Effectiveness of deep learning-based reconstruction for improvement of image quality and liver tumor detectability in the hepatobiliary phase of gadoxetic acid-enhanced magnetic resonance imaging.

IF 2.3 3区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Abdominal Radiology Pub Date : 2024-10-01 Epub Date: 2024-05-16 DOI:10.1007/s00261-024-04374-w
Yukihisa Takayama, Keisuke Sato, Shinji Tanaka, Ryo Murayama, Ryotaro Jingu, Kengo Yoshimitsu
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Abstract

Purpose: To evaluate the effectiveness of deep learning-based reconstruction (DLR) in improving image quality and tumor detectability of isovoxel high-resolution breath-hold fat-suppressed T1-weighted imaging (HR-BH-FS-T1WI) in the hepatobiliary phase (HBP) of Gadoxetic acid-enhanced magnetic resonance imaging (Gd-EOB-MRI).

Materials and methods: This retrospective evaluated 42 patients with 98 liver tumors who underwent Gd-EOB-MRI between March 2023 and May 2023 using three techniques based on HBP imaging: isovoxel HR-BH-FS-T1WI reconstructed (1) with DLR (BH-DLR +) and (2) without DLR (BH-DLR -) and (3) HR-FS-T1WI scanned with a free-breathing technique using a navigator-echo-triggered technique and DLR (Navi-DLR +). The three techniques were qualitatively and quantitatively compared by the Friedman test and the Bonferroni post-hoc test. Tumor detectability was compared using the McNemar test.

Results: BH-DLR + (3.85, average score of two radiologists) showed significantly better qualitative scores for image noise than BH-DLR - (2.84) and Navi-DLR + (3.37) (p < 0.0167), and Navi-DLR + showed significantly better scores than BH-DLR - (p < 0.0167). BH-DLR + (3.77) and BH-DLR - (3.77) showed significantly better qualitative scores for respiratory motion artifact than Navi-DLR + (2.75) (p < 0.0167), but there was no significant difference in scores between BH-DLR + and BH-DLR - (p > 0.0167). BH-DLR + (0.32) and Navi-DLR + (0.33) showed significantly higher lesion-to-nonlesion CR than BH-DLR - (0.29) (p < 0.0167), but there was no significant difference in lesion-to-nonlesion CR between BH-DLR + and Navi-DLR + (p > 0.0167). BH-DLR + (89.8%) showed significantly better tumor detectability than BH-DLR - (76.0%) and Navi-DLR + (77.6%) (p < 0.05).

Conclusion: The use of DLR for isovoxel HR-BH-FS-T1WI was effective in improving image quality and tumor detectability.

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基于深度学习的重建技术在改善钆醋酸增强磁共振成像肝胆期图像质量和肝脏肿瘤可探测性方面的效果。
目的:评估基于深度学习的重建(DLR)在改善钆喷酸增强磁共振成像(Gd-EOB-MRI)肝胆期(HBP)等体素高分辨率屏气脂肪抑制T1加权成像(HR-BH-FS-T1WI)的图像质量和肿瘤可探测性方面的有效性:该回顾性研究评估了2023年3月至2023年5月期间接受Gd-EOB-MRI的42例98例肝脏肿瘤患者,他们使用了三种基于HBP成像的技术:(1) 使用DLR(BH-DLR +)和(2) 不使用DLR(BH-DLR -)重建的等体素HR-BH-FS-T1WI;(3) 使用导航仪-回声触发技术和DLR(Navi-DLR +)的自由呼吸技术扫描的HR-FS-T1WI。通过 Friedman 检验和 Bonferroni 事后检验对三种技术进行定性和定量比较。肿瘤检出率采用 McNemar 检验进行比较:BH-DLR +(3.85,两名放射科医生的平均分)的图像噪音定性评分明显优于 BH-DLR -(2.84)和 Navi-DLR +(3.37)(P 0.0167)。BH-DLR + (0.32) 和 Navi-DLR + (0.33) 显示的病灶对非病灶 CR 明显高于 BH-DLR - (0.29) (p 0.0167)。BH-DLR +(89.8%)的肿瘤可探测性明显优于 BH-DLR -(76.0%)和 Navi-DLR +(77.6%)(P在等体素 HR-BH-FS-T1WI 中使用 DLR 能有效提高图像质量和肿瘤可探测性。
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来源期刊
Abdominal Radiology
Abdominal Radiology Medicine-Radiology, Nuclear Medicine and Imaging
CiteScore
5.20
自引率
8.30%
发文量
334
期刊介绍: Abdominal Radiology seeks to meet the professional needs of the abdominal radiologist by publishing clinically pertinent original, review and practice related articles on the gastrointestinal and genitourinary tracts and abdominal interventional and radiologic procedures. Case reports are generally not accepted unless they are the first report of a new disease or condition, or part of a special solicited section. Reasons to Publish Your Article in Abdominal Radiology: · Official journal of the Society of Abdominal Radiology (SAR) · Published in Cooperation with: European Society of Gastrointestinal and Abdominal Radiology (ESGAR) European Society of Urogenital Radiology (ESUR) Asian Society of Abdominal Radiology (ASAR) · Efficient handling and Expeditious review · Author feedback is provided in a mentoring style · Global readership · Readers can earn CME credits
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