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Abstract #4609

Multi b-value Reverse Polarity Gradient Distortion Correction for Breast Diffusion-Weighted MRI

Stephane Loubrie1, Christopher Conlin1, Summer Joyce Batasin1, Elin Lundström1,2, Ana Rodriguez-Soto1, Joshua Kuperman1, Tyler M Seibert1,3,4, Anders Dale1,5, and Rebecca Rakow-Penner1,4
1Radiology, UCSD, San Diego, CA, United States, 2Surgical Sciences, Radiology, Uppsala University, Uppsala, Sweden, 3Radiation oncology, UCSD, San Diego, CA, United States, 4Bioengineering, UCSD, San Diego, CA, United States, 5Neurosciences, UCSD, San Diego, CA, United States

Synopsis

Keywords: Breast, Breast, Diffusion, Distortion Correction

Motivation: DW-MRI holds great potential in improving specificity in breast cancer screening (BCS). This technique uses Echo-Planar imaging (EPI) and is sensitive to distortion due to spatial magnetic inhomogeneity. Correcting such distortion is key, especially when evaluating quantitative biomarkers.

Goal(s): To study multi b-value Reverse Polarity Gradient (mRPG), originally developed for prostate DWI (abstract #4789), in comparison to standard RPG and FSL topup.

Approach: A breast phantom scan and a BCS patient dataset were distortion corrected with the three methods.

Results: mRPG showed better performance than RPG and topup, especially in ADC maps where they yield a misleading improvement of EPI distortions.

Impact: mRPG demonstrated improved performance compared to RPG and topup in correcting distortions. Normalizing DWI volumes across b-values eliminates intensity changes resulting from distortions and solves overfitting issue where Jacobian intensity correction (JIC) makes up for underestimation of tissue displacement.

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