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Purpose: To develop an algorithm for the retrospective correction of signal dropout artifacts in abdominal diffusion-weighted imaging (DWI) resulting from cardiac motion. Methods: Given a set of image repetitions for a slice, a locally adaptive weighted averaging is proposed which aims to suppress the contribution of image regions affected by signal dropouts. Corresponding weight maps were estimated by a sliding-window algorithm which analyzed signal deviations from a patch-wise reference. In order to ensure the computation of a robust reference, repetitions were filtered by a classifier that was trained to detect images corrupted by signal dropouts. The proposed method, termed Deep Learning-guided Adaptive Weighted Averaging (DLAWA), was evaluated in terms of dropout suppression capability, bias reduction in the Apparent Diffusion Coefficient (ADC) and noise characteristics. Results: In the case of uniform averaging, motion-related dropouts caused signal attenuation and ADC overestimation in parts of the liver with the left lobe being affected particularly. Both effects could be substantially mitigated by DLAWA while preventing global penalties with respect to signal-to-noise ratio (SNR) due to local signal suppression. Performing evaluations on patient data, the capability to recover lesions concealed by signal dropouts was demonstrated as well. Further, DLAWA allowed for transparent control of the trade-off between SNR and signal dropout suppression by means of a few hyperparameters. Conclusion: This work presents an effective and flexible method for the local compensation of signal dropouts resulting from motion and pulsation. Since DLAWA follows a retrospective approach, no changes to the acquisition are required., Submitted to Magnetic Resonance in Medicine

OBJECTIVE. This and its companion article address the 10 most frequently asked questions that radiologists face when planning, performing, processing, and interpreting different MR perfusion studies in CNS imaging. CONCLUSION. Perfusion MRI is a promising tool in assessing stroke, brain tumors, and patients with neurodegenerative diseases. Most of the impediments that have limited the use of perfusion MRI can be overcome to allow integration of these methods into modern neuroimaging protocols. © American Roentgen Ray Society.

OBJECTIVE. This and its companion article address the 10 most frequently asked questions that radiologists face when planning, performing, processing, and interpreting different MR perfusion studies in CNS imaging. CONCLUSION. Perfusion MRI is a promising tool in assessing stroke, brain tumors, and patients with neurodegenerative diseases. Most of the impediments that have limited the use of perfusion MRI can be overcome to allow integration of these methods into modern neuroimaging protocols.