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August 1, 1988Radiology3,192 citations

Separation of diffusion and perfusion in intravoxel incoherent motion MR imaging.

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DBDenis Le BihanÉBÉlodie BretonDLD Lallemand

Key Points

  • This work aims to show the contribution of perfusion to the apparent diffusion coefficient and to develop a method for separate visualization of diffusion and perfusion.
  • Used intravoxel incoherent motion imaging at 0.5 T with high-resolution multisection sequences.
  • Evaluated method effectiveness in phantom made of resin microspheres followed by application in patients.
  • No contrast material was used during imaging procedures.
  • Phantom results demonstrated the method's capability to separately assess diffusion and perfusion.
  • Clinical application in brain and bone tumors indicated significant promise for characterizing tissues based on perfusion patterns.
  • Findings suggest potential for functional studies evaluating microcirculation, particularly in brain ischemia.

Abstract

Intravoxel incoherent motion (IVIM) imaging is a method the authors developed to visualize microscopic motions of water. In biologic tissues, these motions include molecular diffusion and microcirculation of blood in the capillary network. IVIM images are quantified by an apparent diffusion coefficient (ADC), which integrates the effects of both diffusion and perfusion. The aim of this work was to demonstrate how much perfusion contributes to the ADC and to present a method for obtaining separate images of diffusion and perfusion. Images were obtained at 0.5 T with high-resolution multisection sequences and without the use of contrast material. Results in a phantom made of resin microspheres demonstrated the ability of the method to separately evaluate diffusion and perfusion. The method was then applied in patients with brain and bone tumors and brain ischemia. Clinical results showed significant promise of the method for tissue characterization by perfusion patterns and for functional studies in the evaluation of the microcirculation in physiologic and pathologic conditions, as, for instance, in brain ischemia.

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Cite This Study

Bihan et al. (1988) studied this question.

synapsesocial.com/papers/69d7c31f3b601d7be3ae2c1bhttps://doi.org/10.1148/radiology.168.2.3393671
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