Clinical Robustness of Accelerated and Optimized Abdominal Diffusion-Weighted Imaging

Objectives: The aim of this study was to assess the robustness of an accelerated and optimized diffusion-weighted sequence in clinical routine abdominal imaging using the simultaneous multislice (SMS) technique for scan time reduction and 3-dimensional (3D) diagonal diffusion mode to optimize image quality. Materials and Methods: One hundred fifty consecutive patients received clinically indicated magnetic resonance imaging for abdominal imaging including an optimized SMS diffusion-weighted sequence (DWIOPT: diffusion mode 3D diagonal; SMS factor 2; scan time 1:44 minutes). A subgroup of 41 patients additionally received a standard diffusion-weighted sequence as reference (DWISTD: diffusion mode 4-scan trace; scan time 2:35 minutes). Qualitative and quantitative image parameters of DWISTD and DWIOPT were assessed and compared interindividually within the subgroup using dedicated statistics. Results: In all patients, image quality ratings in DWIOPT were rated very high (overall image quality, 4.6 [4–5]; contour sharpness of right/left hepatic lobe, 4.6 [4–5]/4.4 [4–5]; and lesion conspicuity, 4.5 [4.5–5]). Interindividually, DWIOPT proved superior to DWISTD in comparison of overall image quality (4.6 [4.6–4.7] vs 4.2 [4.1–4.2]; P = 0.025) and contour sharpness of the right/left hepatic lobe (4.6 [4.5–4.7]/4.3 [4.0–4.3] vs 4.3 [4.1–43]/4.0[3.0–4.0]; each P = 0.045); lesion conspicuity was comparable in DWIOPT and DWISTD (4.0 [4.8–5] vs 4.4 [4–5]; P = 0...
Source: Investigative Radiology - Category: Radiology Tags: Original Articles Source Type: research