Deep learning enabled near-isotropic CAIPIRINHA VIBE in the nephrogenic phase improves image quality and renal lesion conspicuity

Background: Deep learning (DL) accelerated controlled aliasing in parallel imaging results in higher acceleration (CAIPIRINHA)-volumetric interpolated breath-hold examination (VIBE), provides high spatial resolution T1-weighted imaging of the upper abdomen. We aimed to investigate whether DL-CAIPIRI...

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Main Authors: Qinxuan Tan, Jingyu Miao, Leila Nitschke, Marcel Dominik Nickel, Markus Herbert Lerchbaumer, Tobias Penzkofer, Sebastian Hofbauer, Robert Peters, Bernd Hamm, Dominik Geisel, Moritz Wagner, Thula Cannon Walter-Rittel
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Language:English
Published: Elsevier 2025-06-01
Series:European Journal of Radiology Open
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Online Access:http://www.sciencedirect.com/science/article/pii/S2352047724000777
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author Qinxuan Tan
Jingyu Miao
Leila Nitschke
Marcel Dominik Nickel
Markus Herbert Lerchbaumer
Tobias Penzkofer
Sebastian Hofbauer
Robert Peters
Bernd Hamm
Dominik Geisel
Moritz Wagner
Thula Cannon Walter-Rittel
author_facet Qinxuan Tan
Jingyu Miao
Leila Nitschke
Marcel Dominik Nickel
Markus Herbert Lerchbaumer
Tobias Penzkofer
Sebastian Hofbauer
Robert Peters
Bernd Hamm
Dominik Geisel
Moritz Wagner
Thula Cannon Walter-Rittel
author_sort Qinxuan Tan
collection DOAJ
description Background: Deep learning (DL) accelerated controlled aliasing in parallel imaging results in higher acceleration (CAIPIRINHA)-volumetric interpolated breath-hold examination (VIBE), provides high spatial resolution T1-weighted imaging of the upper abdomen. We aimed to investigate whether DL-CAIPIRINHA-VIBE can improve image quality, vessel conspicuity, and lesion detectability compared to a standard CAIPIRINHA-VIBE in renal imaging at 3 Tesla. Methods: In this prospective study, 50 patients with 23 solid and 45 cystic renal lesions underwent MRI with clinical MR sequences, including standard CAIPIRINHA-VIBE and DL-CAIPIRINHA-VIBE sequences in the nephrographic phase at 3 Tesla. Two experienced radiologists independently evaluated both sequences and multiplanar reconstructions (MPR) of the sagittal and coronal planes for image quality with a Likert scale ranging from 1 to 5 (5 =best). Quantitative measurements including the size of the largest lesion and renal lesion contrast ratios were evaluated. Results: DL-CAIPIRINHA-VIBE compared to standard CAIPIRINHA-VIBE showed significantly improved overall image quality, higher scores for renal border delineation, renal sinuses, vessels, adrenal glands, reduced motion artifacts and reduced perceived noise in nephrographic phase images (all p < 0.001). DL-CAIPIRINHA-VIBE with MPR showed superior lesion conspicuity and diagnostic confidence compared to standard CAIPIRINHA-VIBE. However, DL-CAIPIRINHA-VIBE presented a more synthetic appearance and more aliasing artifacts (p < 0.023). The mean size and signal intensity of renal lesions for DL-CAIPIRINHA-VIBE showed no significant differences compared to standard CAIPIRINHA-VIBE (p > 0.9). Conclusions: DL-CAIPIRINHA-VIBE is well suited for kidney imaging in the nephrographic phase, provides good image quality, improved delineation of anatomic structures and renal lesions.
