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Körzdörfer G, Kirsch R, Liu K, Pfeuffer J, Hensel B, Jiang Y, Ma D, Gratz M, Bär P, Bogner W, Springer E, Lima Cardoso P, Umutlu L, Trattnig S, Griswold M, Gulani V, Nittka M. Reproducibility and Repeatability of MR Fingerprinting Relaxometry in the Human Brain. Radiology 2019; 292:429-437. [PMID: 31210615 DOI: 10.1148/radiol.2019182360] [Citation(s) in RCA: 71] [Impact Index Per Article: 14.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Background Only sparse literature investigates the reproducibility and repeatability of relaxometry methods in MRI. However, statistical data on reproducibility and repeatability of any quantitative method is essential for clinical application. Purpose To evaluate the reproducibility and repeatability of two-dimensional fast imaging with steady-state free precession MR fingerprinting in vivo in human brains. Materials and Methods Two-dimensional section-selective MR fingerprinting based on a steady-state free precession sequence with an external radiofrequency transmit field, or B1+, correction was used to generate T1 and T2 maps. This prospective study was conducted between July 2017 and January 2018 with 10 scanners from a single manufacturer, including different models, at four different sites. T1 and T2 relaxation times and their variation across scanners (reproducibility) as well as across repetitions on a scanner (repeatability) were analyzed. The relative deviations of T1 and T2 to the average (95% confidence interval) were calculated for several brain compartments. Results Ten healthy volunteers (mean age ± standard deviation, 28.5 years ± 6.9; eight men, two women) participated in this study. Reproducibility and repeatability of T1 and T2 measures in the human brain varied across brain compartments (1.8%-20.9%) and were higher in solid tissues than in the cerebrospinal fluid. T1 measures in solid tissue brain compartments were more stable compared with T2 measures. The half-widths of the confidence intervals for relative deviations were 3.4% for mean T1 and 8.0% for mean T2 values across scanners. Intrascanner repeatability half-widths of the confidence intervals for relative deviations were in the range of 2.0%-3.1% for T1 and 3.1%-7.9% for T2. Conclusion This study provides values on reproducibility and repeatability of T1 and T2 relaxometry measured with fast imaging with steady-state free precession MR fingerprinting in brain tissues of healthy volunteers. Reproducibility and repeatability are considerably higher in solid brain compartments than in cerebrospinal fluid and are higher for T1 than for T2. © RSNA, 2019 Online supplemental material is available for this article. See also the editorial by Barkhof and Parker in this issue.
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Affiliation(s)
- Gregor Körzdörfer
- From Siemens Healthcare, Allee am Roethelheimpark 2, 91052 Erlangen, Germany (G.K., R.K., J.P., M.N.); Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany (G.K., B.H.); Siemens Medical Solutions USA, Malvern, Pa (K.L.); Departments of Biomedical Engineering (Y.J., D.M., M. Griswold, V.G.) and Radiology (M. Griswold, V.G.), Case Western Reserve University, Cleveland, Ohio; Department of High Field and Hybrid MR Imaging, University Hospital Essen, Essen, Germany (M. Gratz); Erwin L. Hahn Institute for MRI, University Duisburg-Essen, Essen, Germany (M. Gratz); Department of Biomedical Imaging and Image-guided Therapy, High Field Magnetic Resonance Center, Medical University of Vienna, Vienna, Austria (P.B., W.B., E.S., P.L.C., S.T.); Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany (L.U.); and Christian Doppler Laboratory for Clinical Molecular MR Imaging, MOLIMA, Vienna, Austria (W.B., S.T.)
