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Abstract #5089

Repeatability, Distortion and SNR comparison of diffusion-weighted imaging techniques on an MR-Linac

Prashant Prabhakaran Nair1, Robin J.M. Navest2, Rosie Goodburn1, Bastien Lecoeur1, Uwe Oelfke1, and Andreas Wetscherek1
1Radiotherapy and Imaging, The Institute of Cancer Research, London, United Kingdom, 2Netherlands Cancer Institute, Amsterdam, Netherlands

Synopsis

Keywords: Quantitative Imaging, Precision & Accuracy, MR-LinacDW-acquisitions with high ADC accuracy, precision and low geometric distortion are necessary for using ADC maps for treatment planning and response assessment in MR-guided radiotherapy on MR-Linacs. We measured SNR, ADC bias, repeatability coefficient and marker distances on the NIST phantom for DW-EPI, DW-TSE and SPLICE protocols. Two volunteers were scanned in the head and neck region. The investigated TSE-based protocols showed ADC bias and DW-EPI demonstrated better repeatability. Spectral fat-suppression techniques led to higher SNR than using STIR. SPLICE DWI could be an alternative to diffusion EPI with reduced distortion and comparable SNR, if low-high profile order is used.

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