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Vincenza Granata, Roberta Fusco, Orlando Catalano, Benedetta Guarino, Francesco Granata, Fabiana Tatangelo, Antonio Avallone, Mauro Piccirillo, Raffaele Palaia, Francesco Izzo, Antonella Petrillo
PURPOSE: To assess the correlation between DWI diffusion parameters obtained using Intravoxel Incoherent Motion Method (IVIM) and histological grade of Hepatocellular carcinoma (HCC). RESULTS: According to Edmondson-Steiner grade lesions were classified with grade 1 (14), grade 2 (30), grade 3 (18), and grade 4 (0). Apparent Diffusion Coefficient (ADC), perfusion fraction (fp), tissue diffusion coefficient (Dt) median values were statistically different in HCC groups with 1, 2, 3 histological grade (p<0...
October 15, 2016: Oncotarget
Zi-Xiang Kuai, Wan-Yu Liu, Yan-Li Zhang, Yue-Min Zhu
PURPOSE: A generalized intravoxel incoherent motion (IVIM) model, called the GIVIM, was proposed to better account for complex perfusion present in the tissues having various vessels and flow regimes, such as the liver. THEORY AND METHODS: The notions of continuous pseudodiffusion variable as well as perfusion fraction density function were introduced to describe the presence of multiple perfusion components in a voxel. The mean and standard deviation of Gaussian perfusion fraction density function were then used to define two new parameters, the mean pseudodiffusivity ( D¯) and pseudodiffusion dispersion (σ)...
November 2016: Magnetic Resonance in Medicine: Official Journal of the Society of Magnetic Resonance in Medicine
Dejing Ma, Feng Lu, Xuexue Zou, Hu Zhang, Yangyang Li, Lin Zhang, Liang Chen, Dongjing Qin, Bin Wang
PURPOSE: To investigate the value of use of intravoxel incoherent motion diffusion-weighted imaging (IVIM-DWI) as an adjunct to dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) to distinguish benign from malignant breast lesions. MATERIALS AND METHODS: Retrospective analysis of data pertaining to 117 patients with breast lesions who underwent DCE-MRI and IVIM-DWI examination with 3.0T MRI was conducted. A total of 128 lesions were pathologically confirmed (47 benign and 81 malignant)...
October 11, 2016: Magnetic Resonance Imaging
Simona Marzi, Francesca Piludu, Chiara Forina, Giuseppe Sanguineti, Renato Covello, Giuseppe Spriano, Antonello Vidiri
OBJECTIVE: To correlate intravoxel incoherent motion (IVIM) imaging and dynamic contrast-enhanced (DCE) MRI in head and neck squamous cell carcinoma (HNSCC). METHODS: Forty untreated patients with HNSCC were included retrospectively in the study. Perfusion fraction f, diffusion coefficient D and perfusion-related diffusion coefficient D* were extracted by bi-exponential fitting of IVIM data. Semi-quantitative DCE-MRI parameters, including positive enhancement integral (PEI) and maximum slope of increase (MSI), were calculated...
October 11, 2016: Magnetic Resonance Imaging
Qingjun Wang, Yong Guo, Jing Zhang, Zijun Wang, Minhua Huang, Yun Zhang
BACKGROUND: The aim of this study was to determine whether the indicators obtained from intravoxel incoherent motion (IVIM) imaging can improve the characterization of benign and malignant breast masses compared with conventional dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) and diffusion-weighted magnetic resonance imaging (DW-MRI). PATIENTS AND METHODS: This study included 23 benign and 31 malignant breast masses of 48 patients. Main indicators were initial enhancement ratio (IER), time-signal intensity curve (TIC), apparent diffusion coefficient (ADC), tissue diffusivity (D), pseudodiffusivity (D*), and perfusion fraction (f)...
August 2016: Breast Care
Neil P Jerome, Jessica K R Boult, Matthew R Orton, James d'Arcy, David J Collins, Martin O Leach, Dow-Mu Koh, Simon P Robinson
BACKGROUND: To investigate the combined use of intravoxel incoherent motion (IVIM) diffusion-weighted (DW) and blood oxygen level dependent (BOLD) magnetic resonance imaging (MRI) to assess rat renal function using a 1.5T clinical platform. METHODS: Multiple b-value DW and BOLD MR images were acquired from adult rats using a parallel clinical coil arrangement, enabling quantitation of the apparent diffusion coefficient (ADC), IVIM-derived diffusion coefficient (D), pseudodiffusion coefficient (D*) and perfusion fraction (f), and the transverse relaxation time T2*, for whole kidney, renal cortex, and medulla...
October 3, 2016: BMC Nephrology
C Wang, D Ren, Y Guo, Y Xu, Y Feng, X Zhang, Y Mei, M Chen, X Xiao
AIM: To compare intravoxel incoherent motion (IVIM) magnetic resonance imaging (MRI)-derived true diffusion (D) and perfusion fraction (f)-values of the two hemispheres to detect the presence of asymmetrical differences. MATERIALS AND METHODS: Forty-seven healthy right-handed volunteers were assessed using IVIM imaging. The interhemispheric D- and f-values were compared using paired t-tests and two related-samples Wilcoxon's test. RESULTS: Comparison of the interhemispheric D- and f-values of the grey matter revealed a significant difference in the D-value of the frontal lobe and the f-value of the temporal lobe (p=0...
