Application of multi-shot echo planar imaging diffusion weighted imaging in the skull base

Share this content in WeChat

• Technical Article •

LUO Hedan ZHANG Haonan HU Shuai LU Xulun WANG Nan MIAO Yanwei LIU Ailian LIN Liangjie SONG Qingwei

Cite this article as: Luo HD, Zhang HN, Hu S, et al. Application of multi-shot echo planar imaging diffusion weighted imaging in the skull base[J]. Chin J Magn Reson Imaging, 2022, 13(9): 75-80. DOI:10.12015/issn.1674-8034.2022.09.014.

Abstract

[Abstract] Objective To explore the performance of image reconstruction using image-space sampling (IRIS)-based multi-shot echo planar imaging diffusion weighted imaging (MS-EPI DWI) for the skull base region.Materials and Methods Forty-nine volunteerss were recruited, with an average age of (42.00±19.39) years old. All subjects underwent conventional single-shot echo planar imaging diffusion weighted imaging (SS-EPI DWI) and IRIS-based multiple-shot diffusion-weighted imaging (8, 6, 4, and 2 shots, respectively). The apparent diffusion coefficient (ADC) values, signal to noise ratio (SNR) and contrast to noise ratio (CNR) of bilateral cerebellum, brainstem and pons were measured or calculated. A five-point scoring method was used by two observers to subjectively evaluate the image quality. The Kappa test was adopted to evaluate the consistency of the scores by the two observers. The differences of ADC, SNR, CNR and subjective scores among MS-EPI DWI with different number of shots and SS-EPI DWI were analyzed using Friedman test. If the differences were statistically significant, subsequent multiple comparisons were performed with Bonferroni correction for P values.Results The scores by the two observers were in good agreement (Kappa=0.795, 0.871, 0.782, 0.880, 0.847). Compared with different shot times of MS-EPI DWI, there was no significant difference in ADC between the two sides of the cerebellum, and there was statistical difference in the rest of the data (P＜0.05). Compared with the SS-EPI DWI sequence, when the number of shots was 8, the ADC in the left brainstem and pons was smaller than that in the SS-EPI DWI (P＜0.05), and when the number of shots was 4 and 2, the ADC in the bilateral brainstem and pons was smaller than that in the SS-EPI DWI (P＜0.05). When the number of shots was 8, 6, and 2, the SNR, CNR and subjective scores of both sides of the cerebellum and pons and brain stem of MS-EPI DWI were higher than those of SS-EPI DWI. When the number of shots was 6, the SNR and CNR of the left cerebellum and pontine stem, the SNR and CNR of the right cerebellum, the SNR of the right pontine stem and subjective scores were significantly different from those of SS-EPI DWI (P＜0.05).Conclusions Compared with SS-EPI DWI, MS-EPI DWI based on IRIS that showed higher SNR and lower geometric distortion compared with SS-EPI DWI. MS-EPI DWI shots 6 is recommended for clinical skull base between imaging time and image quality.

[Keywords] skull base；diffusion weighted imaging；image reconstruction using image-space sampling；magnetic resonance imaging；number of shots；multi-shot echo planar imaging

Contributor Information

LUO Hedan¹ ZHANG Haonan¹ HU Shuai¹ LU Xulun¹ WANG Nan¹ MIAO Yanwei¹ LIU Ailian¹ LIN Liangjie² SONG Qingwei^1*

¹ Department of Radiology, the First Affiliated Hospital of Dalian Medical University, Dalian 116000, China

² Philips (China) Investment Co, Ltd., Shanghai 200072, China

*Song QW, E-mail: songqw1964@163.com

Conflicts of interest None.

Publication Information

ACKNOWLEDGMENTS Liaoning Provincial Department of Education Fund Project (No. LJKZ0856); Horizontal Project Fund Project (No. 2021HZ006).

Received 2022-06-13

Accepted 2022-08-19

DOI: 10.12015/issn.1674-8034.2022.09.014

Text

References

[1]

Touska P, Connor SEJ. New and advanced magnetic resonance imaging diagnostic imaging techniques in the evaluation of cranial nerves and the skull base[J]. Neuroimaging Clin N Am, 2021, 31(4): 665-684. DOI: 10.1016/j.nic.2021.06.006.

[2]

Ko CC, Lim SW, Chen TY, et al. Prediction of progression in skull base meningiomas: additional benefits of apparent diffusion coefficient value[J]. J Neurooncol, 2018, 138(1): 63-71. DOI: 10.1007/s11060-018-2769-9.

