Deep Learning-Accelerated Prostate MRI: Improving Speed, Accuracy, and Sustainability

Rationale and Objectives This study aims to evaluate the effectiveness of a deep learning (DL)-enhanced four-fold parallel acquisition technique (P4) in improving prostate MR image quality while optimizing scan efficiency compared to the traditional two-fold parallel acquisition technique (P2). Materials and Methods Patients undergoing prostate MRI with DL-enhanced acquisitions were analyzed from January 2024 to July 2024. The participants prospectively received T2-weighted sequences in all imaging planes using both P2 and P4. Three independent readers assessed image quality, signal-to-noise ratio (SNR), contrast-to-noise ratio (CNR). Significant differences in contrast and gray-level properties between P2 and P4 were identified through radiomics analysis (p <.05). Results A total of 51 participants (mean age 69.4 years ± 10.5 years) underwent P2 and P4 imaging. P4 demonstrated higher CNR and SNR values compared to P2 (p <.001). P4 was consistently rated superior to P2, demonstrating enhanced image quality and greater diagnostic precision across all evaluated categories (p <.001). Furthermore, radiomics analysis confirmed that P4 significantly altered structural and textural differentiation in comparison to P2. The P4 protocol reduced T2w scan times by 50.8%, from 11:48 min to 5:48 min (p <.001). Conclusion In conclusion, P4 imaging enhances diagnostic quality and reduces scan times, improving workflow efficiency, and potentially contributing to a more patient-centered and sustainable radiology practice.