October 3, 2016: Clinical Radiology
Jing Yuan, Oi Lei Wong, Gladys G Lo, Helen H L Chan, Ting Ting Wong, Polly S Y Cheung
BACKGROUND: The purpose of this study is to statistically assess whether bi-exponential intravoxel incoherent motion (IVIM) model better characterizes diffusion weighted imaging (DWI) signal of malignant breast tumor than mono-exponential Gaussian diffusion model. METHODS: 3 T DWI data of 29 malignant breast tumors were retrospectively included. Linear least-square mono-exponential fitting and segmented least-square bi-exponential fitting were used for apparent diffusion coefficient (ADC) and IVIM parameter quantification, respectively...
August 2016: Quantitative Imaging in Medicine and Surgery
Hanyu Jiang, Jie Chen, Ronghui Gao, Zixing Huang, Mingpeng Wu, Bin Song
PURPOSE: A meta-analysis was performed to assess the diagnostic performance of diffusion-weighted imaging (DWI) in liver fibrosis (LF) staging. METHODS: We conducted a comprehensive literature search to identify relevant articles. Diagnostic data were extracted for each METAVIR fibrosis stage (F0-F4). A bivariate binomial model was used to combine sensitivities and specificities. Summary receiver operating characteristics (SROC) curves were performed and areas under SROC curve (AUC) were calculated to indicate diagnostic accuracies...
September 27, 2016: Abdominal Radiology
G Sanguineti, S Marzi, L Marucci, A Farneti, F Piludu, A Vidiri
No abstract text is available yet for this article.
October 1, 2016: International Journal of Radiation Oncology, Biology, Physics
Roberta Fusco, Mario Sansone, Antonella Petrillo
OBJECT: The objective of this study is to propose a modified VARiable PROjection (VARPRO) algorithm specifically tailored for fitting the intravoxel incoherent motion (IVIM) model to diffusion-weighted magnetic resonance imaging (DW-MRI) data from locally advanced rectal cancer (LARC). MATERIALS AND METHODS: The proposed algorithm is compared with classical non-linear least squares (NLLS) analysis using the Levenberg-Marquardt (LM) algorithm and with two recently proposed algorithms for 'segmented' analysis...
September 26, 2016: Magma
In Young Choi, Seung Soo Lee, Yu Sub Sung, Hyunhee Cheong, Hoyoung Lee, Jae Ho Byun, So Yeon Kim, So Jung Lee, Yong Moon Shin, Moon-Gyu Lee
PURPOSE: To evaluate the value of intravoxel incoherent motion (IVIM) parameters for characterizing focal hepatic lesions, and to assess the correlation between IVIM parameters and arterial nodule enhancement. MATERIALS AND METHODS: We retrospectively evaluated 161 lesions (91 hepatocellular carcinomas [HCCs], 27 intrahepatic cholangiocarcinomas [IHCCs], 20 hemangiomas, 9 combined hepatocellular-cholangiocarcinomas, 9 metastases, and 5 other tumors) in 161 patients (105 men and 56 women; mean age, 56...
September 24, 2016: Journal of Magnetic Resonance Imaging: JMRI
Tan Guo, Juan Chen, Bing Wu, Dandan Zheng, Sheng Jiao, Yan Song, Min Chen
PURPOSE: To investigate the hypothesis that the intravoxel incoherent motion (IVIM) diffusion-weighted imaging may depict microcirculation of meniscus and the perfusion changes in meniscal disorder. MATERIALS AND METHODS: Fifty patients received diffusion-weighted MRI with multiple b-values ranging from 0 to 400 s/mm(2) . The four horns of the menisci were divided into normal, degenerated, and torn groups. IVIM parameters including perfusion fraction (f), pseudo-diffusion coefficient (D*), true diffusion coefficient (D), and the product of f and D* (f D*) of normal meniscal red zone and white zone were derived and compared for microcirculation changes of normal, degenerated, and torn posterior horn of the medial meniscus (PMM)...
September 23, 2016: Journal of Magnetic Resonance Imaging: JMRI
Manuela França, Luis Martí-Bonmatí, Ángel Alberich-Bayarri, Pedro Oliveira, Susana Guimaraes, João Oliveira, João Amorim, Javier Sanchez Gonzalez, José Ramón Vizcaíno, Helena Pessegueiro Miranda
PURPOSE: The purpose of the study was to evaluate the role of intravoxel incoherent motion (IVIM) diffusion model for the assessment of liver fibrosis and inflammation in diffuse liver disorders, also considering the presence of liver steatosis and iron deposits. METHODS: Seventy-four patients were included, with liver biopsy and a 3 Tesla abdominal magnetic resonance imaging examination, with an IVIM diffusion-weighted sequence (single-shot spin-echo echo-planar sequence, with gradient reversal fat suppression; 6 b-values: 0, 50, 200, 400, 600, and 800 s/mm(2))...
