PMID- 30022231 OWN - NLM STAT- MEDLINE DCOM- 20181120 LR - 20181120 IS - 1432-1920 (Electronic) IS - 0028-3940 (Linking) VI - 60 IP - 9 DP - 2018 Sep TI - Comparison of field-of-view optimized and constrained undistorted single-shot diffusion-weighted imaging and conventional diffusion-weighted imaging of optic nerve and chiasma at 3T. PG - 903-912 LID - 10.1007/s00234-018-2058-5 [doi] AB - PURPOSE: Single-shot echo-planar imaging is the conventional diffusion-weighted imaging (C-DWI) sequence for evaluating orbital disease. However, its utility is restricted in small organs like the chiasma and optic nerve. This study was conducted to investigate the utility of field-of-view optimized and constrained undistorted single-shot diffusion-weighted imaging (FOCUS-DWI) for evaluating the chiasma and optic nerve in acute optic neuritis, making comparisons with C-DWI. METHODS: FOCUS-DWI and C-DWI were performed on 36 acute optic neuritis patients and 16 normal controls. Two readers assessed image quality using 5-point Likert scales. Differences in the visual assessments and apparent diffusion coefficient (ADC) values between C-DWI and FOCUS-DWI were evaluated. Inter-observer agreement in the qualitative data was assessed using Cohen's kappa coefficients. Inter- and intra-observer agreements in the ADC values were evaluated using intraclass correlation coefficients. RESULTS: FOCUS-DWI was superior to C-DWI in all aspects of the image evaluations. The Cohen's kappa coefficients for FOCUS-DWI were almost perfect (0.81-1) or substantial (0.61-0.80) for all the image quality categories. In the FOCUS-DWI images, the structural conspicuity of the chiasma and canalicular and cisternal segments was significantly superior on coronal views than on axial views (P < 0.0001). ROC analysis showed that in optic neuritis patients, the diagnostic value of ADC measurements on FOCUS-DWI was higher than ADC values measured on C-DWI. CONCLUSION: The FOCUS-DWI technique can provide substantial improvements over C-DWI for imaging different aspects of the optic nerve and chiasma. The coronal scan direction is more suitable than the axial scan direction for FOCUS-DWI. FAU - Tian, Yuan AU - Tian Y AD - Department of Radiology, Chinese PLA General Hospital, 28 Fuxing Road, Beijing, China. AD - Department of Radiology, 309th Hospital of Chinese People's Liberation Army, Beijing, China. FAU - Wang, Junqing AU - Wang J AD - Department of Ophthalmology, Chinese PLA General Hospital, Beijing, China. FAU - Li, Mingge AU - Li M AD - Department of Radiology, Chinese PLA General Hospital, 28 Fuxing Road, Beijing, China. FAU - Lou, Xin AU - Lou X AD - Department of Radiology, Chinese PLA General Hospital, 28 Fuxing Road, Beijing, China. FAU - Tang, Jing AU - Tang J AD - Department of Radiology, Chinese PLA General Hospital, 28 Fuxing Road, Beijing, China. FAU - Xu, Quangang AU - Xu Q AD - Department of Ophthalmology, Chinese PLA General Hospital, Beijing, China. FAU - Zhang, Yingkui AU - Zhang Y AD - HCS Application-MR, Economic & Technology Development Area, GE Healthcare, Beijing, China. FAU - Wei, Shihui AU - Wei S AD - Department of Ophthalmology, Chinese PLA General Hospital, Beijing, China. FAU - Ma, Lin AU - Ma L AD - Department of Radiology, Chinese PLA General Hospital, 28 Fuxing Road, Beijing, China. cjr.malin@vip.163.com. LA - eng PT - Comparative Study PT - Journal Article DEP - 20180719 PL - Germany TA - Neuroradiology JT - Neuroradiology JID - 1302751 SB - IM MH - Adult MH - Case-Control Studies MH - Diffusion Magnetic Resonance Imaging/*methods MH - Echo-Planar Imaging/methods MH - Female MH - Humans MH - Male MH - Optic Chiasm/*diagnostic imaging MH - Optic Nerve/*diagnostic imaging MH - Optic Neuritis/*diagnostic imaging OTO - NOTNLM OT - Acute optic neuritis OT - Diffusion-weighted imaging OT - Magnetic resonance imaging OT - Optic nerves EDAT- 2018/07/20 06:00 MHDA- 2018/11/21 06:00 CRDT- 2018/07/20 06:00 PHST- 2018/04/18 00:00 [received] PHST- 2018/07/10 00:00 [accepted] PHST- 2018/07/20 06:00 [pubmed] PHST- 2018/11/21 06:00 [medline] PHST- 2018/07/20 06:00 [entrez] AID - 10.1007/s00234-018-2058-5 [pii] AID - 10.1007/s00234-018-2058-5 [doi] PST - ppublish SO - Neuroradiology. 2018 Sep;60(9):903-912. doi: 10.1007/s00234-018-2058-5. Epub 2018 Jul 19.