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• Technical Article •
Comparative study of breast magnetic resonance T2WI sequence image quality based on two Dixon techniques
JIANG Pingping  CHEN Yanqing  HUANG Tao  GUAN Xiaohui  LU Hongyu  DENG Demao 

Cite this article as: JIANG P P, CHEN Y Q, HUANG T, et al. Comparative study of breast magnetic resonance T2WI sequence image quality based on two Dixon techniques[J]. Chin J Magn Reson Imaging, 2024, 15(3): 158-162. DOI:10.12015/issn.1674-8034.2024.03.025.


[Abstract] Objective To compare and analyze the image quality of breast MRI T2WI sequences between double-echo Fast water-fat separation (Dixon) technique and traditional two-point Dixon technique, and to explore the clinical application value of the two Dixon techniques.Materials and Methods A retrospective study was conducted on 41 female patients who underwent Fast Dixon (Fast Dixon group) and two-point Dixon (two-point Dixon group) two fat-suppressed T2WI sequences for MRI breast examination in Guangxi Zhuang Autonomous Region People's Hospital from June 2022 to March 2023. The image quality of the two groups was comprehensively analyzed (including overall image quality, fat-suppressed quality, motion artifact size in axilla, chest wall, skin area, and clarity of fibroglandular tissue and solid lesions). The signal-to-noise ratio (SNR) of lesions, axilla, chest wall, normal parenchyma, and the contrast-to-noise ratio (CNR) of lesion parenchyma were calculated. Kendall's W coefficient was used to evaluate the consistency of subjective score data between observers, and the intra-class correlation coefficient (ICC) was used to evaluate the consistency of objective quantitative evaluation parameters of image quality between observers. Count data were compared by nonparametric test, and measurement data were compared by paired t test or Wilcoxon signed rank test. P<0.05 was considered statistically significant.Results Subjective evaluation: the subjective scores of the two physicians showed good or excellent consistency (Kendall's W=0.773-0.928, P<0.001). Both Dixon techniques can achieve uniform fat inhibition image quality (P>0.05). Fast Dixon group had smaller motion artifacts in axilla, chest wall and skin area, and the overall image quality was better than that of two-point Dixon group, with statistical significance (P<0.05). There was no statistical significance in the definition of fibroglandular tissue and lesions between the two groups (P>0.05). Objective evaluation: The SNR and CNR calculated by two observers showed very good consistency (ICC=0.897-0.936, P<0.001). The SNR of the Fast Dixon group was better than that of the two-point Dixon group in the lesions, normal parenchyma, pectoral muscle and axilla (P<0.05), and there was no significant difference in the CNR of the lesions between the two groups.Conclusions Compared with two-point Dixon technique, Fast Dixon technique can achieve uniform and consistent fat-suppressed images and reduce motion artifacts in the image quality of the peri-mammary region, thereby significantly improving the overall image quality of the breast MRI T2WI sequence.
[Keywords] breast related diseases；fat suppression；motion artifact；image quality；water-fat separation technology；T2-weighted imaging；magnetic resonance imaging

JIANG Pingping   CHEN Yanqing   HUANG Tao*   GUAN Xiaohui   LU Hongyu   DENG Demao  

Department of Radiology, the People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China

Corresponding author: HUANG T, E-mail: 29536643@qq.com

Conflicts of interest   None.

Received  2023-09-14
Accepted  2024-02-26
DOI: 10.12015/issn.1674-8034.2024.03.025
Cite this article as: JIANG P P, CHEN Y Q, HUANG T, et al. Comparative study of breast magnetic resonance T2WI sequence image quality based on two Dixon techniques[J]. Chin J Magn Reson Imaging, 2024, 15(3): 158-162. DOI:10.12015/issn.1674-8034.2024.03.025.

