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Item Type Journal Article
Title Intravoxel incoherent motion diffusion-weighted imaging in the liver: comparison of mono-, bi- and tri-exponential modelling at 3.0-T
Creator Cercueil et al.
Author Jean-Pierre Cercueil
Author Jean-Michel Petit
Author Philippe Soyer
Author Audrey Fohlen
Author Marie-Ange Pierredon-Foulongne
Author Valentina Schembri
Author Elisabeth Delhom
Author Sabine Schmidt
Author Alban Denys
Author Serge Aho
Author Boris Guiu
Abstract PURPOSE: To determine whether a mono-, bi- or tri-exponential model best fits the intravoxel incoherent motion (IVIM) diffusion-weighted imaging (DWI) signal of normal livers. MATERIALS AND METHODS: The pilot and validation studies were conducted in 38 and 36 patients with normal livers, respectively. The DWI sequence was performed using single-shot echoplanar imaging with 11 (pilot study) and 16 (validation study) b values. In each study, data from all patients were used to model the IVIM signal of normal liver. Diffusion coefficients (Di ± standard deviations) and their fractions (fi ± standard deviations) were determined from each model. The models were compared using the extra sum-of-squares test and information criteria. RESULTS: The tri-exponential model provided a better fit than both the bi- and mono-exponential models. The tri-exponential IVIM model determined three diffusion compartments: a slow (D1?=?1.35?±?0.03?×?10(-3) mm(2)/s; f1?=?72.7?±?0.9 %), a fast (D2?=?26.50?±?2.49?×?10(-3) mm(2)/s; f2?=?13.7?±?0.6 %) and a very fast (D3?=?404.00?±?43.7?×?10(-3) mm(2)/s; f3?=?13.5?±?0.8 %) diffusion compartment [results from the validation study]. The very fast compartment contributed to the IVIM signal only for b values ?15 s/mm(2) CONCLUSION: The tri-exponential model provided the best fit for IVIM signal decay in the liver over the 0-800 s/mm(2) range. In IVIM analysis of normal liver, a third very fast (pseudo)diffusion component might be relevant. KEY POINTS: ? For normal liver, tri-exponential IVIM model might be superior to bi-exponential ? A very fast compartment (D?=?404.00?±?43.7?×?10 (-3) mm (2) /s; f?=?13.5?±?0.8 %) is determined from the tri-exponential model ? The compartment contributes to the IVIM signal only for b???15 s/mm(2).
Publication European Radiology
Volume 25
Issue 6
Pages 1541-1550
Date Jun 2015
Journal Abbr Eur Radiol
Language eng
DOI 10.1007/s00330-014-3554-6
ISSN 1432-1084
Short Title Intravoxel incoherent motion diffusion-weighted imaging in the liver
Library Catalog PubMed
Extra PMID: 25527431
Tags Adult, Aged, Diffusion Magnetic Resonance Imaging, Echo-Planar Imaging, Female, Humans, Liver, Male, Middle Aged, Models, Theoretical, Motion, original, Pilot Projects, Prospective Studies, Reference Values, Reproducibility of Results, Young Adult
Date Added 2018/11/13 - 17:35:18
Date Modified 2019/05/21 - 14:56:22


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