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Brief ReportPediatric Neuroimaging
Open Access

Low-Field Portable MR Imaging to Evaluate Ventricular Volumes: A Single-Center Retrospective Study

Vivek Velagapudi, Nathan S. Artz, Johnston K. Fite, Sherwin S. Chan and Adam G. Rouse
American Journal of Neuroradiology August 2024, 45 (8) 1076-1080; DOI: https://doi.org/10.3174/ajnr.A8269
Vivek Velagapudi
aFrom the School of Medicine (V.V.), University of Kansas Medical Center, Kansas City, Kansas
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Nathan S. Artz
bDepartment of Radiology (N.S.A., J.K.F., S.S.C.), University of Missouri at Kansas City School of Medicine, Kansas City, Missouri
cDepartment of Radiology (N.S.A., J.K.F., S.S.C.), Children’s Mercy Kansas City, Kansas City, Missouri
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Johnston K. Fite
bDepartment of Radiology (N.S.A., J.K.F., S.S.C.), University of Missouri at Kansas City School of Medicine, Kansas City, Missouri
cDepartment of Radiology (N.S.A., J.K.F., S.S.C.), Children’s Mercy Kansas City, Kansas City, Missouri
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Sherwin S. Chan
bDepartment of Radiology (N.S.A., J.K.F., S.S.C.), University of Missouri at Kansas City School of Medicine, Kansas City, Missouri
cDepartment of Radiology (N.S.A., J.K.F., S.S.C.), Children’s Mercy Kansas City, Kansas City, Missouri
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Adam G. Rouse
dDepartment of Neurosurgery (A.R.), Department of Neurosurgery (A.G.R.), University of Kansas Health System, Kansas City, Kansas
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  • FIG 1.
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    FIG 1.

    Comparison of SOC and portable clinical MR imaging as well as examples of manual segmentation in 1 participant, a 4-day-old boy without intracranial abnormalities such as ischemia or hemorrhage. Segmentation at 1 level of the lateral ventricles is shown here; SOC (A), SOC with segmentation (B), portable (C), portable with segmentation (D). Hyperfine scans were acquired with software, Version 8.1.0.1. TRA indicates transaxial; AXI, axial; R, right; L, left; P, posterior; A, anterior.

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    FIG 2.

    Portable MR imaging versus SOC MR imaging–estimated ventricular volumes. The ventricular volumes using Hyperfine and SOC MR images are plotted. The ventricular volumes of each set of images for the 17 patients were estimated using ITK-SNAP.

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    FIG 3.

    Results of the Bland-Altman analysis. Plot of differences between method A (portable) and method B (SOC), expressed as percentages of the values on the axis [(portable – SOC) / mean%)], versus the mean of the 2 measurements. The bias (mean difference) of 2.06% is constant, with greater variation for lower ventricular volumes. s indicates standard deviation.

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    Table 1:

    General demographics of the study population, including indications for MR imaging that may influence ventricular volumes

    Participants
    No.%
    Biologic sex (at birth)
     Female742
     Male1058
    Ethnicity
     White1165
     African American16
     Asian212
     Other318
    Indication
     Trauma424
     Altered mental status318
     Hemorrhage212
     Ischemic stroke212
     Infection16
     Hydrocephalus00
     Lesion/mass00
    Mean time to acquire images (min)
     SOC23 (SD, 14)
     Low-field32 (SD, 13)
    Age (days)22 (SD, 7)
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    Table 2:

    Scan parameters for SOC and Hyperfine scans used for ventricle volume quantification

    ScanNo.Scan Time (min:sec)In-Plane Resolution (mm)Section Thickness (mm)Section Spacing (mm)TR (ms)TE (ms)TI (ms)
    SOC T2-weighted TSE160:56–5:090.4–0.82–320.43250–598092–104NA
    SOC T2-weighted HASTE10:530.7–0.944.4150084NA
    Hyperfine T2-weighted TSE172:37–9:591.5–22–5NA2000195–261NA
    • Note:—NA indicates not applicable.

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American Journal of Neuroradiology: 45 (8)
American Journal of Neuroradiology
Vol. 45, Issue 8
1 Aug 2024
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Cite this article
Vivek Velagapudi, Nathan S. Artz, Johnston K. Fite, Sherwin S. Chan, Adam G. Rouse
Low-Field Portable MR Imaging to Evaluate Ventricular Volumes: A Single-Center Retrospective Study
American Journal of Neuroradiology Aug 2024, 45 (8) 1076-1080; DOI: 10.3174/ajnr.A8269

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Low-Field MR Imaging for Ventricular Volumes Study
Vivek Velagapudi, Nathan S. Artz, Johnston K. Fite, Sherwin S. Chan, Adam G. Rouse
American Journal of Neuroradiology Aug 2024, 45 (8) 1076-1080; DOI: 10.3174/ajnr.A8269
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