PMID- 35671135 OWN - NLM STAT- MEDLINE DCOM- 20220726 LR - 20230902 IS - 1748-880X (Electronic) IS - 0007-1285 (Print) IS - 0007-1285 (Linking) VI - 95 IP - 1136 DP - 2022 Aug 1 TI - Read-out Segmented Echo Planar Imaging with Two-Dimensional Navigator Correction (RESOLVE): An Alternative Sequence to Improve Image Quality on Diffusion-Weighted Imaging of Prostate. PG - 20211165 LID - 10.1259/bjr.20211165 [doi] LID - 20211165 AB - OBJECTIVE: We aimed to investigate if the use of read-out segmented echoplanar imaging with additional two-dimensional navigator correction (Readout Segmentation of Long Variable Echo, RESOLVE) for acquiring prostate diffusion-weighted imaging (DWI) improves image quality, compared to single-shot echoplanar imaging (ss-EPI). METHODS: This single-center prospective study cohort included 162 males with suspected prostate cancer, who underwent 3 Tesla multiparametric MRI (3T-mpMRI). Two abdominal radiologists, blinded to the clinical information, separately reviewed each 3T-mpMRI study to rank geometrical distortion, degree of rectal distention, lesion conspicuity, and anatomic details delineation first on ss-EPI-DWI and later on RESOLVE-DWI using 5-point scales (1 = excellent, 5 = poor). The average of the ranking scores given by two readers was generated and used as the final score. RESULTS: There was good-to-excellent interreader agreement for scoring image quality parameters on both ss-EPI and RESOLVE. Geometrical distortion scores > 3 was seen in 12.3% (20/162) of ss-EPI images, with all having geometrical distortion score <3 on RESOLVE (p < .001). The mean image distortion score was significantly less on RESOLVE than ss-EPI (1.16 vs 1.61, p < .01 regardless of rectal gas, p< .05 when stratified by the degree of rectal distention ). RESOLVE was superior to ss-EPI for lesion conspicuity (mean 1.35 vs 1.53, p< .002) and anatomic delineation (2.60 vs 2.68, p< .001) of prostate on DWI. CONCLUSION: Compared to conventional ss-EPI, the use of RESOLVE for acquisition of prostate DWI resulted in significantly enhanced image quality and reduced geometrical distortion. ADVANCES IN KNOWLEDGE: RESOLVE could be an alternative or replacement of ss-EPI for acquiring prostate DWI with significantly less geometrical distortion and significantly improved lesion conspicuity and anatomic delineation. FAU - Hosseiny, Melina AU - Hosseiny M AD - Department of Radiology, Ronald Reagan-UCLA Medical Center, David Geffen School of Medicine at UCLA, Los Angeles, California, United States. FAU - Sung, Kyung Hyun AU - Sung KH AD - Department of Radiology, Ronald Reagan-UCLA Medical Center, David Geffen School of Medicine at UCLA, Los Angeles, California, United States. FAU - Felker, Ely AU - Felker E AD - Department of Radiology, Ronald Reagan-UCLA Medical Center, David Geffen School of Medicine at UCLA, Los Angeles, California, United States. FAU - Suvannarerg, Voraparee AU - Suvannarerg V AD - Department of Radiology, Ronald Reagan-UCLA Medical Center, David Geffen School of Medicine at UCLA, Los Angeles, California, United States. FAU - Tubtawee, Teeravut AU - Tubtawee T AD - Department of Radiology, Ronald Reagan-UCLA Medical Center, David Geffen School of Medicine at UCLA, Los Angeles, California, United States. AD - Department of Radiology, Prince of Songkla University, Hat Yai, Songkhla, Thailand. FAU - Shafa, Ariel AU - Shafa A AD - Department of Radiology, Ronald Reagan-UCLA Medical Center, David Geffen School of Medicine at UCLA, Los Angeles, California, United States. FAU - Arora, Krishan R AU - Arora KR AD - Department of Radiology, Ronald Reagan-UCLA Medical Center, David Geffen School of Medicine at UCLA, Los Angeles, California, United States. FAU - Ching, Justin AU - Ching J AD - Department of Radiology, Ronald Reagan-UCLA Medical Center, David Geffen School of Medicine at UCLA, Los Angeles, California, United States. FAU - Gulati, Anjalie AU - Gulati A AD - Department of Radiology, Ronald Reagan-UCLA Medical Center, David Geffen School of Medicine at UCLA, Los Angeles, California, United States. FAU - Azadikhah, Afshin AU - Azadikhah A AD - Department of Radiology, Ronald Reagan-UCLA Medical Center, David Geffen School of Medicine at UCLA, Los Angeles, California, United States. FAU - Zhong, Xiaodong AU - Zhong X AD - Siemens Healthcare, MR R&D Collaborations, Lilburn, Georgia, United States. FAU - Sayre, James AU - Sayre J AD - Department of Bioinformatics, David Geffen School of Medicine at UCLA, Los Angeles, California, United States. FAU - Lu, David AU - Lu D AD - Department of Radiology, Ronald Reagan-UCLA Medical Center, David Geffen School of Medicine at UCLA, Los Angeles, California, United States. FAU - Raman, Steven S AU - Raman SS AD - Department of Radiology, Ronald Reagan-UCLA Medical Center, David Geffen School of Medicine at UCLA, Los Angeles, California, United States. AD - Department of Urology, Ronald Reagan-UCLA Medical Center, David Geffen School of Medicine at UCLA, Los Angeles, California, United States. LA - eng PT - Journal Article DEP - 20220622 PL - England TA - Br J Radiol JT - The British journal of radiology JID - 0373125 SB - IM MH - Diffusion Magnetic Resonance Imaging/methods MH - *Echo-Planar Imaging/methods MH - Humans MH - Male MH - Pelvis MH - Prospective Studies MH - *Prostate/diagnostic imaging PMC - PMC10162059 EDAT- 2022/06/08 06:00 MHDA- 2022/07/27 06:00 PMCR- 2023/09/01 CRDT- 2022/06/07 12:12 PHST- 2022/06/08 06:00 [pubmed] PHST- 2022/07/27 06:00 [medline] PHST- 2022/06/07 12:12 [entrez] PHST- 2023/09/01 00:00 [pmc-release] AID - 10.1259/bjr.20211165 [doi] PST - ppublish SO - Br J Radiol. 2022 Aug 1;95(1136):20211165. doi: 10.1259/bjr.20211165. Epub 2022 Jun 22.