Demonstration of nonlinearity bias in the measurement of the apparent diffusion coefficient in multicenter trials

Dariya I Malyarenko1, David Newitt2, Lisa J Wilmes2

  • 1Radiology, University of Michigan, Ann Arbor, Michigan, USA.

Abstract

Insights

Gradient nonlinearity causes significant spatial bias in apparent diffusion coefficient (ADC) measurements across MRI platforms. This bias, crucial for multicenter quantitative diffusion imaging, is largely independent of other error sources.

Area of Science:

  • Medical Imaging
  • Quantitative MRI
  • Diffusion Weighted Imaging

Background:

  • Quantitative diffusion MRI is vital for multicenter trials.
  • System-specific biases can affect the accuracy of diffusion measurements.
  • Standardized protocols are needed to ensure reliable data across different MRI platforms.

Purpose of the Study:

  • To characterize system-specific bias in quantitative diffusion measurements using common MRI platforms.
  • To assess bias across different magnetic resonance imaging (MRI) systems in multicenter settings.
  • To identify the sources of bias in diffusion weighted imaging (DWI) data.

Main Methods:

  • Diffusion weighted imaging (DWI) was performed on an ice-water phantom across 14 MRI systems at seven centers.
  • Apparent diffusion coefficient (ADC) bias was estimated as deviation from known values along SI and RL directions.
  • Independent assessment of gradient nonlinearity, shim errors, imaging gradients, and eddy currents was conducted.

Main Results:

  • Systematic ADC errors scaled quadratically with offset from isocenter, ranging from -55% (SI) to 25% (RL).
  • Nonlinearity bias varied with MRI system design and diffusion gradient direction.
  • Minor ADC errors from shim, imaging, and eddy currents were mitigated by advanced DWI techniques.

Conclusions:

  • Gradient nonlinearity is a primary source of spatial bias and variability in off-center ADC measurements across MRI platforms.
  • Shim errors, imaging gradients, and eddy currents contribute minor biases.
  • A protocol was developed for empirical description of systematic bias in multicenter quantitative DWI studies.