Clinical validation of Wave-CAIPI susceptibility-weighted imaging for routine brain MRI at 1.5 T
title_full_unstemmed Clinical validation of Wave-CAIPI susceptibility-weighted imaging for routine brain MRI at 1.5 T
title_short Clinical validation of Wave-CAIPI susceptibility-weighted imaging for routine brain MRI at 1.5 T
title_sort clinical validation of wave caipi susceptibility weighted imaging for routine brain mri at 1 5 t
url https://hdl.handle.net/1721.1/145422
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