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Deep Learning-Based Reconstruction Algorithm Halves Lumbar MRI Scan Times

By MedImaging International staff writers
Posted on 06 Jul 2023

Image: A deep learning-based reconstruction algorithm has been shown to improve lumbar MRI scan times (Photo courtesy of Freepik)

Low back pain, with its myriad of common and potential causes, can often be identified through magnetic resonance imaging (MRI), a diagnostic imaging modality increasingly utilized in modern medicine. MRI offers superior soft tissue resolution and does not expose patients to ionizing radiation. However, it is impaired by lengthy acquisition times and the need for parameter adjustments to enhance image quality, which can further extend scan times. Over recent years, artificial intelligence (AI), specifically deep learning (DL), has made significant strides in various imaging areas, including image classification, segmentation, denoising, super-resolution, and image synthesis/transformation. Nevertheless, the impact of AI algorithms on routine whole MRI lumbar spine protocol acquisition has yet to be explored.

In a new study, researchers at Sant'Andrea University Hospital (Rome, Italy) compared quantitative and subjective image quality, scanning time, and diagnostic confidence between a novel deep learning-based reconstruction (DLR) algorithm and the standard MRI protocol for the lumbar spine. By using the DLR algorithm, researchers were able to cut the duration of lumbar MRI exams by half. Furthermore, these improved scan times did not compromise image quality but rather enhanced the signal-to-noise ratio. For this study, GE Healthcare's FDA-approved AIR Recon DL algorithm was applied to the exams of 80 healthy volunteers who underwent a 1.5T MRI examination of the lumbar spine between September 2021 and May 2023. Both the DLR algorithm and standard protocols were utilized to complete sequences, which were later assessed by two radiologists who were unaware of the reconstruction techniques used.

The DLR algorithm yielded a notable reduction in protocol scanning time, reducing it from almost 13 minutes to just over 6 minutes. The blinded radiologists reported that the reconstruction algorithm provided a higher SNR across all sequences and superior CNR for axial and sagittal T2-weighted fast spin echo images. Both readers rated the overall image quality for all sequences as superior with the DLR, leading the research team to suggest that the DLR protocol can be safely integrated into clinical practice. The team also noted additional benefits of shortening lumbar MRI protocols, including cost-effectiveness and enhanced patient compliance, especially for those who are claustrophobic or experiencing severe physical pain.

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69 (289.9169921875): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=212 ORDER BY `ordering`

70 (373.84033203125): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294797791 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (!!!!! 2691.0305023193): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294797791 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (90.122222900391): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (51.021575927734): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294797791 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (41.961669921875): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294797791 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (31.948089599609): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (53.167343139648): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (26.226043701172): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 1337.0513916016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797791 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797791 AND published='1' LIMIT 1

105 (111.81831359863): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797791 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797791 AND published='1' LIMIT 1

106 (73.909759521484): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294797791 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (62.942504882812): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294797791 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (696.89750671387): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797791 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797791 AND published='1' LIMIT 1

109 (133.99124145508): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797791 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797791 AND published='1' LIMIT 1

110 (277.04238891602): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294797791 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (580.0724029541): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294797791 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (641.1075592041): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (447.98851013184): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (88.930130004883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797791 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797791 AND published='1' LIMIT 1

115 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797791 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797791 AND published='1' LIMIT 1

116 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797791 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797791 AND published='1' LIMIT 1

117 (43.153762817383): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797791 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797791 AND published='1' LIMIT 1

118 (48.87580871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797791 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797791 AND published='1' LIMIT 1

119 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797791 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797791 AND published='1' LIMIT 1

120 (389.81437683105): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 168449.87869263): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

122 (131.13021850586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797791 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797791 AND published='1' LIMIT 1

123 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797791 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797791 AND published='1' LIMIT 1

124 (587.94021606445): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294797791 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294797791 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 789155.96008301): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

126 (274.1813659668): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (313.04359436035): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

128 (216.00723266602): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

129 (154.97207641602): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

130 (61.988830566406): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

131 (64.13459777832): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

132 (43.869018554688): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

133 (!!!!! 2021.0742950439): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797791 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (!!!!! 1410.0074768066): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797791 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (!!!!! 1147.0317840576): SELECT name FROM jos_deeppockets WHERE id=212

136 (56.028366088867): SELECT name FROM jos_deeppockets WHERE id=212

137 (717.8783416748): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

138 (653.98216247559): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

139 (!!!!! 1855.1349639893): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797791 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797791 AND published='1' LIMIT 1

140 (491.14227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797791 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797791 AND published='1' LIMIT 1

141 (!!!!! 23349.046707153): TRUNCATE TABLE jos_trademed_module

142 (!!!!! 2398.0140686035): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294797791 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (!!!!! 1152.0385742188): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294797791 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (!!!!! 1461.9827270508): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797791 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (106.0962677002): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797791 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (!!!!! 3664.9703979492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797791 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797791 AND published='1' LIMIT 1

147 (563.14468383789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797791 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797791 AND published='1' LIMIT 1

148 (!!!!! 2136.9457244873): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

149 (!!!!! 2604.0077209473): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797791 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797791 AND published='1' LIMIT 1

150 (107.0499420166): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797791 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797791 AND published='1' LIMIT 1

151 (68.902969360352): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294797791 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294797791 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (46.014785766602): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=212 or channel_id is null)

153 (41.007995605469): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=212 or channel_id is null)

154 (52.928924560547): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (108.00361633301): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797791 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797791 AND published='1' LIMIT 1

156 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797791 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797791 AND published='1' LIMIT 1

157 (87.02278137207): select jos_twitters.link from jos_twitters where cat=10

158 (44.822692871094): select jos_facebook.link from jos_facebook where cat=10

159 (41.961669921875): select jos_google_plus.link from jos_google_plus where cat=10

160 (118.97087097168): select jos_linkedin.link from jos_linkedin where cat=10

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