Abstract

PurposeProstate diffusion‐weighted MRI scans can suffer from geometric distortions, signal pileup, and signal dropout attributed to differences in tissue susceptibility values at the interface between the prostate and rectal air. The aim of this work is to present and validate a novel model based reconstruction method that can correct for these distortions.MethodsIn regions of severe signal pileup, standard techniques for distortion correction have difficulty recovering the underlying true signal. Furthermore, because of drifts and inaccuracies in the determination of center frequency, echo planar imaging (EPI) scans can be shifted in the phase‐encoding direction. In this work, using a B0 field map and a set of EPI data acquired with blip‐up and blip‐down phase encoding gradients, we model the distortion correction problem linking the distortion‐free image to the acquired raw corrupted k‐space data and solve it in a manner analogous to the sensitivity encoding method. Both a quantitative and qualitative assessment of the proposed method is performed in vivo in 10 patients.ResultsWithout distortion correction, mean Dice similarity scores between a reference T2W and the uncorrected EPI images were 0.64 and 0.60 for b‐values of 0 and 500 s/mm2, respectively. Compared to the Topup (distortion correction method commonly used for neuro imaging), the proposed method achieved Dice scores (0.87 and 0.85 versus 0.82 and 0.80) and better qualitative results in patients where signal pileup was present because of high rectal gas residue.ConclusionModel‐based reconstruction can be used for distortion correction in prostate diffusion MRI.

Highlights

  • Prostate cancer is the most commonly diagnosed cancer in males and the second cause of cancer‐related deaths in men.[1]

  • In this work, using a B0 field map and a set of echo planar imaging (EPI) data acquired with blip‐up and blip‐down phase encoding gradients, we model the distortion correction problem linking the distortion‐free image to the acquired raw corrupted k‐space data and solve it in a manner analogous to the sensitivity encoding method

  • MpMRI is done as a combination of T2‐weighted (T2W), diffusion‐weighted MRI (DWI), and dynamic contrast‐enhanced MRI (DCE) scans, which determine the likelihood of clinically significant cancer at a particular location within prostate.[2,3]

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Summary

Introduction

Prostate cancer is the most commonly diagnosed cancer in males and the second cause of cancer‐related deaths in men.[1] Early detection of prostate cancer can help in better management and treatment of disease when the cancer is still localized. Multiparametric prostate magnetic resonance imaging (mpMRI) is becoming a common tool for early detection and staging of prostate cancer. MpMRI is done as a combination of T2‐weighted (T2W), diffusion‐weighted MRI (DWI), and dynamic contrast‐enhanced MRI (DCE) scans, which determine the likelihood of clinically significant cancer at a particular location within prostate.[2,3] DWI is the main sequence for cancer detection in the peripheral zone of the prostate,[4] where 75% of tumors usually occur.[5] Prostate cancers normally show abnormal diffusion restrictions and high signal in DWI images

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