We present the first large-scale evaluation of the diagnostic performance and image quality of highly accelerated Wave-CAIPI post-contrast 3D-T1 SPACE (Wave-T1 SPACE) compared to standard post-contrast 3D-T1 SPACE for the detection of intracranial enhancing lesions in patients undergoing 3T MRI scanning. Two neuroradiologists assessed the images in a head-to-head comparison, and found no significant difference between the two sequences for detection of abnormal intracranial enhancement and overall diagnostic quality, despite a nearly 3-fold decrease in acquisition time of post-contrast Wave-T1 SPACE. The application of highly-accelerated 3D imaging may improve use of MRI resources while reducing motion artifacts and patient anxiety.
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