Diffusion MRI using two-dimensional single-shot radial imaging (2D ss-rDWI) with variable flip angle and random view ordering

CSR-PERT: Joint framework for MRI and HARDI data reconstruction using perturbed radial trajectory estimated from compressively sensed measurements

Radial sampling pattern is an important signal acquisition strategy in magnetic resonance imaging (MRI) owing to better immunity to motion-induced artifacts and less pronounced aliasing due to undersampling compared to the Cartesian sampling. These advantages of radial sampling can be exploited in acquisition of multidimensional signals such as High Angular Resolution Diffusion Imaging (HARDI), with tremendous scope of acceleration. Despite such benefits, gradient delays lead to samples being acquired from unknown miscentered radial trajectories, severely degrading the image reconstruction quality. In the present work, we propose Csr-Pert that is a joint framework, wherein these perturbed radial trajectories are estimated and utilized for image reconstruction from the compressively sensed measurements of (i) MRI data and (ii) HARDI data. The proposed Csr-Pert method is tested on one real MRI dataset with trajectory deviations and is observed to perform better than the existing state-of-the-art method at high acceleration factors up to 8. To the best of our knowledge, this is the first work to address the problem of estimating perturbed trajectories using the compressively sensed MRI and HARDI data. The method is also tested for varying combinations of trajectory deviations and sampling proportions. It is observed to yield very good quality HARDI reconstruction for a wide variety of scenarios. We have also demonstrated the robustness of the proposed method on real datasets in clinical settings assuming perturbed as well as noisy trajectories.

Bosniak classification of cystic renal masses, version 2019: Is it helpful to incorporate the diffusion weighted imaging characteristic of lesions into the guideline?

Objective

To improve understanding of diffusion weighted imaging (DWI) characteristic of MRI and clinical variables, further optimize the Bosniak classification for diagnosis of cystic renal masses (CRMs).

Methods

This study retrospectively analyzed 130 CRMs in 125 patients with CT or MRI, including 87 patients with DWI (b = 600, 1000 s/mm2). Clinical variables and histopathological results were recorded. Two radiologists in consensus analyzed images of each lesion for the size, thickness of wall, number of septum, enhancement of wall/septum, wall nodule, signal intensity on DWI, calcification, and cyst content. Clinical variables, CT and MRI image characteristics were compared with pathology or follow-up results to evaluate the diagnostic performance for CRMs.

Results

Of the 130 lesions in 125 patients, histological analysis reported that 36 were malignant, 38 were benign, and no change was found in 56 followed-up lesions (mean follow-up of 24 months). The incidences of cystic wall thickened, more septa, measurable enhancement of wall/septum, nodule(s) on CT/MRI, and high signal intensity on DWI were significantly higher in malignant than in benign CRMs (CT: p = 0.005, p < 0.001, p < 0.001, p < 0.001, p < 0.001; MRI: p < 0.001, p < 0.001, p < 0.001, p < 0.001, p < 0.001, p < 0.001). Combination of MRI including DWI features with CT findings showed the highest area under ROC curve (0.973) in distinguishing benign and malignant CRMs.

Conclusions

Incorporating DWI characteristic of CRMs into Bosniak classification helps to improve diagnostic efficiency.