| | - Rainer Kirsch
- From Siemens Healthcare, Allee am Roethelheimpark 2, 91052 Erlangen, Germany (G.K., R.K., J.P., M.N.); Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany (G.K., B.H.); Siemens Medical Solutions USA, Malvern, Pa (K.L.); Departments of Biomedical Engineering (Y.J., D.M., M. Griswold, V.G.) and Radiology (M. Griswold, V.G.), Case Western Reserve University, Cleveland, Ohio; Department of High Field and Hybrid MR Imaging, University Hospital Essen, Essen, Germany (M. Gratz); Erwin L. Hahn Institute for MRI, University Duisburg-Essen, Essen, Germany (M. Gratz); Department of Biomedical Imaging and Image-guided Therapy, High Field Magnetic Resonance Center, Medical University of Vienna, Vienna, Austria (P.B., W.B., E.S., P.L.C., S.T.); Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany (L.U.); and Christian Doppler Laboratory for Clinical Molecular MR Imaging, MOLIMA, Vienna, Austria (W.B., S.T.)
| | - Kecheng Liu
- From Siemens Healthcare, Allee am Roethelheimpark 2, 91052 Erlangen, Germany (G.K., R.K., J.P., M.N.); Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany (G.K., B.H.); Siemens Medical Solutions USA, Malvern, Pa (K.L.); Departments of Biomedical Engineering (Y.J., D.M., M. Griswold, V.G.) and Radiology (M. Griswold, V.G.), Case Western Reserve University, Cleveland, Ohio; Department of High Field and Hybrid MR Imaging, University Hospital Essen, Essen, Germany (M. Gratz); Erwin L. Hahn Institute for MRI, University Duisburg-Essen, Essen, Germany (M. Gratz); Department of Biomedical Imaging and Image-guided Therapy, High Field Magnetic Resonance Center, Medical University of Vienna, Vienna, Austria (P.B., W.B., E.S., P.L.C., S.T.); Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany (L.U.); and Christian Doppler Laboratory for Clinical Molecular MR Imaging, MOLIMA, Vienna, Austria (W.B., S.T.)
| | - Josef Pfeuffer
- From Siemens Healthcare, Allee am Roethelheimpark 2, 91052 Erlangen, Germany (G.K., R.K., J.P., M.N.); Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany (G.K., B.H.); Siemens Medical Solutions USA, Malvern, Pa (K.L.); Departments of Biomedical Engineering (Y.J., D.M., M. Griswold, V.G.) and Radiology (M. Griswold, V.G.), Case Western Reserve University, Cleveland, Ohio; Department of High Field and Hybrid MR Imaging, University Hospital Essen, Essen, Germany (M. Gratz); Erwin L. Hahn Institute for MRI, University Duisburg-Essen, Essen, Germany (M. Gratz); Department of Biomedical Imaging and Image-guided Therapy, High Field Magnetic Resonance Center, Medical University of Vienna, Vienna, Austria (P.B., W.B., E.S., P.L.C., S.T.); Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany (L.U.); and Christian Doppler Laboratory for Clinical Molecular MR Imaging, MOLIMA, Vienna, Austria (W.B., S.T.)
| | - Bernhard Hensel
- From Siemens Healthcare, Allee am Roethelheimpark 2, 91052 Erlangen, Germany (G.K., R.K., J.P., M.N.); Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany (G.K., B.H.); Siemens Medical Solutions USA, Malvern, Pa (K.L.); Departments of Biomedical Engineering (Y.J., D.M., M. Griswold, V.G.) and Radiology (M. Griswold, V.G.), Case Western Reserve University, Cleveland, Ohio; Department of High Field and Hybrid MR Imaging, University Hospital Essen, Essen, Germany (M. Gratz); Erwin L. Hahn Institute for MRI, University Duisburg-Essen, Essen, Germany (M. Gratz); Department of Biomedical Imaging and Image-guided Therapy, High Field Magnetic Resonance Center, Medical University of Vienna, Vienna, Austria (P.B., W.B., E.S., P.L.C., S.T.); Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany (L.U.); and Christian Doppler Laboratory for Clinical Molecular MR Imaging, MOLIMA, Vienna, Austria (W.B., S.T.)
