Caveat of measuring perfusion indexes using intravoxel incoherent motion magnetic resonance imaging in the human brain.

Objectives: To numerically and experimentally investigate the robustness of intravoxel incoherent motion (IVIM) magnetic resonance imaging in measuring perfusion indexes in the human brain.Methods: Eighteen healthy volunteers were imaged on a 3 T clinical system. Data of IVIM imaging (12 b-values ra...

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Publicado en:European Radiology Vol. 25; no. 8; pp. 2485 - 2493
Autores principales: Wu, Wen-Chau, Chen, Ya-Fang, Tseng, Han-Min, Yang, Shun-Chung, My, Pei-Chi
Formato: research Journal Article
Publicado: Springer Nature Aug2015
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: Caveat of measuring perfusion indexes using intravoxel incoherent motion magnetic resonance imaging in the human brain.
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          Wu, Wen-Chau
          Chen, Ya-Fang
          Tseng, Han-Min
          Yang, Shun-Chung
          My, Pei-Chi
      sug:
        subj:
          Brain Blood Supply
          Cerebrovascular Circulation Physiology
          Research Subjects
          Gray Matter Blood Supply
          Human
          Female
          Male
          Magnetic Resonance Imaging Methods
          Motion
          Sensitivity and Specificity
          Models, Theoretical
          Prospective Studies
          Young Adult
          Adult
          Pilot Studies
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Barthel Index
          Scales
          Adult: 19-44 years
          Female
          Male
      ab: Objectives: To numerically and experimentally investigate the robustness of intravoxel incoherent motion (IVIM) magnetic resonance imaging in measuring perfusion indexes in the human brain.Methods: Eighteen healthy volunteers were imaged on a 3 T clinical system. Data of IVIM imaging (12 b-values ranging from 0 to 1000 s/mm(2), 12 repetitions) were fitted with a bi-exponential model to extract blood volume fraction (f) and pseudo-diffusion coefficient (D*). The robustness of measurement was assessed by bootstrapping. Dynamic susceptibility contrast (DSC) imaging and arterial spin-labelling (ASL) imaging were performed for cross-modal comparison. Numerical simulations were performed to assess the accuracy and precision of f and D* estimates at varied signal-to-noise ratio (SNRb1000).Results: Based on our experimental setting (SNRb1000 ~ 30), the average error/variability is ~5 %/25 % for f and ~100 %/30 % for D* in gray matter, and ~10 %/50 % for f and ~300 %/60 % for D* in white matter. Correlation was found between f and DSC-derived cerebral blood volume in gray matter (r = 0.29 - 0.48 across subjects, p < 10(-5)), but not in white matter. No correlation was found between f-D* product and ASL-derived cerebral blood flow.Conclusions: f may provide noninvasive measurement of cerebral blood volume, particularly in gray matter. D* has limited robustness and should be interpreted with caution.Key Points: • A minimum SNR b1000 of 30 is recommended for reliable IVIM imaging. • f may provide noninvasive measurement of cerebral blood volume. • f correlates with CBV DSC in gray matter. • There is no correlation between fD* and CBF ASL . • D* has limited robustness and should be interpreted with caution.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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