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Clinical prostate T2 quantification using magnetization-prepared spiral imaging

✍ Scribed by Warren D. Foltz; Supriya Chopra; Peter Chung; Andrew Bayley; Charles Catton; David Jaffray; Graham A. Wright; Masoom A. Haider; Cynthia Ménard


Publisher
John Wiley and Sons
Year
2010
Tongue
English
Weight
407 KB
Volume
64
Category
Article
ISSN
0740-3194

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✦ Synopsis


Abstract

T~2~ quantification may augment diagnostic T~2~‐weighted imaging; to improve cancer detection via auto‐segmentation of multi‐parametric acquisitions and to potentiate longitudinal studies of prostate cancer. However, robust quantitative techniques are not generally accessible or refined for clinical translation. This research describes the adaptation of a magnetization‐prepared spiral imaging technique, termed T2prep for prostate application, providing whole gland coverage within a 5‐min interval with considerable insensitivity to radio‐frequency (RF) inhomogeneities. Clinical piloting in two cohorts with distinct clinical histories demonstrated the anticipated differences in zonal and tumor T~2~, including tumor T~2~ shortening compared to peripheral zone, and post‐radiotherapy shortening of peripheral zone T~2~. SNR calculations were performed for data acquired with or without an endo‐rectal coil in tandem with a torso phased array, to judge the potential for voxel‐based T~2~ mapping and thereby support focal biological characterization of cancer, hypoxia, and response to therapy within regions of dense cancer burden. Magn Reson Med, 2010. © 2010 Wiley‐Liss, Inc.