| | - Yun Jiang
- From Siemens Healthcare, Allee am Roethelheimpark 2, 91052 Erlangen, Germany (G.K., R.K., J.P., M.N.); Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany (G.K., B.H.); Siemens Medical Solutions USA, Malvern, Pa (K.L.); Departments of Biomedical Engineering (Y.J., D.M., M. Griswold, V.G.) and Radiology (M. Griswold, V.G.), Case Western Reserve University, Cleveland, Ohio; Department of High Field and Hybrid MR Imaging, University Hospital Essen, Essen, Germany (M. Gratz); Erwin L. Hahn Institute for MRI, University Duisburg-Essen, Essen, Germany (M. Gratz); Department of Biomedical Imaging and Image-guided Therapy, High Field Magnetic Resonance Center, Medical University of Vienna, Vienna, Austria (P.B., W.B., E.S., P.L.C., S.T.); Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany (L.U.); and Christian Doppler Laboratory for Clinical Molecular MR Imaging, MOLIMA, Vienna, Austria (W.B., S.T.)
| | - Dan Ma
- From Siemens Healthcare, Allee am Roethelheimpark 2, 91052 Erlangen, Germany (G.K., R.K., J.P., M.N.); Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany (G.K., B.H.); Siemens Medical Solutions USA, Malvern, Pa (K.L.); Departments of Biomedical Engineering (Y.J., D.M., M. Griswold, V.G.) and Radiology (M. Griswold, V.G.), Case Western Reserve University, Cleveland, Ohio; Department of High Field and Hybrid MR Imaging, University Hospital Essen, Essen, Germany (M. Gratz); Erwin L. Hahn Institute for MRI, University Duisburg-Essen, Essen, Germany (M. Gratz); Department of Biomedical Imaging and Image-guided Therapy, High Field Magnetic Resonance Center, Medical University of Vienna, Vienna, Austria (P.B., W.B., E.S., P.L.C., S.T.); Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany (L.U.); and Christian Doppler Laboratory for Clinical Molecular MR Imaging, MOLIMA, Vienna, Austria (W.B., S.T.)
| | - Marcel Gratz
- From Siemens Healthcare, Allee am Roethelheimpark 2, 91052 Erlangen, Germany (G.K., R.K., J.P., M.N.); Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany (G.K., B.H.); Siemens Medical Solutions USA, Malvern, Pa (K.L.); Departments of Biomedical Engineering (Y.J., D.M., M. Griswold, V.G.) and Radiology (M. Griswold, V.G.), Case Western Reserve University, Cleveland, Ohio; Department of High Field and Hybrid MR Imaging, University Hospital Essen, Essen, Germany (M. Gratz); Erwin L. Hahn Institute for MRI, University Duisburg-Essen, Essen, Germany (M. Gratz); Department of Biomedical Imaging and Image-guided Therapy, High Field Magnetic Resonance Center, Medical University of Vienna, Vienna, Austria (P.B., W.B., E.S., P.L.C., S.T.); Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany (L.U.); and Christian Doppler Laboratory for Clinical Molecular MR Imaging, MOLIMA, Vienna, Austria (W.B., S.T.)
| | - Peter Bär
- From Siemens Healthcare, Allee am Roethelheimpark 2, 91052 Erlangen, Germany (G.K., R.K., J.P., M.N.); Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany (G.K., B.H.); Siemens Medical Solutions USA, Malvern, Pa (K.L.); Departments of Biomedical Engineering (Y.J., D.M., M. Griswold, V.G.) and Radiology (M. Griswold, V.G.), Case Western Reserve University, Cleveland, Ohio; Department of High Field and Hybrid MR Imaging, University Hospital Essen, Essen, Germany (M. Gratz); Erwin L. Hahn Institute for MRI, University Duisburg-Essen, Essen, Germany (M. Gratz); Department of Biomedical Imaging and Image-guided Therapy, High Field Magnetic Resonance Center, Medical University of Vienna, Vienna, Austria (P.B., W.B., E.S., P.L.C., S.T.); Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany (L.U.); and Christian Doppler Laboratory for Clinical Molecular MR Imaging, MOLIMA, Vienna, Austria (W.B., S.T.)
