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Abstract #3697

Clinical Validation of Deep Learning-Accelerated vs. Wave-CAIPI Post-Contrast 3D-T1 MPRAGE for Evaluation of Intracranial Enhancing Lesions

Azadeh Tabari1, Maryam Vejdani-Jahromi2, Min Lang2, Dominik Nickel3, Wei-Ching Lo4, Bryan Clifford5, John Conklin2, and Susie Huang2
1Radiology, Massachusetts General Hospital, Boston, MA, United States, 2Massachusetts General Hospital, Boston, MA, United States, 3Siemens Healthcare GmbH, Erlangen, Germany, Erlangen, Germany, 4Siemens Medical Solutions USA, Boston, MA., Boston, MA, United States, 5Siemens Medical Solutions USA, Boston, MA, Boston, MA, United States

Synopsis

Keywords: Tumors (Pre-Treatment), Neuro, MR value, AI & Machine Learning

Motivation: Deep learning (DL)-enabled reconstruction has emerged as a promising approach to accelerate MRI exams; however, the performance of DL-accelerated 3D sequences for the detection of intracranial enhancing lesions has not been clinically investigated.

Goal(s): To evaluate post-contrast DL-accelerated 3D-T1-MPRAGE compared to state-of-the-art Wave-CAIPI accelerated 3D T1-MPRAGE for evaluation of intracranial enhancing lesions.

Approach: Two neuroradiologists performed head-to-head evaluation of 115 cases of post-contrast DL- vs. Wave-CAIPI-MPRAGE for visualization of dural, parenchymal, leptomeningeal, and ependymal enhancement; sharpness; noise; artifacts; and overall diagnostic quality.

Results: Highly accelerated post-contrast DL-T1-MPRAGE achieved noninferior image quality to the standard clinically validated Wave-CAIPI accelerated sequence.

Impact: Deep-learning-accelerated post-contrast 3D T1-MPRAGE demonstrates robust diagnostic quality in visualizing enhancing intracranial pathology in all compartments while maintaining similar perception of noise and artifact. DL offers a powerful approach to accelerating post-contrast 3D T1-MPRAGE for clinical and research studies.

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Keywords