TY - JOUR
T1 - Multi-site, multi-platform comparison of MRI T1 measurement using the system phantom
AU - Keenan, Kathryn E.
AU - Gimbutas, Zydrunas
AU - Dienstfrey, Andrew
AU - Stupic, Karl F.
AU - Boss, Michael A.
AU - Russek, Stephen E.
AU - Chenevert, Thomas L.
AU - Prasad, P. V.
AU - Guo, Junyu
AU - Reddick, Wilburn E.
AU - Cecil, Kim M.
AU - Shukla-Dave, Amita
AU - Nunez, David Aramburu
AU - Konar, Amaresh Shridhar
AU - Liu, Michael Z.
AU - Jambawalikar, Sachin R.
AU - Schwartz, Lawrence H.
AU - Zheng, Jie
AU - Hu, Peng
AU - Jackson, Edward F.
N1 - Publisher Copyright:
© 2021 Public Library of Science. All rights reserved.
PY - 2021/6
Y1 - 2021/6
N2 - Recent innovations in quantitative magnetic resonance imaging (MRI) measurement methods have led to improvements in accuracy, repeatability, and acquisition speed, and have prompted renewed interest to reevaluate the medical value of quantitative T1. The purpose of this study was to determine the bias and reproducibility of T1 measurements in a variety of MRI systems with an eye toward assessing the feasibility of applying diagnostic threshold T1 measurement across multiple clinical sites. We used the International Society of Magnetic Resonance in Medicine/National Institute of Standards and Technology (ISMRM/ NIST) system phantom to assess variations of T1 measurements, using a slow, reference standard inversion recovery sequence and a rapid, commonly-available variable flip angle sequence, across MRI systems at 1.5 tesla (T) (two vendors, with number of MRI systems n = 9) and 3 T (three vendors, n = 18). We compared the T1 measurements from inversion recovery and variable flip angle scans to ISMRM/NIST phantom reference values using Analysis of Variance (ANOVA) to test for statistical differences between T1 measurements grouped according to MRI scanner manufacturers and/or static field strengths. The inversion recovery method had minor over- and under-estimations compared to the NMR-measured T1 values at both 1.5 T and 3 T. Variable flip angle measurements had substantially greater deviations from the NMR-measured T1 values than the inversion recovery measurements. At 3 T, the measured variable flip angle T1 for one vendor is significantly different than the other two vendors for most of the samples throughout the clinically relevant range of T1. There was no consistent pattern of discrepancy between vendors. We suggest establishing rigorous quality control procedures for validating quantitative MRI methods to promote confidence and stability in associated measurement techniques and to enable translation of diagnostic threshold from the research center to the entire clinical community.
AB - Recent innovations in quantitative magnetic resonance imaging (MRI) measurement methods have led to improvements in accuracy, repeatability, and acquisition speed, and have prompted renewed interest to reevaluate the medical value of quantitative T1. The purpose of this study was to determine the bias and reproducibility of T1 measurements in a variety of MRI systems with an eye toward assessing the feasibility of applying diagnostic threshold T1 measurement across multiple clinical sites. We used the International Society of Magnetic Resonance in Medicine/National Institute of Standards and Technology (ISMRM/ NIST) system phantom to assess variations of T1 measurements, using a slow, reference standard inversion recovery sequence and a rapid, commonly-available variable flip angle sequence, across MRI systems at 1.5 tesla (T) (two vendors, with number of MRI systems n = 9) and 3 T (three vendors, n = 18). We compared the T1 measurements from inversion recovery and variable flip angle scans to ISMRM/NIST phantom reference values using Analysis of Variance (ANOVA) to test for statistical differences between T1 measurements grouped according to MRI scanner manufacturers and/or static field strengths. The inversion recovery method had minor over- and under-estimations compared to the NMR-measured T1 values at both 1.5 T and 3 T. Variable flip angle measurements had substantially greater deviations from the NMR-measured T1 values than the inversion recovery measurements. At 3 T, the measured variable flip angle T1 for one vendor is significantly different than the other two vendors for most of the samples throughout the clinically relevant range of T1. There was no consistent pattern of discrepancy between vendors. We suggest establishing rigorous quality control procedures for validating quantitative MRI methods to promote confidence and stability in associated measurement techniques and to enable translation of diagnostic threshold from the research center to the entire clinical community.
UR - http://www.scopus.com/inward/record.url?scp=85109038661&partnerID=8YFLogxK
U2 - 10.1371/journal.pone.0252966
DO - 10.1371/journal.pone.0252966
M3 - Article
C2 - 34191819
AN - SCOPUS:85109038661
SN - 1932-6203
VL - 16
JO - PloS one
JF - PloS one
IS - 6 June
M1 - e0252966
ER -