Objectives
To assess the applicability of Dixon RAdial Volumetric Encoding (Dixon-RAVE) for comprehensive dynamic contrast-enhanced 3D MR imaging of the breast using a combination of radial sampling, model-based fat/water separation, compressed sensing, and parallel imaging.
Materials and Methods
In this Health Insurance Portability and Accountability Act (HIPAA)-compliant prospective study, 24 consecutive patients underwent bilateral breast MRI, including both conventional fat-suppressed and non-fat-suppressed pre-contrast T1-weighted Volumetric Interpolated Breath-hold Examination (VIBE). Afterwards, one continuous Dixon-RAVE scan was performed with the proposed approach while the contrast agent was injected. This scan was immediately followed by the acquisition of four conventional fat-saturated VIBE scans. From the comprehensive Dixon-RAVE dataset, different image contrasts were reconstructed that are comparable to the separate conventional VIBE scans.
Two radiologists independently rated image quality (IQ), conspicuity of fibroglandular tissue from fat (FG), and degree of fat suppression (FS) on a 5-point Likert-type scale for the following three comparisons: pre-contrast fat-suppressed (pre-FS), pre-contrast non-fat-suppressed (pre-NFS), and dynamic fat-suppressed (dyn-FS) images.
Results
When scores were averaged over readers, Dixon-RAVE achieved significantly higher (p < 0.001) degree of fat suppression compared to VIBE, for both pre-FS (4.25 vs. 3.67) and dyn-FS (4.10 vs. 3.46) images. Although Dixon-RAVE had lower IQ score compared to VIBE for the pre-FS (3.56 vs. 3.67, p = 0.490), the pre-NFS (3.54 vs. 3.88, p = 0.009), and the dyn-FS images (3.06 vs. 3.67, p < 0.001), acceptable or better diagnostic quality was achieved (score ≥ 3). The FG score for Dixon-RAVE in comparison to VIBE was significantly higher for the pre-FS image (4.23 vs. 3.85, p = 0.044), lower for the pre-NFS image (3.98 vs. 4.25, p = 0.054), and higher for the dynamic fat-suppressed image (3.90 vs. 3.85, p = 0.845).
Conclusions
Dixon-RAVE can serve as one-stop-shop approach for comprehensive T1-weighted breast MRI with diagnostic image quality, high spatiotemporal resolution, reduced overall scan time, and improved fat suppression compared to conventional imaging.