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Evaluation of calculation processes of apparent diffusion coefficient subtraction method (ASM) imaging.

Majd Barham1, Masahiro Kuroda2, Yuuki Yoshimura2,3

  • 1Department of Oral and Maxillofacial Radiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.

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|February 27, 2023
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Summary

Apparent diffusion coefficient (ADC) subtraction method (ASM) imaging shows promise for diagnosing diseases. Different ASM variations were compared to diffusion kurtosis (DK) imaging, with ASM/A demonstrating increased sensitivity for restricted diffusion imaging applications.

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Area of Science:

  • Radiology
  • Medical Imaging
  • Biophysics

Background:

  • Restricted diffusion (RD) imaging techniques like diffusion kurtosis (DK) imaging are vital for diagnosing neurological conditions such as cerebral gliomas and infarction.
  • Apparent diffusion coefficient (ADC) subtraction method (ASM) imaging is a novel RD technique utilizing differences in ADC values from varying diffusion times.

Purpose of the Study:

  • To evaluate and compare the diagnostic potential of different ASM imaging techniques against the established gold-standard DK imaging.
  • To investigate the impact of varying calculation methods on ASM image characteristics.

Main Methods:

  • Three distinct ASM imaging variations (ASM/A, ASM/S, PASM/A) were developed and analyzed using phantom models.
  • ASM image calculations involved dividing the difference between ADC basic (ADCb) and ADC modify (ADCm) by ADCb or its standard deviation.
  • Image comparisons were performed against DK imaging to assess sensitivity and characteristics.

Main Results:

  • All tested ASM variations exhibited similar tendencies in their imaging characteristics.
  • Increasing the number of divisions by ADCb in ASM/A from three to five times shifted images from mimicking DK to becoming more sensitive to RD.
  • ASM/A demonstrated a transformation towards enhanced RD sensitivity compared to DK imaging.

Conclusions:

  • ASM/A imaging, particularly with an increased number of divisions, shows potential for enhanced sensitivity in restricted diffusion imaging.
  • These findings suggest that ASM/A may become a valuable tool in future clinical RD imaging protocols for disease diagnosis.