This study accelerates MR cholangiopancreatography (MRCP) acquisitions using deep learning-based (DL) reconstruction at 3T and 0.55T. Thirty healthy volunteers underwent conventional two-fold MRCP scans at field strengths of 3T or 0.55T. We trained a variational network (VN) using retrospectively six-fold undersampled data obtained at 3T. We then evaluated our method against standard techniques such as parallel imaging (PI) and compressed sensing (CS), focusing on peak signal-to-noise ratio (PSNR) and structural similarity (SSIM) as metrics. Furthermore, considering acquiring fully-sampled MRCP is impractical, we added a self-supervised DL reconstruction (SSDU) to the evaluating group. We also tested our method in a prospective accelerated scenario to reflect real-world clinical applications and evaluated its adaptability to MRCP at 0.55T. Our method demonstrated a remarkable reduction of average acquisition time from 599/542 to 255/180 seconds for MRCP at 3T/0.55T. In both retrospective and prospective undersampling scenarios, the PSNR and SSIM of VN were higher than those of PI, CS, and SSDU. At the same time, VN preserved the image quality of undersampled data, i.e., sharpness and the visibility of hepatobiliary ducts. In addition, VN also produced high quality reconstructions at 0.55T resulting in the highest PSNR and SSIM. In summary, VN trained for highly accelerated MRCP allows to reduce the acquisition time by a factor of 2.4/3.0 at 3T/0.55T while maintaining the image quality of the conventional acquisition.

Purpose: To evaluate the quality of deep learning reconstruction for prospectively accelerated intraoperative magnetic resonance imaging (iMRI) during resective brain tumor surgery. Materials and Methods: Accelerated iMRI was performed during brain surgery using dual surface coils positioned around the area of resection. A deep learning (DL) model was trained on the fastMRI neuro dataset to mimic the data from the iMRI protocol. Evaluation was performed on imaging material from 40 patients imaged between 01.11.2021 - 01.06.2023 that underwent iMRI during tumor resection surgery. A comparative analysis was conducted between the conventional compressed sense (CS) method and the trained DL reconstruction method. Blinded evaluation of multiple image quality metrics was performed by two working neuro-radiologists and a working neurosurgeon on a 1 to 5 Likert scale (1=non diagnostic, 2=poor, 3=acceptable, 4=good, 5=excellent), and the favored reconstruction variant. Results: The DL reconstruction was strongly favored or favored over the CS reconstruction for 33/40, 39/40, and 8/40 of cases for reader 1, 2, and 3, respectively. Two of three readers consistently assigned higher ratings for the DL reconstructions, and the DL reconstructions had a higher score than their respective CS counterparts for 72%, 72%, and 14% of the cases for reader 1, 2, and 3, respectively. Still, the DL reconstructions exhibited shortcomings such as a striping artifact and reduced signal. Conclusion: DL shows promise to allow for high-quality reconstructions of intraoperative MRI with equal to or improved perceived spatial resolution, signal-to-noise ratio, diagnostic confidence, diagnostic conspicuity, and spatial resolution compared to compressed sense.

To evaluate two settings (noise reduction of 50% or 75%) of a deep learning (DL) reconstruction model relative to each other and to conventional MR image reconstructions on clinical orthopedic MRI datasets. This retrospective study included 54 patients who underwent two-dimensional fast spin-echo MRI for hip (n 22; mean age, 44 years 13 [standard deviation]; nine men) or shoulder (n 32; mean age, 56 years 17; 17 men) conditions between March 2019 and June 2020. MR images were reconstructed with conventional methods and the vendor-provided and commercially available DL model applied with 50% and 75% noise reduction settings (DL 50 and DL 75, respectively). Quantitative analytics, including relative anatomic edge sharpness, relative signal-to-noise ratio (rSNR), and relative contrast-to-noise ratio (rCNR) were computed for each dataset. In addition, the image sets were randomized, blinded, and presented to three board-certified musculoskeletal radiologists for ranking based on overall image quality and diagnostic confidence.