BACKGROUND AND PURPOSE: Head motion causes image degradation in brain MR imaging examinations, negatively impacting image quality, especially in pediatric populations. Here, we used a retrospective motion correction technique in children and assessed image quality improvement for 3D MR imaging acquisitions.
MATERIALS AND METHODS:We prospectively acquired brain MR imaging at 3T using 3D sequences, T1-weighted MPRAGE, T2-weighted TSE, and FLAIR in 32 unsedated children, including 7 with epilepsy (age range, 2-18 years). We implemented a novel motion correction technique through a modification of k-space data acquisition: Distributed and Incoherent Sample Orders for Reconstruction Deblurring by using Encoding Redundancy (DISORDER). For each participant and technique, we obtained 3 reconstructions as acquired (Aq), after DISORDER motion correction (Di), and Di with additional outlier rejection (DiOut). We analyzed 288 images quantitatively, measuring 2 objective no-reference image quality metrics: gradient entropy (GE) and MPRAGE white matter (WM) homogeneity. As a qualitative metric, we presented blinded and randomized images to 2 expert neuroradiologists who scored them for clinical readability.RESULTS: Both image quality metrics improved after motion correction for all modalities, and improvement correlated with the amount of intrascan motion. Neuroradiologists also considered the motion corrected images as of higher quality (Wilcoxon z ¼ À3.164 for MPRAGE; z ¼ À2.066 for TSE; z ¼ À2.645 for FLAIR; all P , .05).
CONCLUSIONS:Retrospective image motion correction with DISORDER increased image quality both from an objective and qualitative perspective. In 75% of sessions, at least 1 sequence was improved by this approach, indicating the benefit of this technique in unsedated children for both clinical and research environments. ABBREVIATIONS: DISORDER ¼ Distributed and Incoherent Sample Orders for Reconstruction Deblurring by using Encoding Redundancy; Aq ¼ acquired; Di ¼ after DISORDER motion correction; DiOut ¼ Di with additional outlier rejection; GE ¼ gradient entropy H ead motion is a common cause of image degradation in brain MR imaging. Motion artifacts negatively impact MR image quality and therefore radiologists' capacity to read the images, ultimately affecting patient clinical care. 1 Motion artifacts are more common in noncompliant patients, 2 but even in compliant adults, intrascan movement is reported in at least 10% of cases. 3 For children who require high-resolution MR images, obtaining optimal image quality can be challenging, owing to the