| | - Wolfgang Bogner
- From Siemens Healthcare, Allee am Roethelheimpark 2, 91052 Erlangen, Germany (G.K., R.K., J.P., M.N.); Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany (G.K., B.H.); Siemens Medical Solutions USA, Malvern, Pa (K.L.); Departments of Biomedical Engineering (Y.J., D.M., M. Griswold, V.G.) and Radiology (M. Griswold, V.G.), Case Western Reserve University, Cleveland, Ohio; Department of High Field and Hybrid MR Imaging, University Hospital Essen, Essen, Germany (M. Gratz); Erwin L. Hahn Institute for MRI, University Duisburg-Essen, Essen, Germany (M. Gratz); Department of Biomedical Imaging and Image-guided Therapy, High Field Magnetic Resonance Center, Medical University of Vienna, Vienna, Austria (P.B., W.B., E.S., P.L.C., S.T.); Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany (L.U.); and Christian Doppler Laboratory for Clinical Molecular MR Imaging, MOLIMA, Vienna, Austria (W.B., S.T.)
| | - Elisabeth Springer
- From Siemens Healthcare, Allee am Roethelheimpark 2, 91052 Erlangen, Germany (G.K., R.K., J.P., M.N.); Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany (G.K., B.H.); Siemens Medical Solutions USA, Malvern, Pa (K.L.); Departments of Biomedical Engineering (Y.J., D.M., M. Griswold, V.G.) and Radiology (M. Griswold, V.G.), Case Western Reserve University, Cleveland, Ohio; Department of High Field and Hybrid MR Imaging, University Hospital Essen, Essen, Germany (M. Gratz); Erwin L. Hahn Institute for MRI, University Duisburg-Essen, Essen, Germany (M. Gratz); Department of Biomedical Imaging and Image-guided Therapy, High Field Magnetic Resonance Center, Medical University of Vienna, Vienna, Austria (P.B., W.B., E.S., P.L.C., S.T.); Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany (L.U.); and Christian Doppler Laboratory for Clinical Molecular MR Imaging, MOLIMA, Vienna, Austria (W.B., S.T.)
| | - Pedro Lima Cardoso
- From Siemens Healthcare, Allee am Roethelheimpark 2, 91052 Erlangen, Germany (G.K., R.K., J.P., M.N.); Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany (G.K., B.H.); Siemens Medical Solutions USA, Malvern, Pa (K.L.); Departments of Biomedical Engineering (Y.J., D.M., M. Griswold, V.G.) and Radiology (M. Griswold, V.G.), Case Western Reserve University, Cleveland, Ohio; Department of High Field and Hybrid MR Imaging, University Hospital Essen, Essen, Germany (M. Gratz); Erwin L. Hahn Institute for MRI, University Duisburg-Essen, Essen, Germany (M. Gratz); Department of Biomedical Imaging and Image-guided Therapy, High Field Magnetic Resonance Center, Medical University of Vienna, Vienna, Austria (P.B., W.B., E.S., P.L.C., S.T.); Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany (L.U.); and Christian Doppler Laboratory for Clinical Molecular MR Imaging, MOLIMA, Vienna, Austria (W.B., S.T.)
| | - Lale Umutlu
- From Siemens Healthcare, Allee am Roethelheimpark 2, 91052 Erlangen, Germany (G.K., R.K., J.P., M.N.); Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany (G.K., B.H.); Siemens Medical Solutions USA, Malvern, Pa (K.L.); Departments of Biomedical Engineering (Y.J., D.M., M. Griswold, V.G.) and Radiology (M. Griswold, V.G.), Case Western Reserve University, Cleveland, Ohio; Department of High Field and Hybrid MR Imaging, University Hospital Essen, Essen, Germany (M. Gratz); Erwin L. Hahn Institute for MRI, University Duisburg-Essen, Essen, Germany (M. Gratz); Department of Biomedical Imaging and Image-guided Therapy, High Field Magnetic Resonance Center, Medical University of Vienna, Vienna, Austria (P.B., W.B., E.S., P.L.C., S.T.); Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany (L.U.); and Christian Doppler Laboratory for Clinical Molecular MR Imaging, MOLIMA, Vienna, Austria (W.B., S.T.)
