Evidence map›Paper›PMID 36920515›Full record

ArticlePediatric radiology2023

Whole-body diffusion magnetic resonance imaging with simultaneous multi-slice excitation in children and adolescents.

Paul-Christian Krueger, Martin Krämer, Thomas Benkert, Sophia Ertel, Ulf Teichgräber, Matthias Waginger, Hans-Joachim Mentzel, Katja Glutig

Open access · hybridAbstract read
In one paragraph

Article in Pediatric radiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Paul-Christian KruegerSection Paediatric Radiology, Department of Radiology, Jena University Hospital, Am Klinikum 1, Jena, Germany. paul-christian.krueger@med.uni-jena.de.ORCID 0000-0002-9545-8115
Martin KrämerDepartment of Radiology, Jena University Hospital, Jena, Germany.ORCID 0000-0002-0173-9830
Thomas BenkertMR Application Predevelopment, Siemens Healthcare GmbH, Erlangen, Germany.
Sophia ErtelSection Paediatric Radiology, Department of Radiology, Jena University Hospital, Am Klinikum 1, Jena, Germany.
Ulf TeichgräberDepartment of Radiology, Jena University Hospital, Jena, Germany.ORCID 0000-0002-4048-3938
Matthias WagingerSection Paediatric Radiology, Department of Radiology, Jena University Hospital, Am Klinikum 1, Jena, Germany.
Hans-Joachim MentzelSection Paediatric Radiology, Department of Radiology, Jena University Hospital, Am Klinikum 1, Jena, Germany.ORCID 0000-0002-0199-3257
Katja GlutigSection Paediatric Radiology, Department of Radiology, Jena University Hospital, Am Klinikum 1, Jena, Germany.ORCID 0000-0001-7669-5193
Jena University Hospital · DESiemens Healthineers (Germany) · DEUniversity of Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhole-body magnetic resonance imaging (WB-MRI) is an increasingly used guideline-based imaging modality for oncological and non-oncological pathologies during childhood and adolescence. While diffusion-weighted imaging (DWI), a part of WB-MRI, enhances image interpretation and improves sensitivity, it also requires the longest acquisition time during a typical WB-MRI scan protocol. Interleaved short tau inversion recovery (STIR) DWI with simultaneous multi-slice (SMS) acquisition is an effective way to speed up examinations.

objectiveIn this study of children and adolescents, we compared the acquisition time, image quality, signal-to-noise ratio (SNR) and apparent diffusion coefficient (ADC) values of an interleaved STIR SMS-DWI sequence with a standard non-accelerated DWI sequence for WB-MRI. MATERIALS AND

methodsTwenty children and adolescents (mean age: 13.9 years) who received two WB-MRI scans at a maximum interval of 18 months, consisting of either standard DWI or SMS-DWI MRI, respectively, were included. For quantitative evaluation, the signal-to-noise ratio (SNR) was determined for b800 images and ADC maps of seven anatomical regions. Image quality evaluation was independently performed by two experienced paediatric radiologists using a 5-point Likert scale. The measurement time per slice stack, pause between measurements including shim and total measurement time of DWI for standard DWI and SMS-DWI were extracted directly from the scan data.

resultsWhen including the shim duration, the acquisition time for SMS-DWI was 43% faster than for standard DWI. Qualitatively, the scores of SMS-DWI were higher in six locations in the b800 images and four locations in the ADC maps. There was substantial agreement between both readers, with a Cohen's kappa of 0.75. Quantitatively, the SNR in the b800 images and the ADC maps did not differ significantly from one another.

conclusionWhole body-MRI with SMS-DWI provided equivalent image quality and reduced the acquisition time almost by half compared to the standard WB-DWI protocol.

Indexed as

Magnetic Resonance ImagingWhole Body ImagingAdolescentChildDiffusion Magnetic Resonance ImagingHumansProspective StudiesReproducibility of ResultsAdolescentChildDiffusion magnetic resonance imagingRetrospective studiesSignal-to-noise ratioWhole-body imaging

Identifiers

PMID36920515
PMCPMC10276081
OpenAlexW4324305934

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.