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RT Journal Article
SR Electronic
T1 Compressed Sensitivity Encoding Artificial Intelligence Accelerates Brain Metastasis Imaging by Optimizing Image Quality and Reducing Scan Time
JF American Journal of Neuroradiology
JO Am. J. Neuroradiol.
FD American Society of Neuroradiology
SP 444
OP 452
DO 10.3174/ajnr.A8161
VO 45
IS 4
A1 Wang, Mengmeng
A1 Ma, Yue
A1 Li, Linna
A1 Pan, Xingchen
A1 Wen, Yafei
A1 Qiu, Ying
A1 Guo, Dandan
A1 Zhu, Yi
A1 Lian, Jianxiu
A1 Tong, Dan
YR 2024
UL http://www.ajnr.org/content/45/4/444.abstract
AB BACKGROUND AND PURPOSE: Accelerating the image acquisition speed of MR imaging without compromising the image quality is challenging. This study aimed to evaluate the feasibility of contrast-enhanced (CE) 3D T1WI and CE 3D-FLAIR sequences reconstructed with compressed sensitivity encoding artificial intelligence (CS-AI) for detecting brain metastases (BM) and explore the optimal acceleration factor (AF) for clinical BM imaging.MATERIALS AND METHODS: Fifty-one patients with cancer with suspected BM were included. Fifty participants underwent different customized CE 3D-T1WI or CE 3D-FLAIR sequence scans. Compressed SENSE encoding acceleration 6 (CS6), a commercially available standard sequence, was used as the reference standard. Quantitative and qualitative methods were used to evaluate image quality. The SNR and contrast-to-noise ratio (CNR) were calculated, and qualitative evaluations were independently conducted by 2 neuroradiologists. After exploring the optimal AF, sample images were obtained from 1 patient by using both optimized sequences.RESULTS: Quantitatively, the CNR of the CS-AI protocol for CE 3D-T1WI and CE 3D-FLAIR sequences was superior to that of the CS protocol under the same AF (P &lt; .05). Compared with reference CS6, the CS-AI groups had higher CNR values (all P &lt; .05), with the CS-AI10 scan having the highest value. The SNR of the CS-AI group was better than that of the reference for both CE 3D-T1WI and CE 3D-FLAIR sequences (all P &lt; .05). Qualitatively, the CS-AI protocol produced higher image quality scores than did the CS protocol with the same AF (all P &lt; .05). In contrast to the reference CS6, the CS-AI group showed good image quality scores until an AF of up to 10 (all P &lt; .05). The CS-AI10 scan provided the optimal images, improving the delineation of normal gray-white matter boundaries and lesion areas (P &lt; .05). Compared with the reference, CS-AI10 showed reductions in scan time of 39.25% and 39.93% for CE 3D-T1WI and CE 3D-FLAIR sequences, respectively.CONCLUSIONS: CE 3D-T1WI and CE 3D-FLAIR sequences reconstructed with CS-AI for the detection of BM may provide a more effective alternative reconstruction approach than CS. CS-AI10 is suitable for clinical applications, providing optimal image quality and a shortened scan time.AFacceleration factorBMbrain metastasesCEcontrast-enhancedCNRcontrast-to-noise ratioCScompressed SENSEAIartificial intelligenceSENSEsensitivity encoding