[1]
ARNOLD M, MORGAN E, RUMGAY H, et al. Current and future burden of breast cancer: global statistics for 2020 and 2040[J/OL]. Breast, 2022, 66: 15-23 [2023-09-13]. https://pubmed.ncbi.nlm.nih.gov/36084384/. DOI: 10.1016/j.breast.2022.08.010.
[2]
ARISTOKLI N, POLYCARPOU I, THEMISTOCLEOUS S C, et al. Comparison of the diagnostic performance of Magnetic Resonance Imaging (MRI), ultrasound and mammography for detection of breast cancer based on tumor type, breast density and patient's history: a review[J]. Radiography, 2022, 28(3): 848-856. DOI: 10.1016/j.radi.2022.01.006.
[3]
BOUGIAS H, STOGIANNOS N. Breast MRI: where are we currently standing?[J]. J Med Imaging Radiat Sci, 2022, 53(2): 203-211. DOI: 10.1016/j.jmir.2022.03.072.
[4]
CLAUSER P, PINKER K, HELBICH T H, et al. Fat saturation in dynamic breast MRI at 3 Tesla: is the Dixon technique superior to spectral fat saturation? A visual grading characteristics study[J]. Eur Radiol, 2014, 24(9): 2213-2219. DOI: 10.1007/s00330-014-3189-7.
[5]
QI G J, PENG P. Application of magnetic resonance Dixon technique in bone marrow fat quantification[J]. Radiol Pract, 2020, 35(10): 1344-1347. DOI: 10.13609/j.cnki.1000-0313.2020.10.026.
[6]
YUN H, HUO M, HU Y Q, et al. Feasibility study of readout-segmented diffuse kurtosis imaging with simultaneous multislice in breast MRI[J]. Radiol Pract, 2021, 36(1): 60-65. DOI: 10.13609/j.cnki.1000-0313.2021.01.012.
[7]
XUE M, LI J, CHE S N, et al. The correlation between multiparametric MR imaging characteristics of breast cancer and axillary lymph node metastasis[J]. Chin J Magn Reson Imag, 2020, 11(7): 540-545. DOI: 10.12015/issn.1674-8034.2020.07.013.
[8]
PEZESHK P, ALIAN, CHHABRA A. Role of chemical shift and Dixon based techniques in musculoskeletal MR imaging[J/OL]. Eur J Radiol, 2017, 94: 93-100 [2023-09-13]. https://pubmed.ncbi.nlm.nih.gov/28655433/. DOI: 10.1016/j.ejrad.2017.06.011.
[9]
CHIABAI O, VAN NIEUWENHOVE S, VEKEMANS M C, et al. Whole-body MRI in oncology: can a single anatomic T2 Dixon sequence replace the combination of T1 and STIR sequences to detect skeletal metastasis and myeloma?[J]. Eur Radiol, 2023, 33(1): 244-257. DOI: 10.1007/s00330-022-09007-8.
[10]
OMOUMI P. The Dixon method in musculoskeletal MRI: from fat-sensitive to fat-specific imaging[J]. Skeletal Radiol, 2022, 51(7): 1365-1369. DOI: 10.1007/s00256-021-03950-1.
[11]
OLLITRAULT A, CHARBONNEAU F, HERDAN M L, et al. Dixon-T2WI magnetic resonance imaging at 3tesla outperforms conventional imaging for thyroid eye disease[J]. Eur Radiol, 2021, 31(7): 5198-5205. DOI: 10.1007/s00330-020-07540-y.
[12]
KALOVIDOURI A, FIRMENICH N, DELATTRE B M A, et al. Fat suppression techniques for breast MRI: Dixon versus spectral fat saturation for 3D T1-weighted at 3T[J]. Radiol Med, 2017, 122(10): 731-742. DOI: 10.1007/s11547-017-0782-2.
[13]
PETERS A A, WAGNER B, SPANO G, et al. Myocardial scar detection in free-breathing Dixon-based fat- and water-separated 3D inversion recovery late-gadolinium enhancement whole heart MRI[J]. Int J Cardiovasc Imaging, 2023, 39(1): 135-144. DOI: 10.1007/s10554-022-02701-0.
[14]
ZEILINGER M G, WIESMÜLLER M, FORMAN C, et al. 3D Dixon water-fat LGE imaging with image navigator and compressed sensing in cardiac MRI[J]. Eur Radiol, 2021, 31(6): 3951-3961. DOI: 10.1007/s00330-020-07517-x.
[15]
