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Previously, accelerated imaging techniques were constrained by a trade-off between noise and resolution. Leveraging deep learning-based reconstruction (DLR) holds the potential to mitigate scan time without compromising image quality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We enrolled a cohort of sixty patients who underwent DL-MRI, conventional MRI, and No-DL MRI examinations to evaluate image quality. Key metrics considered in the assessment included scan duration, overall image quality, quantitative assessments of Relative Signal-to-Noise Ratio (rSNR), Relative Contrast-to-Noise Ratio (rCNR), and diagnostic efficacy. Two experienced radiologists independently assessed image quality using a 5-point scale (5 indicating the highest quality). To gauge interobserver agreement for the assessed pathologies across image sets, we employed weighted kappa statistics. Additionally, the Wilcoxon signed rank test was employed to compare image quality and quantitative rSNR and rCNR measurements.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Scan time was significantly reduced with DL-MRI and represented an approximate 66.5% reduction. DL-MRI consistently exhibited superior image quality in both coronal T2WI and axial T2WI when compared to both conventional MRI (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01) and No-DL-MRI (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01). Interobserver agreement was robust, with kappa values exceeding 0.735. For rSNR data, coronal fat-saturated(FS) T2WI and axial FS T2WI in DL-MRI consistently outperformed No-DL-MRI, with statistical significance (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01) observed in all cases. Similarly, rCNR data revealed significant improvements (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01) in coronal FS T2WI of DL-MRI when compared to No-DL-MRI. Importantly, our findings indicated that DL-MRI demonstrated diagnostic performance comparable to conventional MRI.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Integrating deep learning-based reconstruction methods into standard clinical workflows has the potential to the promise of accelerating image acquisition, enhancing image clarity, and increasing patient throughput, thereby optimizing diagnostic efficiency.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration<\/jats:title>\n                    <jats:p>Retrospectively registered.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12880-025-01554-y","type":"journal-article","created":{"date-parts":[[2025,1,13]],"date-time":"2025-01-13T07:41:59Z","timestamp":1736754119000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Optimizing hip MRI: enhancing image quality and elevating inter-observer consistency using deep learning-powered reconstruction"],"prefix":"10.1186","volume":"25","author":[{"given":"Yimeng","family":"Kang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wenjing","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qingqing","family":"Lv","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qiuying","family":"Tao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jieping","family":"Sun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jinghan","family":"Dang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoyu","family":"Niu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zijun","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shujian","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zanxia","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaiyu","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Baohong","family":"Wen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jingliang","family":"Cheng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yong","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weijian","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,1,13]]},"reference":[{"issue":"12","key":"1554_CR1","doi-asserted-by":"publisher","first-page":"1440","DOI":"10.1016\/j.joca.2012.07.008","volume":"20","author":"FW Roemer","year":"2012","unstructured":"Roemer FW, Guermazi A. 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All study procedures were performed in accordance with the 1975 Declaration of Helsinki, and written informed consent was obtained from all participants before the experiment. It was important to mention that this study also included minor participants under 16 years of age and we had recived informed consent to participate was obtained from the parents or legal guardians of any participant under the age of 16.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"17"}}