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中性供应商序列和完全透明的工作流程可提高定量 MRI 的跨供应商可重复性。

Vendor-neutral sequences and fully transparent workflows improve inter-vendor reproducibility of quantitative MRI.

机构信息

NeuroPoly Lab, Institute of Biomedical Engineering, Polytechnique Montréal, Montréal, Quebec, Canada.

Montréal Heart Institute, Montréal, Quebec, Canada.

出版信息

Magn Reson Med. 2022 Sep;88(3):1212-1228. doi: 10.1002/mrm.29292. Epub 2022 Jun 3.

Abstract

PURPOSE

We developed an end-to-end workflow that starts with a vendor-neutral acquisition and tested the hypothesis that vendor-neutral sequences decrease inter-vendor variability of T1, magnetization transfer ratio (MTR), and magnetization transfer saturation-index (MTsat) measurements.

METHODS

We developed and deployed a vendor-neutral 3D spoiled gradient-echo (SPGR) sequence on three clinical scanners by two MRI vendors. We then acquired T1 maps on the ISMRM-NIST system phantom, as well as T1, MTR, and MTsat maps in three healthy participants. We performed hierarchical shift function analysis in vivo to characterize the differences between scanners when the vendor-neutral sequence is used instead of commercial vendor implementations. Inter-vendor deviations were compared for statistical significance to test the hypothesis.

RESULTS

In the phantom, the vendor-neutral sequence reduced inter-vendor differences from 8% to 19.4% to 0.2% to 5% with an overall accuracy improvement, reducing ground truth T1 deviations from 7% to 11% to 0.2% to 4%. In vivo, we found that the variability between vendors is significantly reduced (p = 0.015) for all maps (T1, MTR, and MTsat) using the vendor-neutral sequence.

CONCLUSION

We conclude that vendor-neutral workflows are feasible and compatible with clinical MRI scanners. The significant reduction of inter-vendor variability using vendor-neutral sequences has important implications for qMRI research and for the reliability of multicenter clinical trials.

摘要

目的

我们开发了一个端到端的工作流程,从供应商中立的采集开始,并测试了这样一个假设,即供应商中立的序列会降低 T1、磁化转移率(MTR)和磁化转移饱和指数(MTsat)测量的供应商间变异性。

方法

我们通过两家 MRI 供应商在三台临床扫描仪上开发并部署了一个供应商中立的 3D 扰相梯度回波(SPGR)序列。然后,我们在 ISMRM-NIST 系统模型上获取 T1 图谱,以及在三名健康参与者上获取 T1、MTR 和 MTsat 图谱。我们在体内进行了分层移位函数分析,以表征使用供应商中立序列而不是商业供应商实现时扫描仪之间的差异。为了检验假设,我们比较了供应商间偏差的统计学显著性。

结果

在模型中,供应商中立序列将供应商间差异从 8%减少到 19.4%到 0.2%到 5%,整体准确性提高,将真实 T1 偏差从 7%减少到 11%到 0.2%到 4%。在体内,我们发现使用供应商中立序列时,所有图谱(T1、MTR 和 MTsat)的供应商间变异性显著降低(p=0.015)。

结论

我们得出结论,供应商中立的工作流程是可行的,并且与临床 MRI 扫描仪兼容。使用供应商中立的序列显著降低供应商间变异性对于 qMRI 研究以及多中心临床试验的可靠性具有重要意义。

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