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Correlation and Characteristics of Intravoxel Incoherent Motion and Arterial Spin Labeling Techniques Versus Multiple
Enkh-Amgalan Dolgorsuren1, Masafumi Harada1, Yuki Kanazawa2
1Department of Radiology and Radiation Oncology, Tokushima University, Tokushima, Japan.
Abstract:
Purpose : To compare data on brain tumors derived from intravoxel incoherent motion (IVIM) and arterial spin labeling (ASL) imaging with multiple parameters obtained on dynamic susceptibility contrast (DSC) perfusion MRI and to clarify the characteristics of IVIM and ASL perfusion data from the viewpoint of cerebral blood flow (CBF) analysis. Methods : ASL-CBF and IVIM techniques as well as DSC examination were performed in 24 patients with brain tumors. The IVIM data were analyzed with the two models. The relative blood flow (rBF), relative blood volume (rBV) corrected relative blood volume (crBV), mean transit time (MTT), and leakage coefficient (K2) were obtained from the DSC MRI data. Results : The ASL-CBF had the same tendency as the perfusion parameters derived from the DSC data, but the permeability from the vessels had less of an effect on the ASL-CBF. The diffusion coefficient of the fast component on IVIM contained more information on permeability than the f value. Conclusion : ASL-CBF is more suitable for the evaluation of perfusion in brain tumors than IVIM parameters. ASL-CBF and IVIM techniques should be carefully selected and the biological significance of each parameter should be understood for the correct comprehension of the pathological status of brain tumors. J. Med. Invest. 66 : 308-313, August, 2019.
Insights
Arterial spin labeling–cerebral blood flow (ASL-CBF) is better for evaluating brain tumor perfusion than intravoxel incoherent motion (IVIM) parameters. Understanding the biological significance of each technique is crucial for assessing tumor pathology.
Area of Science:
- Neuroradiology
- Medical Imaging
- Oncology
Background:
- Perfusion MRI techniques are vital for characterizing brain tumors.
- Intravoxel Incoherent Motion (IVIM) and Arterial Spin Labeling (ASL) offer insights into tissue microcirculation.
- Dynamic Susceptibility Contrast (DSC) MRI provides established perfusion parameters.
Purpose of the Study:
- To compare brain tumor perfusion data from IVIM and ASL imaging with DSC-derived parameters.
- To elucidate the characteristics of IVIM and ASL perfusion data in the context of cerebral blood flow (CBF) analysis.
Main Methods:
- ASL-CBF, IVIM, and DSC MRI were performed on 24 brain tumor patients.
- IVIM data were analyzed using two distinct models.
- DSC MRI yielded relative blood flow (rBF), relative blood volume (rBV), corrected relative blood volume (crBV), mean transit time (MTT), and leakage coefficient (K2).
Main Results:
- ASL-CBF demonstrated trends consistent with DSC perfusion parameters.
- Vascular permeability had a lesser impact on ASL-CBF compared to DSC.
- The fast diffusion component in IVIM provided more permeability information than the f value.
Conclusions:
- ASL-CBF is more suitable for brain tumor perfusion evaluation than IVIM parameters.
- Careful selection of ASL-CBF and IVIM techniques is necessary.
- Understanding the biological significance of each parameter is key for accurate interpretation of brain tumor pathology.
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