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spelling doaj-art-e6855aa67f0847eb926365b0c411327d2025-08-20T02:49:50ZengElsevierEuropean Journal of Radiology Open2352-04772025-06-011410062210.1016/j.ejro.2024.100622Deep learning enabled near-isotropic CAIPIRINHA VIBE in the nephrogenic phase improves image quality and renal lesion conspicuityQinxuan Tan0Jingyu Miao1Leila Nitschke2Marcel Dominik Nickel3Markus Herbert Lerchbaumer4Tobias Penzkofer5Sebastian Hofbauer6Robert Peters7Bernd Hamm8Dominik Geisel9Moritz Wagner10Thula Cannon Walter-Rittel11Department of Radiology, Charité - Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, GermanyDepartment of Radiology, Charité - Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, GermanyDepartment of Radiology, Charité - Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, GermanyMR Application Predevelopment, Siemens Healthnineers, Forchheim, GermanyDepartment of Radiology, Charité - Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, GermanyDepartment of Radiology, Charité - Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany; Berlin Institute of Health, Berlin, GermanyDepartment of Urology, Charité - Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, GermanyDepartment of Urology, Charité - Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, GermanyDepartment of Radiology, Charité - Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, GermanyDepartment of Radiology, Charité - Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, GermanyDepartment of Radiology, Charité - Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, GermanyDepartment of Radiology, Charité - Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany; Correspondence to: Department of Radiology, Charité - Universitätsmedizin Berlin Charité Platz 1, Berlin 10117, Germany.Background: Deep learning (DL) accelerated controlled aliasing in parallel imaging results in higher acceleration (CAIPIRINHA)-volumetric interpolated breath-hold examination (VIBE), provides high spatial resolution T1-weighted imaging of the upper abdomen. We aimed to investigate whether DL-CAIPIRINHA-VIBE can improve image quality, vessel conspicuity, and lesion detectability compared to a standard CAIPIRINHA-VIBE in renal imaging at 3 Tesla. Methods: In this prospective study, 50 patients with 23 solid and 45 cystic renal lesions underwent MRI with clinical MR sequences, including standard CAIPIRINHA-VIBE and DL-CAIPIRINHA-VIBE sequences in the nephrographic phase at 3 Tesla. Two experienced radiologists independently evaluated both sequences and multiplanar reconstructions (MPR) of the sagittal and coronal planes for image quality with a Likert scale ranging from 1 to 5 (5 =best). Quantitative measurements including the size of the largest lesion and renal lesion contrast ratios were evaluated. Results: DL-CAIPIRINHA-VIBE compared to standard CAIPIRINHA-VIBE showed significantly improved overall image quality, higher scores for renal border delineation, renal sinuses, vessels, adrenal glands, reduced motion artifacts and reduced perceived noise in nephrographic phase images (all p < 0.001). DL-CAIPIRINHA-VIBE with MPR showed superior lesion conspicuity and diagnostic confidence compared to standard CAIPIRINHA-VIBE. However, DL-CAIPIRINHA-VIBE presented a more synthetic appearance and more aliasing artifacts (p < 0.023). The mean size and signal intensity of renal lesions for DL-CAIPIRINHA-VIBE showed no significant differences compared to standard CAIPIRINHA-VIBE (p > 0.9). Conclusions: DL-CAIPIRINHA-VIBE is well suited for kidney imaging in the nephrographic phase, provides good image quality, improved delineation of anatomic structures and renal lesions.http://www.sciencedirect.com/science/article/pii/S2352047724000777Deep learningMagnetic resonance imagingRenal lesionsMulti-planar reconstructionsImage quality
spellingShingle Qinxuan Tan
Jingyu Miao
Leila Nitschke
Marcel Dominik Nickel
Markus Herbert Lerchbaumer
Tobias Penzkofer
Sebastian Hofbauer
Robert Peters
Bernd Hamm
Dominik Geisel
Moritz Wagner
Thula Cannon Walter-Rittel
Deep learning enabled near-isotropic CAIPIRINHA VIBE in the nephrogenic phase improves image quality and renal lesion conspicuity
European Journal of Radiology Open
Deep learning
Magnetic resonance imaging
Renal lesions
Multi-planar reconstructions
Image quality
title Deep learning enabled near-isotropic CAIPIRINHA VIBE in the nephrogenic phase improves image quality and renal lesion conspicuity
title_full Deep learning enabled near-isotropic CAIPIRINHA VIBE in the nephrogenic phase improves image quality and renal lesion conspicuity
title_fullStr Deep learning enabled near-isotropic CAIPIRINHA VIBE in the nephrogenic phase improves image quality and renal lesion conspicuity
title_full_unstemmed Deep learning enabled near-isotropic CAIPIRINHA VIBE in the nephrogenic phase improves image quality and renal lesion conspicuity
title_short Deep learning enabled near-isotropic CAIPIRINHA VIBE in the nephrogenic phase improves image quality and renal lesion conspicuity
title_sort deep learning enabled near isotropic caipirinha vibe in the nephrogenic phase improves image quality and renal lesion conspicuity
topic Deep learning
Magnetic resonance imaging
Renal lesions
Multi-planar reconstructions
Image quality
url http://www.sciencedirect.com/science/article/pii/S2352047724000777
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