Prospective Comparison of Standard and Deep Learning–reconstructed Turbo Spin-Echo MRI of the Shoulder

医学 图像质量 威尔科克森符号秩检验 前瞻性队列研究 核医学 肩膀 快速自旋回波 磁共振成像 置信区间 放射科 外科 曼惠特尼U检验 人工智能 内科学 计算机科学 图像(数学)
作者
Yuxue Xie,Hongyue Tao,Xiangwen Li,Yiwen Hu,Changyan Liu,B H Zhou,Jiajie Cai,Dominik Nickel,Caixia Fu,Bo Xiong,S F Chen
出处
期刊:Radiology [Radiological Society of North America]
卷期号:310 (1) 被引量:14
标识
DOI:10.1148/radiol.231405
摘要

Background Deep learning (DL)–based MRI reconstructions can reduce imaging times for turbo spin-echo (TSE) examinations. However, studies that prospectively use DL-based reconstructions of rapidly acquired, undersampled MRI in the shoulder are lacking. Purpose To compare the acquisition time, image quality, and diagnostic confidence of DL-reconstructed TSE (TSEDL) with standard TSE in patients indicated for shoulder MRI. Materials and Methods This prospective single-center study included consecutive adult patients with various shoulder abnormalities who were clinically referred for shoulder MRI between February and March 2023. Each participant underwent standard TSE MRI (proton density– and T1-weighted imaging; conventional TSE sequence was used as reference for comparison), followed by a prospectively undersampled accelerated TSEDL examination. Six musculoskeletal radiologists evaluated images using a four-point Likert scale (1, poor; 4, excellent) for overall image quality, perceived signal-to-noise ratio, sharpness, artifacts, and diagnostic confidence. The frequency of major pathologic features and acquisition times were also compared between the acquisition protocols. The intergroup comparisons were performed using the Wilcoxon signed rank test. Results Overall, 135 shoulders in 133 participants were evaluated (mean age, 47.9 years ± 17.1 [SD]; 73 female participants). The median acquisition time of the TSEDL protocol was lower than that of the standard TSE protocol (288 seconds [IQR, 288–288 seconds] vs 926 seconds [IQR, 926–950 seconds], respectively; P < .001), achieving a 69% lower acquisition time. TSEDL images were given higher scores for overall image quality, perceived signal-to-noise ratio, and artifacts (all P < .001). Similar frequency of pathologic features (P = .48 to > .99), sharpness (P = .06), or diagnostic confidence (P = .05) were noted between images from the two protocols. Conclusion In a clinical setting, TSEDL led to reduced examination time and higher image quality with similar diagnostic confidence compared with standard TSE MRI in the shoulder. © RSNA, 2024 Supplemental material is available for this article. See also the editorial by Chang and Chow in this issue.
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