Radiology, volume 278, issue 2, pages 496-504
Grading of Gliomas by Using Monoexponential, Biexponential, and Stretched Exponential Diffusion-weighted MR Imaging and Diffusion Kurtosis MR Imaging
Yan Bai
1
,
Yusong Lin
1
,
Jie Tian
2
,
Dapeng Shi
1
,
Jing-Liang Cheng
1
,
E. M. Haacke
3
,
Xiaohua Hong
4
,
Bo Ma
4
,
Jinyuan Zhou
4
,
Meiyun Wang
1, 5
4
Magnetic Resonance Innovations, Inc.
Publication type: Journal Article
Publication date: 2015-07-31
Radiology, Nuclear Medicine and imaging
Abstract
To quantitatively compare the potential of various diffusion parameters obtained from monoexponential, biexponential, and stretched exponential diffusion-weighted imaging models and diffusion kurtosis imaging in the grading of gliomas.This study was approved by the local ethics committee, and written informed consent was obtained from all subjects. Both diffusion-weighted imaging and diffusion kurtosis imaging were performed in 69 patients with pathologically proven gliomas by using a 3-T magnetic resonance (MR) imaging unit. An isotropic apparent diffusion coefficient (ADC), true ADC, pseudo-ADC, and perfusion fraction were calculated from diffusion-weighted images by using a biexponential model. A water molecular diffusion heterogeneity index and distributed diffusion coefficient were calculated from diffusion-weighted images by using a stretched exponential model. Mean diffusivity, fractional anisotropy, and mean kurtosis were calculated from diffusion kurtosis images. All values were compared between high-grade and low-grade gliomas by using a Mann-Whitney U test. Receiver operating characteristic and Spearman rank correlation analysis were used for statistical evaluations.ADC, true ADC, perfusion fraction, water molecular diffusion heterogeneity index, distributed diffusion coefficient, and mean diffusivity values were significantly lower in high-grade gliomas than in low-grade gliomas (U = 109, 56, 129, 6, 206, and 229, respectively; P < .05). Pseudo-ADC and mean kurtosis values were significantly higher in high-grade gliomas than in low-grade gliomas (U = 98 and 8, respectively; P < .05). Both water molecular diffusion heterogeneity index (area under the receiver operating characteristic curve [AUC] = 0.993) and mean kurtosis (AUC = 0.991) had significantly greater AUC values than ADC (AUC = 0.866), mean diffusivity (AUC = 0.722), and fractional anisotropy (AUC = 0.500) in the differentiation of low-grade and high-grade gliomas (P < .05).Water molecular diffusion heterogeneity index and mean kurtosis values may provide additional information and improve the grading of gliomas compared with conventional diffusion parameters.
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Bai Y. et al. Grading of Gliomas by Using Monoexponential, Biexponential, and Stretched Exponential Diffusion-weighted MR Imaging and Diffusion Kurtosis MR Imaging // Radiology. 2015. Vol. 278. No. 2. pp. 496-504.
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Bai Y., Lin Y., Tian J., Shi D., Cheng J., Haacke E. M., Hong X., Ma B., Zhou J., Wang M. Grading of Gliomas by Using Monoexponential, Biexponential, and Stretched Exponential Diffusion-weighted MR Imaging and Diffusion Kurtosis MR Imaging // Radiology. 2015. Vol. 278. No. 2. pp. 496-504.
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TY - JOUR
DO - 10.1148/radiol.2015142173
UR - https://doi.org/10.1148/radiol.2015142173
TI - Grading of Gliomas by Using Monoexponential, Biexponential, and Stretched Exponential Diffusion-weighted MR Imaging and Diffusion Kurtosis MR Imaging
T2 - Radiology
AU - Bai, Yan
AU - Lin, Yusong
AU - Tian, Jie
AU - Shi, Dapeng
AU - Cheng, Jing-Liang
AU - Haacke, E. M.
AU - Hong, Xiaohua
AU - Ma, Bo
AU - Zhou, Jinyuan
AU - Wang, Meiyun
PY - 2015
DA - 2015/07/31 00:00:00
PB - Radiological Society of North America (RSNA)
SP - 496-504
IS - 2
VL - 278
SN - 0033-8419
SN - 1527-1315
ER -
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@article{2015_Bai,
author = {Yan Bai and Yusong Lin and Jie Tian and Dapeng Shi and Jing-Liang Cheng and E. M. Haacke and Xiaohua Hong and Bo Ma and Jinyuan Zhou and Meiyun Wang},
title = {Grading of Gliomas by Using Monoexponential, Biexponential, and Stretched Exponential Diffusion-weighted MR Imaging and Diffusion Kurtosis MR Imaging},
journal = {Radiology},
year = {2015},
volume = {278},
publisher = {Radiological Society of North America (RSNA)},
month = {jul},
url = {https://doi.org/10.1148/radiol.2015142173},
number = {2},
pages = {496--504},
doi = {10.1148/radiol.2015142173}
}
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Bai, Yan, et al. “Grading of Gliomas by Using Monoexponential, Biexponential, and Stretched Exponential Diffusion-weighted MR Imaging and Diffusion Kurtosis MR Imaging.” Radiology, vol. 278, no. 2, Jul. 2015, pp. 496-504. https://doi.org/10.1148/radiol.2015142173.