September 15, 2016: Abdominal Radiology
Xiao Quan Xu, Young Jun Choi, Yu Sub Sung, Ra Gyoung Yoon, Seung Won Jang, Ji Eun Park, Young Jin Heo, Jung Hwan Baek, Jeong Hyun Lee
OBJECTIVE: To investigate the correlation between perfusion- and diffusion-related parameters from intravoxel incoherent motion (IVIM) and those from dynamic contrast-enhanced MR imaging (DCE-MRI) and diffusion-weighted imaging in tumors and normal muscles of the head and neck. MATERIALS AND METHODS: We retrospectively enrolled 20 consecutive patients with head and neck tumors with MR imaging performed using a 3T MR scanner. Tissue diffusivity (D), pseudo-diffusion coefficient (D(*)), and perfusion fraction (f) were derived from bi-exponential fitting of IVIM data obtained with 14 different b-values in three orthogonal directions...
September 2016: Korean Journal of Radiology: Official Journal of the Korean Radiological Society
Jing Hou, Xiaoping Yu, Yin Hu, Feiping Li, Wang Xiang, Lanlan Wang, Hui Wang, Qiang Lu, Zhongping Zhang, Wenbin Zeng
The aim of the study was to investigate the value of intravoxel incoherent motion diffusion-weighted magnetic resonance imaging (IVIM-DWI) and dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) in predicting the early and short-term responses to chemoradiotherapy (CRT) in patients with nasopharyngeal carcinoma (NPC).Forty-three NPC patients underwent IVIM-DWI and DCE-MRI at baseline (pretreatment) and after the first cycle of induction chemotherapy (posttreatment). Based on whether locoregional lesions were identified, patients were divided into the residual and nonresidual groups at the end of CRT and into the good-responder and poor-responder groups 6 months after the end of CRT...
August 2016: Medicine (Baltimore)
Audrey Nguyen, Jean-Baptiste Ledoux, Patrick Omoumi, Fabio Becce, Joachim Forget, Christian Federau
The evaluation of local muscle recruitment during a specific movement can be done indirectly by measuring changes in local blood flow. Intravoxel incoherent motion perfusion imaging exploits some properties of the magnetic resonance to measure locally microvascular perfusion, and seems ideally suited for this task. We studied the selectivity of the increase in intravoxel incoherent motion blood flow related parameter fD* in the muscles of 24 shoulders after two physical exam maneuvers, Jobe and Lift-off test (test order reversed in half of the volunteers) each held 2min against resistance...
August 27, 2016: Magnetic Resonance Imaging
Emma M Meeus, Jan Novak, Stephanie B Withey, Niloufar Zarinabad, Hamid Dehghani, Andrew C Peet
PURPOSE: To investigate the robustness of constrained and simultaneous intravoxel incoherent motion (IVIM) fitting methods and the estimated IVIM parameters (D, D* and f) for applications in brain and low-perfused tissues. MATERIALS AND METHODS: Model data simulations relevant to brain and low-perfused tumor tissues were computed to assess the accuracy, relative bias, and reproducibility (CV%) of the fitting methods in estimating the IVIM parameters. The simulations were performed at a series of signal-to-noise ratio (SNR) levels to assess the influence of noise on the fitting...
August 22, 2016: Journal of Magnetic Resonance Imaging: JMRI
Alberto De Luca, Alessandra Bertoldo, Martijn Froeling
PURPOSE: In this study, we evaluated the effects of perfusion of the skeletal muscle on diffusion tensor imaging (DTI) and diffusional kurtosis imaging (DKI) parameters and their reproducibility. METHODS: Diffusion tensor imaging and DKI models, with and without intravoxel incoherent motion (IVIM) correction, were applied to simulated data at different physiological conditions and signal-to-noise ratio levels. Next, the same models were applied to data of the right calf of five healthy volunteers, acquired twice at 3 telsa...
August 19, 2016: Magnetic Resonance in Medicine: Official Journal of the Society of Magnetic Resonance in Medicine
Priya Bhosale, Preetha Ramalingam, Jingfei Ma, Revathy Iyer, Pamela Soliman, Micheal Frumovitz, Vikas Kundra
PURPOSE: To determine if a reduced-field-of-view (rFOV) diffusion intravoxel incoherent motion (IVIM) sequence can differentiate the imaging characteristics of tumors with microsatellite instability (MSI) from those that are microsatellite stable (MSS) in patients with clinical FIGO stage IA endometrial cancer and if MRI can be used to determine MSI status. MATERIALS AND METHODS: Sagittal rFOV diffusion-weighted images were obtained in 12 patients on a 3T scanner using six b-values (0, 50, 100, 150, 200, and 600)...
August 17, 2016: Journal of Magnetic Resonance Imaging: JMRI
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