Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
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Contrast-Enhanced High-Resolution Intracranial Vessel Wall MRI with Compressed Sensing: Comparison with Conventional T1 Volumetric Isotropic Turbo Spin Echo Acquisition Sequence

  • Chae Jung Park (Department of Radiology and Research Institute of Radiological Science, Yonsei University College of Medicine) ;
  • Jihoon Cha (Department of Radiology and Research Institute of Radiological Science, Yonsei University College of Medicine) ;
  • Sung Soo Ahn (Department of Radiology and Research Institute of Radiological Science, Yonsei University College of Medicine) ;
  • Hyun Seok Choi (Department of Radiology and Research Institute of Radiological Science, Yonsei University College of Medicine) ;
  • Young Dae Kim (Department of Neurology, Yonsei University College of Medicine) ;
  • Hyo Suk Nam (Department of Neurology, Yonsei University College of Medicine) ;
  • Ji Hoe Heo (Department of Neurology, Yonsei University College of Medicine) ;
  • Seung-Koo Lee (Department of Radiology and Research Institute of Radiological Science, Yonsei University College of Medicine)
  • Received : 2020.02.16
  • Accepted : 2020.04.25
  • Published : 2020.12.01
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Abstract

Objective: Compressed sensing (CS) has gained wide interest since it accelerates MRI acquisition. We aimed to compare the 3D post-contrast T1-weighted volumetric isotropic turbo spin echo acquisition (VISTA) with CS (VISTA-CS) and without CS (VISTA-nonCS) in intracranial vessel wall MRIs (VW-MRI). Materials and Methods: From April 2017 to July 2018, 72 patients who underwent VW-MRI, including both VISTA-CS and VISTA-nonCS, were retrospectively enrolled. Wall and lumen volumes, signal-to-noise ratio (SNR), and contrast-to-noise ratio (CNR) were measured from normal and lesion sites. Two neuroradiologists independently evaluated overall image quality and degree of normal and lesion wall delineation with a four-point scale (scores ≥ 3 defined as acceptable). Results: Scan coverage was increased in VISTA-CS to cover both anterior and posterior circulations with a slightly shorter scan time compared to VISTA-nonCS (approximately 7 minutes vs. 8 minutes). Wall and lumen volumes were not significantly different with VISTA-CS or VISTA-nonCS (interclass correlation coefficient = 0.964-0.997). SNR was or trended towards significantly higher values in VISTA-CS than in VISTA-nonCS. At normal sites, CNR was not significantly different between two sequences (p = 0.907), whereas VISTA-CS provided lower CNR in lesion sites compared with VISTA-nonCS (p = 0.003). Subjective wall delineation was superior with VISTA-nonCS than with VISTA-CS (p = 0.019), although overall image quality did not differ (p = 0.297). The proportions of images with acceptable quality were not significantly different between VISTA-CS (83.3-97.8%) and VISTA-nonCS (75-100%). Conclusion: CS may be useful for intracranial VW-MRI as it allows for larger scan coverage with slightly shorter scan time without compromising image quality.

Keywords

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