{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T02:35:27Z","timestamp":1784082927957,"version":"3.55.0"},"reference-count":37,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,6,19]],"date-time":"2023-06-19T00:00:00Z","timestamp":1687132800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Magnetic Resonance Imaging"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The choice between different diffusion\u2010weighted imaging (DWI) techniques is difficult as each comes with tradeoffs for efficient clinical routine imaging and apparent diffusion coefficient (ADC) accuracy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To quantify signal\u2010to\u2010noise\u2010ratio (SNR) efficiency, ADC accuracy, artifacts, and distortions for different DWI acquisition techniques, coils, and scanners.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Type<\/jats:title><jats:p>Phantom, in vivo intraindividual biomarker accuracy between DWI techniques and independent ratings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population\/Phantoms<\/jats:title><jats:p>NIST diffusion phantom.<\/jats:p><jats:p>51 Patients: 40 with prostate cancer and 11 with head\u2010and\u2010neck cancer at 1.<jats:styled-content style=\"fixed-case\">5\u2009T<\/jats:styled-content><\/jats:p><\/jats:sec><jats:sec><jats:title>Field Strength\/Sequence<\/jats:title><jats:p>Echo planar imaging (EPI): 1.5\u2009T and 3\u2009T Siemens; 3\u2009T Philips.<\/jats:p><jats:p>Distortion\u2010reducing: RESOLVE (1.5 and 3\u2009T Siemens); Turbo Spin Echo (TSE)\u2010SPLICE (3\u2009T Philips).<\/jats:p><jats:p>Small field\u2010of\u2010view (FOV): ZoomitPro (1.5\u2009T Siemens); IRIS (3\u2009T Philips).<\/jats:p><jats:p>Head\u2010and\u2010neck and flexible coils.<\/jats:p><\/jats:sec><jats:sec><jats:title>Assessment<\/jats:title><jats:p>SNR Efficiency, geometrical distortions, and susceptibility artifacts were quantified for different b\u2010values in a phantom. ADC accuracy\/agreement was quantified in phantom and for 51 patients. In vivo image quality was independently rated by four experts.<\/jats:p><\/jats:sec><jats:sec><jats:title>Statistical Tests<\/jats:title><jats:p>QIBA methodology for accuracy: trueness, repeatability, reproducibility, Bland\u2013Altman 95% Limits\u2010of\u2010Agreement (LOA) for ADC. Wilcoxon Signed\u2010Rank and student tests on <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05 level.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The ZoomitPro small FOV sequence improved b\u2010image efficiency by 8%\u201314%, reduced artifacts and observer scoring for most raters at the cost of smaller FOV compared to EPI. The TSE\u2010SPLICE technique reduced artifacts almost completely at a 24% efficiency cost compared to EPI for <jats:italic>b<\/jats:italic>\u2010values \u2264500\u2009sec\/mm<jats:sup>2<\/jats:sup>. Phantom ADC 95% LOA trueness were within \u00b10.03\u2009\u00d7\u200910<jats:sup>\u22123<\/jats:sup>\u2009mm<jats:sup>2<\/jats:sup>\/sec except for small FOV IRIS. The in vivo ADC agreement between techniques, however, resulted in 95% LOAs in the order of \u00b10.3\u2009\u00d7\u200910<jats:sup>\u22123<\/jats:sup>\u2009mm<jats:sup>2<\/jats:sup>\/sec with up to 0.2\u2009\u00d7\u200910<jats:sup>\u22123<\/jats:sup>\u2009mm<jats:sup>2<\/jats:sup>\/sec of bias.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Conclusion<\/jats:title><jats:p>ZoomitPro for Siemens and TSE SPLICE for Philips resulted in a trade\u2010off between efficiency and artifacts. Phantom ADC quality control largely underestimated in vivo accuracy: significant ADC bias and variability was found between techniques in vivo.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>3<\/jats:p><\/jats:sec><jats:sec><jats:title>Technical Efficacy Stage<\/jats:title><jats:p>2<\/jats:p><\/jats:sec>","DOI":"10.1002\/jmri.28869","type":"journal-article","created":{"date-parts":[[2023,6,19]],"date-time":"2023-06-19T12:42:30Z","timestamp":1687178550000},"page":"311-322","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Efficiency and Accuracy Evaluation of Multiple Diffusion\u2010Weighted <scp>MRI<\/scp> Techniques Across Different Scanners"],"prefix":"10.1002","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0903-4189","authenticated-orcid":false,"given":"Frederik","family":"Crop","sequence":"first","affiliation":[{"name":"Department of Medical Physics Centre 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