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Highly-accelerated volumetric brain examination using optimized wave-CAIPI encoding.

ABSTRACT: BACKGROUND:Rapid volumetric imaging protocols could better utilize limited scanner resources. PURPOSE:To develop and validate an optimized 6-minute high-resolution volumetric brain MRI examination using Wave-CAIPI encoding. STUDY TYPE:Prospective. POPULATION/SUBJECTS:Ten healthy subjects and 20 patients with a variety of intracranial pathologies. FIELD STRENGTH/SEQUENCE:At 3?T, MPRAGE, T2 -weighted SPACE, SPACE FLAIR, and SWI were acquired at 9-fold acceleration using Wave-CAIPI and for comparison at 2-4-fold acceleration using conventional GRAPPA. ASSESSMENT:Extensive simulations were performed to optimize the Wave-CAIPI protocol and minimize both g-factor noise amplification and potential T1 /T2 blurring artifacts. Moreover, refinements in the autocalibrated reconstruction of Wave-CAIPI were developed to ensure high-quality reconstructions in the presence of gradient imperfections. In a randomized and blinded fashion, three neuroradiologists assessed the diagnostic quality of the optimized 6-minute Wave-CAIPI exam and compared it to the roughly 3× slower GRAPPA accelerated protocol using both an individual and head-to-head analysis. STATISTICAL TEST:A noninferiority test was used to test whether the diagnostic quality of Wave-CAIPI was noninferior to the GRAPPA acquisition, with a 15% noninferiority margin. RESULTS:Among all sequences, Wave-CAIPI achieved negligible g-factor noise amplification (gavg ???1.04) and burring artifacts from T1 /T2 relaxation. Improvements of our autocalibration approach for gradient imperfections enabled increased robustness to gradient mixing imperfections in tilted-field of view (FOV) prescriptions as well as variations in gradient and analog-to-digital converter (ADC) sampling rates. In the clinical evaluation, Wave-CAIPI achieved similar mean scores when compared with GRAPPA (MPRAGE: ØW ?=?4.03, ØG ?=?3.97; T2 w SPACE: ØW ?=?4.00, ØG ?=?4.00; SPACE FLAIR: ØW ?= 3.97, ØG ?=?3.97; SWI: ØW ?=?3.93, ØG ?=?3.83) and was statistically noninferior (N?=?30, P?

SUBMITTER: Polak D

PROVIDER: S-EPMC6687581 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature

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Highly-accelerated volumetric brain examination using optimized wave-CAIPI encoding.

Polak Daniel D Cauley Stephen S Huang Susie Y SY Longo Maria Gabriela MG Conklin John J Bilgic Berkin B Ohringer Ned N Raithel Esther E Bachert Peter P Wald Lawrence L LL Setsompop Kawin K

Journal of magnetic resonance imaging : JMRI 20190208 3

<h4>Background</h4>Rapid volumetric imaging protocols could better utilize limited scanner resources.<h4>Purpose</h4>To develop and validate an optimized 6-minute high-resolution volumetric brain MRI examination using Wave-CAIPI encoding.<h4>Study type</h4>Prospective.<h4>Population/subjects</h4>Ten healthy subjects and 20 patients with a variety of intracranial pathologies.<h4>Field strength/sequence</h4>At 3 T, MPRAGE, T<sub>2</sub> -weighted SPACE, SPACE FLAIR, and SWI were acquired at 9-fold ...[more]

PMID: 30734388

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Project description:ObjectivesHigh-resolution post-contrast T1-weighted imaging is a workhorse sequence in the evaluation of neurological disorders. The T1-MPRAGE sequence has been widely adopted for the visualization of enhancing pathology in the brain. However, this three-dimensional (3D) acquisition is lengthy and prone to motion artifact, which often compromises diagnostic quality. The goal of this study was to compare a highly accelerated wave-controlled aliasing in parallel imaging (CAIPI) post-contrast 3D T1-MPRAGE sequence (Wave-T1-MPRAGE) with the standard 3D T1-MPRAGE sequence for visualizing enhancing lesions in brain imaging at 3 T.MethodsThis study included 80 patients undergoing contrast-enhanced brain MRI. The participants were scanned with a standard post-contrast T1-MPRAGE sequence (acceleration factor [R] = 2 using GRAPPA parallel imaging technique, acquisition time [TA] = 5 min 18 s) and a prototype post-contrast Wave-T1-MPRAGE sequence (R = 4, TA = 2 min 32 s). Two neuroradiologists performed a head-to-head evaluation of both sequences and rated the visualization of enhancement, sharpness, noise, motion artifacts, and overall diagnostic quality. A 15% noninferiority margin was used to test whether post-contrast Wave-T1-MPRAGE was noninferior to standard T1-MPRAGE. Inter-rater and intra-rater agreement were calculated. Quantitative assessment of CNR/SNR was performed.ResultsWave-T1-MPRAGE was noninferior to standard T1-MPRAGE for delineating enhancing lesions with unanimous agreement in all cases between raters. Wave-T1-MPRAGE was noninferior in the perception of noise (p < 0.001), motion artifact (p < 0.001), and overall diagnostic quality (p < 0.001).ConclusionHigh-accelerated post-contrast Wave-T1-MPRAGE enabled a two-fold reduction in acquisition time compared to the standard sequence with comparable performance for visualization of enhancing pathology and equivalent perception of noise, motion artifacts and overall diagnostic quality without loss of clinically important information.Key points• Post-contrast wave-controlled aliasing in parallel imaging (CAIPI) T1-MPRAGE accelerated the acquisition of three-dimensional (3D) high-resolution post-contrast images by more than two-fold. • Post-contrast Wave-T1-MPRAGE was noninferior to standard T1-MPRAGE with unanimous agreement between reviewers (100% in 80 cases) for the visualization of intracranial enhancing lesions. • Wave-T1-MPRAGE was equivalent to the standard sequence in the perception of noise in 94% (75 of 80) of cases and was preferred in 16% (13 of 80) of cases for decreased motion artifact.

Dataset Information

Highly-accelerated volumetric brain examination using optimized wave-CAIPI encoding.

Publications

Highly-accelerated volumetric brain examination using optimized wave-CAIPI encoding.

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