LI X S, QIAN Y F, TIAN J, et al. Application of Fast Dixon sequence combined with multiple average excitation technique in cervical spine scanning with MR[J]. J Pract Radiol, 2023, 39(2): 314-317. DOI: 10.3969/j.issn.1002-1671.2023.02.035.
[16]
CHEN Y H, WANG L J, LUO R, et al. Focal breast edema and breast edema score on T2-weighted images provides valuable biological information for invasive breast cancer[J/OL]. Insights Imaging, 2023, 14(1): 73 [2023-09-13]. https://pubmed.ncbi.nlm.nih.gov/37121926/. DOI: 10.1186/s13244-023-01424-7.
[17]
CHEON H, KIM H J, KIM T H, et al. Invasive breast cancer: prognostic value of peritumoral edema identified at preoperative MR imaging[J]. Radiology, 2018, 287(1): 68-75. DOI: 10.1148/radiol.2017171157.
[18]
HARADA T L, UEMATSU T, NAKASHIMA K, et al. Evaluation of breast edema findings at T2-weighted breast MRI is useful for diagnosing occult inflammatory breast cancer and can predict prognosis after neoadjuvant chemotherapy[J]. Radiology, 2021, 299(1): 53-62. DOI: 10.1148/radiol.2021202604.
[19]
UEMATSU T, KASAMI M, WATANABE J. Is evaluation of the presence of prepectoral edema on T2-weighted with fat-suppression 3 T breast MRI a simple and readily available noninvasive technique for estimation of prognosis in patients with breast cancer?[J]. Breast Cancer, 2014, 21(6): 684-692. DOI: 10.1007/s12282-013-0440-z.
[20]
SHIGENAGA Y, TAKENAKA D, ISHIDA T. Combined modified-Dixon and PROPELLER method with low refocusing flip angle for contrast-enhanced fat-suppressed T1-weighted MRI: a prospective cross-sectional study[J/OL]. Magn Reson Imaging, 2020, 72: 143-149 [2023-09-13]. https://pubmed.ncbi.nlm.nih.gov/32721436/. DOI: 10.1016/j.mri.2020.07.009.
[21]
SHIGENAGA Y, TAKENAKA D, HASHIMOTO T, et al. Robustness of a combined modified Dixon and PROPELLER sequence with two interleaved echoes in clinical head and neck MRI[J]. Magn Reson Med Sci, 2021, 20(1): 76-82. DOI: 10.2463/mrms.mp.2019-0161.
[22]
HUIJGEN W H F, VAN RIJSWIJK C S P, BLOEM J L. Is fat suppression in T1 and T2 FSE with mDixon superior to the frequency selection-based SPAIR technique in musculoskeletal tumor imaging?[J]. Skeletal Radiol, 2019, 48(12): 1905-1914. DOI: 10.1007/s00256-019-03227-8.
[23]
MA J F. Dixon techniques for water and fat imaging[J]. J Magn Reson Imaging, 2008, 28(3): 543-558. DOI: 10.1002/jmri.21492.
[24]
BERGLUND J, AHLSTRÖM H, JOHANSSON L, et al. Two-point Dixon method with flexible echo times[J]. Magn Reson Med, 2011, 65(4): 994-1004. DOI: 10.1002/mrm.22679.
[25]
ZHANG T, CHEN Y X, BAO S S, et al. Resolving phase ambiguity in dual-echo Dixon imaging using a projected power method[J]. Magn Reson Med, 2017, 77(5): 2066-2076. DOI: 10.1002/mrm.26287.
[26]
MANN R M, CHO N, MOY L. Breast MRI: state of the art[J]. Radiology, 2019, 292(3): 520-536. DOI: 10.1148/radiol.2019182947.
[27]
Chinese Medical Association Imaging Technology Society, Chinese Medical Association Radiology Society. Expert consensus on breast imaging technology[J]. Chin J Radiol, 2016, 50(8): 561-565. DOI: 10.3760/cma.j.issn.1005-1201.2016.08.001.
[28]
BARRERA C A, FRANCAVILLA M L, SERAI S D, et al. Specific absorption rate and specific energy dose: comparison of 1.5-T versus 3.0-T fetal MRI[J]. Radiology, 2020, 295(3): 664-674. DOI: 10.1148/radiol.2020191550.

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