[3]

Morelli L, Buizza G, Palombo M, et al. Analysis of tumour microstructure estimation from conventional diffusion MRI and application to skull-base chordoma[J]. Annu Int Conf IEEE Eng Med Biol Soc, 2021, 2021: 3761-3764. DOI: 10.1109/EMBC46164.2021.9630129.

[4]

Vijayalakshmi K, Raghuram PH, Saravanan K, et al. Validity of 3-Tesla diffusion-weighted magnetic resonance imaging for distinction of reactive and metastatic lymph nodes in head-and-neck carcinoma[J]. J Cancer Res Ther, 2020, 16(3): 587-593. DOI: 10.4103/jcrt.JCRT_55_19.

[5]

Takita H, Shimono T, Manabe T, et al. DWI scoring system for prognosis of acute encephalopathy with biphasic seizures and late reduced diffusion[J]. Jpn J Radiol, 2020, 38(9): 860-869. DOI: 10.1007/s11604-020-00984-8.

[6]

Arsava EM, Yilmaz E, Topcuoglu MA. Incidental DWI lesions in patients with recent small subcortical infarctions[J/OL]. J Stroke Cerebrovasc Dis, 2022, 31(4) [2022-01-19]. https://doi.org/10.1016/j.jstrokecerebrovasdis.2022.106304. DOI: 10.1016/j.jstrokecerebrovasdis.2022.106304.

[7]

Wang YS, Ma XD, Zhang Z, et al. A comparison of readout segmented EPI and interleaved EPI in high-resolution diffusion weighted imaging[J]. Magn Reson Imaging, 2018, 47: 39-47. DOI: 10.1016/j.mri.2017.11.011.

[8]

Zhang Q, Coolen BF, Versluis MJ, et al. Diffusion-prepared stimulated-echo turbo spin echo (DPsti-TSE): an eddy current-insensitive sequence for three-dimensional high-resolution and undistorted diffusion-weighted imaging[J/OL]. NMR Biomed, 2017, 30(7) [2022-03-13]. https://doi.org/10.1002/nbm.3719. DOI: 10.1002/nbm.3719.

[9]

Qi XF, Ni GX. Diffusion weighted imaging(DWI) in brain MR: imaging quality comparison between turbo spin echo DWI and single short echo planar DWI[J]. J Diagn Concepts ＆ Pract, 2016, 15(4): 426-429. DOI: 10.16150/j.1671-2870.2016.04.019.

[10]

Xu XM, Zhang B, Sun KQ, et al. Reliability and validity of multi-shot DWI in diagnosis of cervical spondylotic myelopathy: a study based on 3-T MRI[J]. Eur Spine J, 2020, 29(6): 1219-1226. DOI: 10.1007/s00586-020-06381-z.

[11]

Baxter GC, Patterson AJ, Woitek R, et al. Improving the image quality of DWI in breast cancer: comparison of multi-shot DWI using multiplexed sensitivity encoding to conventional single-shot echo-planar imaging DWI[J/OL]. Br J Radiol, 2021, 94(1119) [2021-10-27]. https://doi.org/10.1259/bjr.20200427. DOI: 10.1259/bjr.20200427.

[12]

An H, Ma XD, Pan ZY, et al. Qualitative and quantitative comparison of image quality between single-shot echo-planar and interleaved multi-shot echo-planar diffusion-weighted imaging in female pelvis[J]. Eur Radiol, 2020, 30(4): 1876-1884. DOI: 10.1007/s00330-019-06491-3.

[13]

Park JH, Bae YJ, Choi BS, et al. Texture analysis of multi-shot echo-planar diffusion-weighted imaging in head and neck squamous cell carcinoma: the diagnostic value for nodal metastasis[J]. J Clin Med, 2019, 8(11): 1767. DOI: 10.3390/jcm8111767.

[14]

Fischer N, Schartinger VH, Dejaco D, et al. Readout-segmented echo-planar DWI for the detection of cholesteatomas: correlation with surgical validation[J]. AJNR Am J Neuroradiol, 2019, 40(6): 1055-1059. DOI: 10.3174/ajnr.A6079.

[15]

Zhang HN, Song QW, Zhang N, et al. Application of compressed sensing technology in the fast spin echo diffusion weighted imaging of the skull base[J]. J Clin Radiol, 2022, 41(2): 340-345. DOI: 10.13437/j.cnki.jcr.2022.02.040.

