Deep learning-based denoising image reconstruction of body magnetic resonance imaging in children

Radial k-space sampling is widely employed in paediatric magnetic resonance imaging (MRI) to mitigate motion and aliasing artefacts. Artificial intelligence (AI)-based image reconstruction has been developed to enhance image quality and accelerate acquisition time.

To assess image quality of deep learning (DL)-based denoising image reconstruction of body MRI in children.

Children who underwent thoraco-abdominal MRI employing radial k-space filling technique (PROPELLER) with conventional and DL-based image reconstruction between April 2022 and January 2023 were eligible for this retrospective study. Only cases with previous MRI including comparable PROPELLER sequences with conventional image reconstruction were selected. Image quality was compared between DL-reconstructed axial T1-weighted and T2-weighted images and conventionally reconstructed images from the same PROPELLER acquisition. Quantitative image quality was assessed by signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) of the liver and spleen. Qualitative image quality was evaluated by three observers using a 4-point Likert scale and included presence of noise, motion artefact, depiction of peripheral lung vessels and subsegmental bronchi at the lung bases, sharpness of abdominal organ borders, and visibility of liver and spleen vessels. Image quality was compared with the Wilcoxon signed-rank test. Scan time length was compared to prior MRI obtained with conventional image reconstruction.

In 21 children (median age 7 years, range 1.5 years to 15.8 years) included, the SNR and CNR of the liver and spleen on T1-weighted and T2-weighted images were significantly higher with DL-reconstruction (P<0.001) than with conventional reconstruction. The DL-reconstructed images showed higher overall image quality, with improved delineation of the peripheral vessels and the subsegmental bronchi in the lung bases, sharper abdominal organ margins and increased visibility of the peripheral vessels in the liver and spleen. Not respiratory-gated DL-reconstructed T1-weighted images demonstrated more pronounced respiratory motion artefacts in comparison to conventional reconstruction (P=0.015), while there was no difference for the respiratory-gated T2-weighted images. The median scan time per slice was reduced from 6.3 s (interquartile range, 4.2 - 7.0 s) to 4.8 s (interquartile range, 4.4 - 4.9 s) for the T1-weighted images and from 5.6 s (interquartile range, 5.4 - 5.9 s) to 4.2 s (interquartile range, 3.9 - 4.8 s) for the T2-weighted images.

DL-based denoising image reconstruction of paediatric body MRI sequences employing radial k-space sampling allowed for improved overall image quality at shorter scan times. Respiratory motion artefacts were more pronounced on ungated T1-weighted images.