Abstract
Objective
We aimed to compare the diagnostic performance of post-contrast 3D compressed sensing volume-interpolated breath-hold examination (CS-VIBE) and 3D T1 magnetization-prepared rapid-acquisition gradient-echo (MPRAGE) in detecting facial neuritis.
Materials and methods
Between February 2019 and September 2019, 60 patients (30 facial palsy patients and 30 controls) who underwent contrast-enhanced cranial nerve MRI with both conventional MPRAGE and CS-VIBE (scan time: 6 min 8 s vs. 2 min 48 s) were included in this retrospective study. All images were independently reviewed by three radiologists for the presence of facial neuritis. In patients with facial palsy, signal-to-noise ratio (SNR) of the pons, enhancement degree and contrast-to-noise ratio (CNRnerve-CSF) of the facial nerve were measured. The overall image quality, artifacts, and facial nerve discrimination were analyzed. The sensitivity and specificity of both sequences were calculated with the clinical diagnosis as a reference.
Results
CS-VIBE had comparable performance in the detection of facial neuritis to that of MPRAGE (sensitivity and specificity, 97.8% and 99.4% vs. 100.0% and 99.4% in pooled analysis; 97.8% and 98.9% vs. 100.0% and 98.9% in patents with facial palsy, p value > 0.05 for all). CS-VIBE showed significantly lower SNR (p value < 0.001 for all), but significantly higher CNRnerve-CSF (p value < 0.05 for all) than MPRAGE. CS-VIBE also performed better in the overall image quality, artifacts, and facial nerve discrimination than MPRAGE (p value < 0.001 for all).
Conclusion
CS-VIBE achieved comparable diagnostic performance for facial neuritis compared to the conventional MPRAGE, with the scan time being half of that of MPRAGE.
Key Points
• Post-contrast 3D CS-VIBE MRI is a reliable method for the diagnosis of facial neuritis.
• CS-VIBE reduces the scan time of cranial nerve MRI by more than half compared to conventional T1-weighted image.
• CS-VIBE had better performance in contrast-to-noise ratio and favorable image quality compared with conventional T1-weighted image.
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Abbreviations
- 3D:
-
Three-dimensional
- CNR:
-
Contrast-to-noise ratio
- CS:
-
Compressed sensing
- CSF:
-
Cerebrospinal fluid
- CS-VIBE:
-
Compressed sensing volume-interpolated breath-hold examination
- MPRAGE:
-
Magnetization-prepared rapid-acquisition gradient-echo
- SD:
-
Standard deviation
- SNR:
-
Signal-to-noise ratio
- VIBE:
-
Volume-interpolated breath-hold examination
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Acknowledgements
Dominik Nickel at Siemens Healthcare GmbH and InSeong Kim and Jae Kon Sung at Siemens Healthineers Ltd. helped to obtain, install, and optimize scan parameters of CS-VIBE sequence.
Funding
This research was supported by the Chung-Ang University Research Grants in 2020.
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The scientific guarantor of this publication is Jun Soo Byun.
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The authors of this manuscript declare relationships with the following companies: Dominik Nickel at Siemens Healthcare GmbH and InSeong Kim and Jae Kon Sung at Siemens Healthineers Ltd. The authors helped to obtain, install, and optimize scan parameters of CS-VIBE sequence.
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No complex statistical methods were necessary for this paper.
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Written informed consent was waived by the Institutional Review Board.
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•retrospective
•diagnostic study
•performed at one institution
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Chung, M.S., Yim, Y., Sung, J.K. et al. CS-VIBE accelerates cranial nerve MR imaging for the diagnosis of facial neuritis: comparison of the diagnostic performance of post-contrast MPRAGE and CS-VIBE. Eur Radiol 32, 223–233 (2022). https://doi.org/10.1007/s00330-021-08102-6
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DOI: https://doi.org/10.1007/s00330-021-08102-6