Investigation of diffusion time dependence of apparent diffusion coefficient and intravoxel incoherent motion

Julia Stabinska1,2, Thomas Andreas Thiel3, Helge Jörn Zöllner2

  • 1F.M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Institute, Baltimore, Maryland, USA.

PubMed
Abstract

Insights

Renal perfusion and tubular flow significantly increase apparent diffusion coefficient (ADC) in the human kidney with longer diffusion times (Δeff). This highlights the impact of blood and fluid flow on diffusion MRI measurements.

Area of Science:

  • Magnetic Resonance Imaging
  • Renal Physiology
  • Diffusion Tensor Imaging

Background:

  • Diffusion MRI is crucial for assessing tissue microstructure.
  • Understanding the influence of physiological processes like perfusion on diffusion measurements is essential for accurate interpretation.
  • Kidney diffusion MRI is sensitive to changes in water diffusion and microcirculation.

Purpose of the Study:

  • To investigate the impact of varying diffusion times (Δeff) on apparent diffusion coefficient (ADC) and intravoxel incoherent motion (IVIM) parameters in the healthy human kidney at 3T.
  • To quantify the contribution of perfusion and tubular flow to ADC values in the renal cortex and medulla.

Main Methods:

  • 16 healthy volunteers underwent 3T MRI with diffusion-weighted imaging at multiple Δeff (24.1–104.1 ms).
  • Extended mono-exponential ADC and IVIM models were applied to analyze cortical and medullary data.
  • Calculated parameters included ADC, pseudo-diffusion coefficient (D*), diffusion coefficient (D), and fractional flow (f).

Main Results:

  • ADC significantly increased with longer Δeff (24.1–104.1 ms) in both cortex and medulla when all b-values were used.
  • No significant ADC changes were observed when fitting data only from b-values > 200 s/mm².
  • The fractional flow (f) significantly increased with longer Δeff in both regions, while D and D* remained unchanged.

Conclusions:

  • Renal perfusion and tubular flow significantly contribute to the observed increase in ADC across a wide range of diffusion times (24–104 ms).
  • These findings emphasize the importance of considering physiological flow effects in diffusion MRI of the kidney.
  • The study provides insights into the microstructural and microcirculatory properties of the healthy kidney using advanced diffusion MRI techniques.