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European Radiology

, Volume 30, Issue 1, pp 119–127 | Cite as

Joint intracranial and carotid vessel wall imaging in 5 minutes using compressed sensing accelerated DANTE-SPACE

  • Sen Jia
  • Lei Zhang
  • Lijie Ren
  • Yulong Qi
  • Jinhao Ly
  • Na Zhang
  • Ye Li
  • Xin Liu
  • Hairong Zheng
  • Dong LiangEmail author
  • Yiu-cho Chung
Head and Neck
  • 171 Downloads

Abstract

Objectives

To compare visualization of joint intracranial and carotid vessel walls between 5× compressed sensing accelerated three-dimensional DANTE-SPACE sequence (CS VWI) acquired in 5 min and the same sequence accelerated by 2.7× parallel imaging (PI VWI) which takes 9–10 min currently.

Methods

Following institutional review board approval and informed consent, 28 subjects including 20 stroke patients underwent PI and CS VWI examinations with an acquired spatial resolution of isotropic 0.55 mm and joint coverage of intracranial and carotid arteries. Quantitative wall thickness measurements of CS VWI and PI VWI were compared on healthy volunteers and patients with wall thickening respectively. Subjective wall visualizations of the two VWI methods on patients were scored by two radiologists blindly and independently using a 4-point scale followed by inter-rater reproducibility analysis.

Results

Linear regression analysis of wall thickness measurements showed excellent agreement between CS VWI and PI VWI in both healthy volunteers (r = 0.99) and stroke patients with wall thickening (r = 0.99). Subjective wall visualization score of CS VWI was slightly lower than PI VWI (3.13 ± 0.41 vs. 3.31 ± 0.79) but still had good diagnostic quality (> 3 based on a 4-point scale). The two radiologists’ scores agreed excellently, evidenced by the intraclass correlation coefficient (ICC) values being higher than 0.75 (p < 0.001).

Conclusions

Compressed sensing expedients joint intracranial and carotid VWI acquired at an isotropic resolution of 0.55 mm in 5 min without compromising quantitative vessel wall thickness measurement or diagnostic wall visualization.

Key Points

• CS VWI facilitates comprehensive visualization of intracranial and carotid vessel walls at an acquired isotropic resolution of 0.55 mm in a single 5-min scan.

• CS VWI affords comparable vessel wall visualization and morphology measurement as PI VWI with a shortened acquisition time by 45%.

• CS VWI alleviates the intensive trade-off between imaging resolution and scan time, and benefits the scan efficiency, motion robustness, and patient tolerance of high-resolution joint intracranial and carotid VWI.

Keywords

Brain ischemia Intracranial atherosclerosis Carotid atherosclerosis Acceleration Magnetic resonance imaging 

Abbreviations

2D

Two-dimensional

3D

Three-dimensional

BA

Basilar artery

CCA

Common carotid artery

CE

Contrast enhanced

CS

Compressed sensing

DANTE

Delay alternating with nutation for tailored excitation

ECA

Extracranial carotid artery

ICA

Internal carotid artery

MCA

Middle cerebral artery

MPR

Multi-planar reconstruction

MRA

Magnetic resonance angiography

PI

Parallel imaging

POCS

Projection onto convex sets

SPACE

Sampling perfection with application of optimized contrast using different flip angle evolution

SPIRiT

Iterative self-consistent parallel imaging reconstruction

VA

Vertebral artery

VWI

Vessel wall imaging

Notes

Funding

This study has received funding from the State Key Program of National Natural Science Foundation of China (Grant No. 81830056), the National Natural Science Foundation of China (Grant No. 81801691), and the Natural Science Foundation of Guangdong Province (Grant No. 2018A030313204).

Compliance with ethical standards

Guarantor

The scientific guarantor of this publication is Xin Liu, MD.

Conflict of interest

Dr. Yiu-cho Chung is an employee of Siemens Healthcare Pte. Ltd., Singapore. Other authors of this manuscript declare no relationships with any companies, whose products or services may be related to the subject matter of the article.

Statistics and biometry

No complex statistical methods were necessary for this paper.

Informed consent

Written informed consent was obtained from all subjects (patients) in this study.

Ethical approval

Institutional Review Board approval was obtained.

Methodology

• retrospective

• cross-sectional

• performed at one institution

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Copyright information

© European Society of Radiology 2019

Authors and Affiliations

  • Sen Jia
    • 1
    • 2
  • Lei Zhang
    • 1
  • Lijie Ren
    • 3
  • Yulong Qi
    • 4
  • Jinhao Ly
    • 5
  • Na Zhang
    • 1
  • Ye Li
    • 1
  • Xin Liu
    • 1
  • Hairong Zheng
    • 1
  • Dong Liang
    • 1
    Email author
  • Yiu-cho Chung
    • 6
  1. 1.Paul C. Lauterbur Research Centre for Biomedical Imaging, Shenzhen Institutes of Advanced TechnologyChinese Academy of SciencesShenzhenChina
  2. 2.University of Chinese Academy of SciencesBeijingChina
  3. 3.Department of NeurologyShenzhen No.2 People’s HospitalShenzhenChina
  4. 4.Department of RadiologyBeijing University Shenzhen HospitalShenzhenChina
  5. 5.Department of RadiologyChinese People’s Liberation Army General HospitalBeijingChina
  6. 6.Siemens Healthcare Pte. LtdSingaporeSingapore

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