Abstract

Simple SummaryDue to the central role of magnetic resonance Imaging (MRI) in the management of patients with cancer, waiting lists exceed clinically relevant delays. For this reason, many research groups and MRI manufacturers develop algorithms as resampling and denoising models to allow faster acquisition time without deterioration in image quality. Whereas these algorithms are available in all new MRI, it is not clear how they will impact image features as well as the validity of statistical model of radiomics which use deep images characteristics to predict treatment outcome. The aim of this study was to develop resampling and denoising deep learning (DL) models and evaluate their impact on radiomics from post-Gd-T1w-MRI brain images with brain metastases. We show that resampling and denoising DL models reconstruct low resolution and noised MRI images acquired quickly into high quality images. While fast acquisition loses most of the radiomic-features and invalidates predictive radiomic models, DL models restore these parameters.Background: Magnetic resonance imaging (MRI) is predominant in the therapeutic management of cancer patients, unfortunately, patients have to wait a long time to get an appointment for examination. Therefore, new MRI devices include deep-learning (DL) solutions to save acquisition time. However, the impact of these algorithms on intensity and texture parameters has been poorly studied. The aim of this study was to evaluate the impact of resampling and denoising DL models on radiomics. Methods: Resampling and denoising DL model was developed on 14,243 T1 brain images from 1.5T-MRI. Radiomics were extracted from 40 brain metastases from 11 patients (2049 images). A total of 104 texture features of DL images were compared to original images with paired t-test, Pearson correlation and concordance-correlation-coefficient (CCC). Results: When two times shorter image acquisition shows strong disparities with the originals concerning the radiomics, with significant differences and loss of correlation of 79.81% and 48.08%, respectively. Interestingly, DL models restore textures with 46.15% of unstable parameters and 25.96% of low CCC and without difference for the first-order intensity parameters. Conclusions: Resampling and denoising DL models reconstruct low resolution and noised MRI images acquired quickly into high quality images. While fast MRI acquisition loses most of the radiomic features, DL models restore these parameters.

Highlights

  • Multimodal imaging is a central diagnostic tool in medicine, especially for the management of patients with cancers

  • We focus on the effect of Artificial intelligence (AI) denoising and resampling on radiomics predictive models

  • The DL model developed in this study allows 128 × 128 pixel images with a number of average (NEX) of 1, to be reconstructed as 256 × 256 T1 images of good quality, similar to the reference image acquired in clinical routines with a number of excitation (NEX) of 2 and an acquisition time twice as long

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Summary

Introduction

Multimodal imaging is a central diagnostic tool in medicine, especially for the management of patients with cancers. MRI is used for the diagnosis and treatment follow-up of patients, which has placed a significant demand on resources All of these factors have led to an increased delay in obtaining an MRI appointment with waiting times up to weeks or month(s) in France/Europe (30 days on average) [2]. Several approaches have been developed, such as partial Fourier transforms and parallel imaging These techniques cause significant image degradation [3,4]. Compressed sensing, a signal processing technique for efficient signal acquisition and reconstruction by finding solutions to underdetermined linear systems, undersample the k-space This allows for shorter acquisition times and estimation of the non-acquired k-space data through an iterative process [5]. While fast MRI acquisition loses most of the radiomic features, DL models restore these parameters

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