[16]

Zhang H, Wang CY, Chen WB, et al. Deep learning based multiplexed sensitivity-encoding (DL-MUSE) for high-resolution multi-shot DWI[J/OL]. NeuroImage, 2021, 244 [2022-03-29]. https://doi.org/10.1016/j.neuroimage.2021.118632. DOI: 10.1016/j.neuroimage.2021.118632.

[17]

Steinhoff M, Nehrke K, Mertins A, et al. Segmented diffusion imaging with iterative motion-corrected reconstruction (SEDIMENT) for brain echo-planar imaging[J/OL]. NMR Biomed, 2020, 33(12) [2022-03-29]. https://doi.org/10.1002/nbm.4185. DOI: 10.1002/nbm.4185.

[18]

Sumikawa T, Yabuuchi H, Sumikawa C, et al. Influence of blade width and magnetic field strength on the ADC on PROPELLER DWI in head and neck[J]. Neuroradiol J, 2020, 33(1): 39-47. DOI: 10.1177/1971400919870178.

[19]

de Piano F, Buscarino V, Maresca D, et al. Do DWI and quantitative DCE perfusion MR have a prognostic value in high-grade serous ovarian cancer?[J]. Radiol Med, 2019, 124(12): 1315-1323. DOI: 10.1007/s11547-019-01075-z.

[20]

Cheng JY, Zha YF, Liu CS, et al. The clinical application value of DWI in quantitative evaluation of Crohn's disease lesions[J]. Chin J Magn Reson Imaging, 2022, 13(1): 48-53. DOI: 10.12015/issn.1674-8034.2022.01.010.

[21]

Ogawa T, Kojima I, Wakamori S, et al. Clinical utility of apparent diffusion coefficient and diffusion-weighted magnetic resonance imaging for resectability assessment of head and neck tumors with skull base invasion[J]. Head Neck, 2020, 42(10): 2896-2904. DOI: 10.1002/hed.26336.

[22]

Norris CD, Quick SE, Parker JG, et al. Diffusion MR imaging in the head and neck: principles and applications[J]. Neuroimaging Clin N Am, 2020, 30(3): 261-282. DOI: 10.1016/j.nic.2020.04.001.

[23]

Guler E, Ozgen B, Mut M, et al. The added value of diffusion magnetic resonance imaging in the diagnosis and posttreatment evaluation of skull base chordomas[J]. J Neurol Surg B Skull Base, 2017, 78(3): 256-265. DOI: 10.1055/s-0036-1597824.

[24]

Shim E, Lee E, Lee JW, et al. Feasibility of postoperative 3-tesla diffusion tensor imaging in cervical spondylotic myelopathy: a comparison of single-shot EPI and multi-shot EPI[J/OL]. Eur J Radiol, 2020, 122 [2022-04-02]. https://doi.org/10.1016/j.ejrad.2019.108751. DOI: 10.1016/j.ejrad.2019.108751.

[25]

Guo L, Huang F, Xu ZB, et al. eIRIS: Eigen-analysis approach for improved spine multi-shot diffusion MRI[J]. Magn Reson Imaging, 2018, 50: 134-140. DOI: 10.1016/j.mri.2018.04.002.

[26]

Kim YY, Kim MJ, Gho SM, et al. Comparison of multiplexed sensitivity encoding and single-shot echo-planar imaging for diffusion-weighted imaging of the liver[J/OL]. Eur J Radiol, 2020, 132 [2022-04-02]. https://doi.org/10.1016/j.ejrad.2020.109292. DOI: 10.1016/j.ejrad.2020.10929.

[27]

Zhang H, Huang HJ, Zhang YY, et al. Diffusion-weighted MRI to assess sacroiliitis: improved image quality and diagnostic performance of readout-segmented echo-planar imaging (EPI) over conventional single-shot EPI[J]. AJR Am J Roentgenol, 2021, 217(2): 450-459. DOI: 10.2214/AJR.20.23953.

[28]

Miller KL, Pauly JM. Nonlinear phase correction for navigated diffusion imaging[J]. Magn Reson Med, 2003, 50(2): 343-353. DOI: 10.1002/mrm.10531.

PREV Experimental study on the evaluation of acute mesenteric artery ischemia in the small intestine wall injury of rabbits by quantitative magnetic resonance T2‐mapping technique

NEXT The value of diffusion kurtosis imaging in the early diagnosis of Parkinson^{^,}s disease

LINK

Tel & Fax: +8610-67113815 E-mail: editor@cjmri.cn