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Clinical application of single-shot echo-planar diffusion-weighted imaging with compressed SENSE in prostate MRI at 3T: preliminary experience

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Abstract

Objectives

Image quality (IQ) of diffusion-weighted imaging (DWI) with single-shot echo-planar imaging (ssEPI) suffers from low signal-to-noise ratio (SNR) in high b-value acquisitions. Compressed SENSE (C-SENSE), which combines SENSE with compressed sensing, enables SNR to be improved by reducing noise. The aim of this study was to compare IQ and prostate cancer (PC) detectability between DWI with ssEPI using SENSE (EPIS) and using C-SENSE (EPICS).

Materials and methods

Twenty-five patients with pathologically proven PC underwent multi-parametric magnetic resonance imaging at 3T. DW images acquired with EPIS and EPICS were assessed for the following: lesion conspicuity (LC), SNR, contrast-to-noise ratio (CNR), mean and standard deviation (SD) of apparent diffusion coefficient (ADC) of lesion (lADCm and lADCsd), coefficient of variation of lesion ADC (lADCcv), and mean ADC of benign prostate (bADCm).

Results

LC were comparable between EPIS and EPICS (p > 0.050), and SNR and CNR were significantly higher in EPICS than EPIS (p = 0.001 and p < 0.001). In both EPIS and EPICS, lADCm was significantly lower than bADCm (p < 0.001). In addition, lADCcv was significantly lower in EPICS than in EPIS (p < 0.001).

Conclusion

Compared with EPIS, EPICS has improved IQ and comparable diagnostic performance in PC.

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Authors and Affiliations

Authors

Contributions

TT, UY: study conception and design, analysis and interpretation of data, and drafting of manuscript. KA: analysis and interpretation of data. YM: study conception and design. TM: analysis and interpretation of data. SH: acquisition of data. OK: acquisition of data. YA: critical revision. ST: analysis and interpretation of data, critical revision.

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Correspondence to Tsutomu Tamada.

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The authors have no conflicts of interest to declare.

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Our Institutional Review Board approved this retrospective study. The requirement for written informed consent was waived.

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Tamada, T., Ueda, Y., Kido, A. et al. Clinical application of single-shot echo-planar diffusion-weighted imaging with compressed SENSE in prostate MRI at 3T: preliminary experience. Magn Reson Mater Phy 35, 549–556 (2022). https://doi.org/10.1007/s10334-022-01010-w

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  • DOI: https://doi.org/10.1007/s10334-022-01010-w

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