Intravoxel incoherent motion DWI with different mathematical models in predicting rectal adenoma with and without canceration

This study aimed to use intravoxel incoherent motion (IVIM) DWI with different mathematical models to predict rectal adenomas with and without canceration. The parameters of different IVIM-DWI models, including apparent diffusion coefficient (ADC) from mono-exponential model, true diffusion coefficient, pseudo-diffusion coefficient and perfusion fraction from bi-exponential model, and the distributed diffusion coefficient and water molecular diffusion heterogeneity index from stretched-exponential model were compared between 31 adenoma and 29 adenoma with canceration. We found that mono-exponential derived ADC can easily predict rectal adenomas with canceration, and bi-exponential model has a better combination of sensitivity and specificity for diagnosing rectal adenoma canceration.