Evidence map›Paper›PMID 37014405›Full record

ArticleEuropean radiology2023

Liver PDFF estimation using a multi-decoder water-fat separation neural network with a reduced number of echoes.

Juan Pablo Meneses, Cristobal Arrieta, Gabriel Della Maggiora, Cecilia Besa, Jesús Urbina, Marco Arrese, Juan Cristóbal Gana, Jose E Galgani, Cristian Tejos, Sergio Uribe

Abstract read
In one paragraph

Article in European radiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

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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

2 citing papers in PubMed.

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4 · The record

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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

10 authors.

Juan Pablo MenesesBiomedical Imaging Center, Pontificia Universidad Católica de Chile, Santiago, Chile.ORCID http://orcid.org/0000-0003-3313-5713
Cristobal ArrietaMillennium Institute for Intelligent Healthcare Engineering iHEALTH, Santiago, Chile.
Gabriel Della MaggioraBiomedical Imaging Center, Pontificia Universidad Católica de Chile, Santiago, Chile.
Cecilia BesaMillennium Institute for Intelligent Healthcare Engineering iHEALTH, Santiago, Chile.
Jesús UrbinaBiomedical Imaging Center, Pontificia Universidad Católica de Chile, Santiago, Chile.
Marco ArreseDepartment of Gastroenterology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
Juan Cristóbal GanaDepartment of Pediatric Gastroenterology and Nutrition, Division of Pediatrics, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
Jose E GalganiDepartment of Health Sciences, Nutrition and Dietetics Career, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
Cristian TejosBiomedical Imaging Center, Pontificia Universidad Católica de Chile, Santiago, Chile.
Sergio UribeBiomedical Imaging Center, Pontificia Universidad Católica de Chile, Santiago, Chile. sergio.uribe@monash.edu.

Funding

ANID FONDECYT Postdoctorado 2019 3190763Anillo PIA ACT192064Fondecyt 1191145Fondecyt 1191710Fondecyt 1231535i-Health Millennium Institute for Intelligent Healthcare Engineering ICN2021_004National Agency for Research and Development (ANID) / Scholarship Program / DOCTORADO BECAS CHILE/2020 21210665
6 · The paper itself

Abstract

objectiveTo accurately estimate liver PDFF from chemical shift-encoded (CSE) MRI using a deep learning (DL)-based Multi-Decoder Water-Fat separation Network (MDWF-Net), that operates over complex-valued CSE-MR images with only 3 echoes.

methodsThe proposed MDWF-Net and a U-Net model were independently trained using the first 3 echoes of MRI data from 134 subjects, acquired with conventional 6-echoes abdomen protocol at 1.5 T. Resulting models were then evaluated using unseen CSE-MR images obtained from 14 subjects that were acquired with a 3-echoes CSE-MR pulse sequence with a shorter duration compared to the standard protocol. Resulting PDFF maps were qualitatively assessed by two radiologists, and quantitatively assessed at two corresponding liver ROIs, using Bland Altman and regression analysis for mean values, and ANOVA testing for standard deviation (STD) (significance level: .05). A 6-echo graph cut was considered ground truth.

resultsAssessment of radiologists demonstrated that, unlike U-Net, MDWF-Net had a similar quality to the ground truth, despite it considered half of the information. Regarding PDFF mean values at ROIs, MDWF-Net showed a better agreement with ground truth (regression slope = 0.94, R

conclusionMDWF-Net showed a liver PDFF accuracy comparable to the reference graph cut method, using only 3 echoes and thus allowing a reduction in the acquisition times. CLINICAL RELEVANCE STATEMENT: We have prospectively validated that the use of a multi-decoder convolutional neural network to estimate liver proton density fat fraction allows a significant reduction in MR scan time by reducing the number of echoes required by 50%. KEY POINTS: • Novel water-fat separation neural network allows for liver PDFF estimation by using multi-echo MR images with a reduced number of echoes. • Prospective single-center validation demonstrated that echo reduction leads to a significant shortening of the scan time, compared to standard 6-echo acquisition. • Qualitative and quantitative performance of the proposed method showed no significant differences in PDFF estimation with respect to the reference technique.

Indexed as

LiverWaterAbdomenHumansMagnetic Resonance ImagingNeural Networks, ComputerProspective StudiesReproducibility of ResultsWaterBiomarkersDeep leaningLiverMagnetic resonance imagingNon-alcoholic fatty Liver disease

Identifiers

PMID37014405
PMCPMC10415440

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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.