This analysis evaluates image quality and diagnostic confidence in ultrahigh-gradient diffusion-weighted imaging of prostate MRI, indicating critical challenges.
Acquired ultrahigh b-values (b2500-4500) using ultrahigh gradients of up to 140 T/m were utilized for prostate DWI. Both, overall image quality and diagnostic confidence decreased from good for DWI(b1500) to non-diagnostic for DWI(b4500). PI-RADS agreement between DWI(b1500) and DWI(b2500) was good, while it was only moderate between DWI(b1500) and DWI(b4500).
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Bischoff et al. (2026) studied this question.
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