PMID- 28199041 OWN - NLM STAT- MEDLINE DCOM- 20180712 LR - 20181127 IS - 1522-2586 (Electronic) IS - 1053-1807 (Linking) VI - 46 IP - 5 DP - 2017 Nov TI - Feasibility of accelerated simultaneous multislice diffusion-weighted MRI of the prostate. PG - 1507-1515 LID - 10.1002/jmri.25665 [doi] AB - PURPOSE: To assess the feasibility of simultaneous multislice (SMS) single-shot echo-planar-imaging (EPI) for accelerated diffusion-weighted imaging (DWI) of the prostate. MATERIALS AND METHODS: For phantom measurements a dedicated DWI phantom with different sucrose concentrations was used. In addition, 10 volunteers and 16 patients with suspected prostate cancer were examined for in vivo measurements. All examinations were performed with a 3T magnetic resonance imaging (MRI) system. A prototype simultaneous multislice EPI sequence (DW-EPI(SMS) ; acquisition time 3:14 min) was acquired and compared to a single-shot EPI sequence (DW-EPI(SS) ; acquisition time 6:12 min) serving as a standard of reference. Different image quality parameters of EPI(SMS) were assessed qualitatively (overall image quality, anatomic differentiability, lesion conspicuity, image noise, distortion; two independent readers; 5-point Likert-scale [5 = excellent]) and quantitatively (ADC-values by calculating interclass correlation [ICC] and Bland-Altman limits of agreement [LoA] as measures for reproducibility) and compared to DW-EPI(SS) . RESULTS: DW-EPI(SMS) allowed for a substantially reduced acquisition time as compared to DW-EPI(SS) ( 50%). Bland-Altman plots revealed robust measurement repeatability for DW-EPI(SMS) in the phantom study. Overall image quality did not significantly differ between DW-EPI(SMS) and DW-EPI(SS) (b1500 images P = 0.5; ADC maps P = 0.7). Only in b1500 DW images was subjective image noise rated significantly higher in DW-EPI(SS) than in DW-EPI(SMS) (P = 0.006). Quantitative analysis of ADC-values revealed not significant differences between DW-EPI(SMS) and DW-EPI(SS) (P = 0.7) and high measures for reproducibility ICC >/=0.96. CONCLUSION: Simultaneous multislice DWI is feasible for accelerated prostate MRI allowing for a substantially reduced examination time with similar image quality and ADC-values as compared to a standard of reference DWI sequence. LEVEL OF EVIDENCE: 3 Technical Efficacy: Stage 1 J. Magn. Reson. Imaging 2017;46:1507-1515. CI - (c) 2017 International Society for Magnetic Resonance in Medicine. FAU - Weiss, Jakob AU - Weiss J AD - Department of Diagnostic and Interventional Radiology, Eberhard Karls University Tuebingen, Germany. FAU - Martirosian, Petros AU - Martirosian P AD - Section on Experimental Radiology, Eberhard Karls University Tuebingen, Germany. FAU - Taron, Jana AU - Taron J AD - Department of Diagnostic and Interventional Radiology, Eberhard Karls University Tuebingen, Germany. FAU - Othman, Ahmed E AU - Othman AE AD - Department of Diagnostic and Interventional Radiology, Eberhard Karls University Tuebingen, Germany. FAU - Kuestner, Thomas AU - Kuestner T AD - Institute of Signal Processing and System Theory, University of Stuttgart, Germany. FAU - Erb, Michael AU - Erb M AD - Department of Biomedical Magnetic Resonance, Eberhard Karls University Tuebingen, Germany. FAU - Bedke, Jens AU - Bedke J AD - Department of Urology, Eberhard Karls University Tuebingen, Germany. FAU - Bamberg, Fabian AU - Bamberg F AD - Department of Diagnostic and Interventional Radiology, Eberhard Karls University Tuebingen, Germany. FAU - Nikolaou, Konstantin AU - Nikolaou K AD - Department of Diagnostic and Interventional Radiology, Eberhard Karls University Tuebingen, Germany. FAU - Notohamiprodjo, Mike AU - Notohamiprodjo M AD - Department of Diagnostic and Interventional Radiology, Eberhard Karls University Tuebingen, Germany. LA - eng PT - Journal Article DEP - 20170215 PL - United States TA - J Magn Reson Imaging JT - Journal of magnetic resonance imaging : JMRI JID - 9105850 SB - IM MH - Adult MH - Aged MH - Artifacts MH - Case-Control Studies MH - *Diffusion Magnetic Resonance Imaging MH - *Echo-Planar Imaging MH - Feasibility Studies MH - Healthy Volunteers MH - Humans MH - Image Enhancement MH - Image Interpretation, Computer-Assisted MH - Male MH - Middle Aged MH - Phantoms, Imaging MH - Prostate/*diagnostic imaging MH - Prostatic Neoplasms/*diagnostic imaging MH - Reproducibility of Results OTO - NOTNLM OT - accelerated prostate MRI OT - diffusion-weighted imaging OT - prostate cancer OT - simultaneous multislice acquisition EDAT- 2017/02/16 06:00 MHDA- 2018/07/13 06:00 CRDT- 2017/02/16 06:00 PHST- 2016/09/01 00:00 [received] PHST- 2017/01/25 00:00 [accepted] PHST- 2017/02/16 06:00 [pubmed] PHST- 2018/07/13 06:00 [medline] PHST- 2017/02/16 06:00 [entrez] AID - 10.1002/jmri.25665 [doi] PST - ppublish SO - J Magn Reson Imaging. 2017 Nov;46(5):1507-1515. doi: 10.1002/jmri.25665. Epub 2017 Feb 15.