Comparison of simultaneous multi-slice single-shot DWI to readout-segmented DWI for evaluation of breast lesions at 3T MRI.
Eur J Radiol
; 138: 109626, 2021 May.
Article
em En
| MEDLINE
| ID: mdl-33711569
ABSTRACT
PURPOSE:
To compare diffusion-weighted imaging of the breast performed with a conventional readout-segmented echo-planar imaging (rs-EPI) sequence to when using a prototype simultaneous multi-slice single-shot EPI (SMS-ss-EPI) acquisition.METHOD:
From September 2017 to December 2018, 26 women with histologically proven breast cancer were scanned with the conventional rs-EPI and the SMS-ss-EPI at 3â¯T during the same imaging examination. Four breast radiologists (4-13 years of experience) independently scored both acquired series of 25 women (one case was used for training) for overall image quality (1 extremely poor to 9 excellent) and artifacts (1 very disturbing to 5 not present). All lesions (nâ¯=â¯52; 40 malignant, 12 benign) were also evaluated for visibility (1 not visible, 2 visible if location is given, 3 visible). In addition, lesion characteristics were rated, and a BI-RADS score was given. Results were analyzed using visual grading characteristics and the resulting area under the curve (AUCVGC), weighted kappa, McNemar test, and dependent-samples t-test when appropriate.RESULTS:
Overall, radiologists significantly preferred the image quality in rs-EPI over that of SMS-ss-EPI (AUCVGC 0.698, Pâ¯=â¯0.002). Infolding and ghosting, and distortion artifacts were significantly less apparent in the rs-EPI (AUCVGC 0.660, Pâ¯=â¯0.022 and AUCVGC 0.700 Pâ¯=â¯0.002, respectively). Lesions were, however, significantly better visible on the SMS-ss-EPI images (AUCVGC 0.427, Pâ¯=â¯0.016). Malignant lesions had significantly higher visibility with SMS-ss-EPI (Pâ¯=â¯0.035). Sensitivity and specificity were comparable between both sequences (Pâ¯=â¯0.760 and Pâ¯=â¯0.549, respectively).CONCLUSIONS:
Despite the perceived lower image quality and the increased presence of artifacts in the SMS-ss-EPI sequence, malignant lesions are better visualized using this sequence.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Neoplasias da Mama
/
Imagem de Difusão por Ressonância Magnética
Tipo de estudo:
Prognostic_studies
Limite:
Female
/
Humans
Idioma:
En
Revista:
Eur J Radiol
Ano de publicação:
2021
Tipo de documento:
Article