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Tracking the Mammary Architectural Features and Detecting Breast Cancer with Magnetic Resonance Diffusion Tensor Imaging
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Apparent Diffusion Coefficient Reproducibility Across 3 T Scanners in a Breast Diffusion Phantom.

Lauren K Fang1, Kathryn E Keenan2, Michael Carl3

  • 1Department of Radiology, University of California-San Diego, La Jolla, California, USA.

Journal of Magnetic Resonance Imaging : JMRI
|August 27, 2022
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Summary
This summary is machine-generated.

Normalization of diffusion-weighted MRI (DW-MRI) metrics using an internal reference significantly improved accuracy and reduced variability across scanners. Higher-resolution protocols provided more reproducible apparent diffusion coefficients (ADCs) than standard protocols.

Keywords:
apparent diffusion coefficientbreast MRIbreast phantomdiffusionreproducibility

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Area of Science:

  • Medical Imaging
  • Biophysics
  • Radiology

Background:

  • Diffusion-weighted MRI (DW-MRI) metrics have limited reported accuracy and variability data across diverse scanner and protocol combinations.
  • Understanding reproducibility is crucial for clinical adoption of DW-MRI.

Purpose of the Study:

  • Evaluate DW-MRI estimate reproducibility across multiple scanners and protocols.
  • Assess the impact of 8-channel vs. 16-channel breast coils on DW-MRI metrics in a phantom.

Main Methods:

  • A breast phantom with varying polyvinylpyrrolidone (PVP) concentrations was used.
  • Three DW-MRI single-shot echo planar imaging protocols at 3T were tested across multiple scanners.
  • Apparent diffusion coefficients (ADCs) were assessed for accuracy and variability, with normalization to an internal water reference.

Main Results:

  • Normalization to an internal water reference improved ADC accuracy (2% vs. 11%) and reduced interscanner variability (4% vs. 7%).
  • Higher-resolution DW-MRI protocols showed less interscanner variability (6%) compared to clinical protocols (9%).
  • Both 8-channel and 16-channel breast coils demonstrated similar accuracy and precision.

Conclusions:

  • Internal reference normalization enhances interscanner ADC reproducibility in DW-MRI.
  • High-resolution DW-MRI protocols offer improved accuracy and reduced variability compared to standard clinical protocols.
  • Coil channel number has minimal impact on DW-MRI accuracy and precision.