# Relative SNR Measurements in Supine vs. Prone Breast MRI

## TL;DR

This study compares the signal quality of breast MRI scans taken in supine and prone positions, finding that supine imaging generally provides better signal quality.

## Contribution

The study introduces a tissue-independent relative SNR metric to compare MRI signal quality in supine and prone positions.

## Key findings

- Supine position provided significantly higher rSNR in breast tissue and chest wall for all subjects.
- Axilla rSNR was higher in supine for four subjects and higher in prone for another four.
- Tissue closer than 4cm to the coil in supine position showed higher SNR.

## Abstract

Supine breast MRI has the potential to improve patient comfort compared to prone breast MRI, in addition to providing images in the same position as subsequent treatment protocols. Novel flexible coil arrays have enabled high SNR and parallel imaging in supine breast imaging, but the combined effect of coil and patient positioning on SNR has yet to be investigated. The aim of this study is to use a tissue‐independent metric to account for tissue deformation to compare SNR between prone and supine positions, using appropriate coils for each.

Relative SNR (rSNR) metric is proposed as the ratio of SNR between a breast coil and a body coil. This metric is demonstrated to be tissue‐independent, allowing for easier SNR comparisons in cases of tissue deformation. We scanned 10 female subjects and compared the rSNR in segmented regions consisting of breast tissue, chest wall, and axilla between prone and supine breast imaging.

The rSNR was significantly higher in the breast tissue and chest wall in the supine position for all cases. The axilla rSNR was significantly higher in supine for four cases, with another four significantly higher in prone, and two showing no statistical difference. Using a distance‐from‐coil analysis, we found that the tissue is closer to the coil in supine, and that the supine coil provided higher SNR at distances closer than 4cm.

Our results show that using a surface array coil in the supine position can provide higher SNR than a standard setup in most subjects for most relevant regions of breast MRI.