| | - Siegfried Trattnig
- From Siemens Healthcare, Allee am Roethelheimpark 2, 91052 Erlangen, Germany (G.K., R.K., J.P., M.N.); Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany (G.K., B.H.); Siemens Medical Solutions USA, Malvern, Pa (K.L.); Departments of Biomedical Engineering (Y.J., D.M., M. Griswold, V.G.) and Radiology (M. Griswold, V.G.), Case Western Reserve University, Cleveland, Ohio; Department of High Field and Hybrid MR Imaging, University Hospital Essen, Essen, Germany (M. Gratz); Erwin L. Hahn Institute for MRI, University Duisburg-Essen, Essen, Germany (M. Gratz); Department of Biomedical Imaging and Image-guided Therapy, High Field Magnetic Resonance Center, Medical University of Vienna, Vienna, Austria (P.B., W.B., E.S., P.L.C., S.T.); Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany (L.U.); and Christian Doppler Laboratory for Clinical Molecular MR Imaging, MOLIMA, Vienna, Austria (W.B., S.T.)
| | - Mark Griswold
- From Siemens Healthcare, Allee am Roethelheimpark 2, 91052 Erlangen, Germany (G.K., R.K., J.P., M.N.); Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany (G.K., B.H.); Siemens Medical Solutions USA, Malvern, Pa (K.L.); Departments of Biomedical Engineering (Y.J., D.M., M. Griswold, V.G.) and Radiology (M. Griswold, V.G.), Case Western Reserve University, Cleveland, Ohio; Department of High Field and Hybrid MR Imaging, University Hospital Essen, Essen, Germany (M. Gratz); Erwin L. Hahn Institute for MRI, University Duisburg-Essen, Essen, Germany (M. Gratz); Department of Biomedical Imaging and Image-guided Therapy, High Field Magnetic Resonance Center, Medical University of Vienna, Vienna, Austria (P.B., W.B., E.S., P.L.C., S.T.); Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany (L.U.); and Christian Doppler Laboratory for Clinical Molecular MR Imaging, MOLIMA, Vienna, Austria (W.B., S.T.)
| | - Vikas Gulani
- From Siemens Healthcare, Allee am Roethelheimpark 2, 91052 Erlangen, Germany (G.K., R.K., J.P., M.N.); Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany (G.K., B.H.); Siemens Medical Solutions USA, Malvern, Pa (K.L.); Departments of Biomedical Engineering (Y.J., D.M., M. Griswold, V.G.) and Radiology (M. Griswold, V.G.), Case Western Reserve University, Cleveland, Ohio; Department of High Field and Hybrid MR Imaging, University Hospital Essen, Essen, Germany (M. Gratz); Erwin L. Hahn Institute for MRI, University Duisburg-Essen, Essen, Germany (M. Gratz); Department of Biomedical Imaging and Image-guided Therapy, High Field Magnetic Resonance Center, Medical University of Vienna, Vienna, Austria (P.B., W.B., E.S., P.L.C., S.T.); Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany (L.U.); and Christian Doppler Laboratory for Clinical Molecular MR Imaging, MOLIMA, Vienna, Austria (W.B., S.T.)
| | - Mathias Nittka
- From Siemens Healthcare, Allee am Roethelheimpark 2, 91052 Erlangen, Germany (G.K., R.K., J.P., M.N.); Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany (G.K., B.H.); Siemens Medical Solutions USA, Malvern, Pa (K.L.); Departments of Biomedical Engineering (Y.J., D.M., M. Griswold, V.G.) and Radiology (M. Griswold, V.G.), Case Western Reserve University, Cleveland, Ohio; Department of High Field and Hybrid MR Imaging, University Hospital Essen, Essen, Germany (M. Gratz); Erwin L. Hahn Institute for MRI, University Duisburg-Essen, Essen, Germany (M. Gratz); Department of Biomedical Imaging and Image-guided Therapy, High Field Magnetic Resonance Center, Medical University of Vienna, Vienna, Austria (P.B., W.B., E.S., P.L.C., S.T.); Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany (L.U.); and Christian Doppler Laboratory for Clinical Molecular MR Imaging, MOLIMA, Vienna, Austria (W.B., S.T.)
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