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Assessment of Diffusion and Perfusion01:17

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Understanding and evaluating diffusion and perfusion is critical in assessing a patient's respiratory and circulatory health. These processes play key roles in maintaining the body's internal environment, ensuring that tissues receive adequate oxygen while waste products are efficiently removed.
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Optimized analytical segmented method for improved intravoxel incoherent motion parameter extraction in low-perfused

Erick O Buko1,2, Suhail P Parvaze1,2, Casey P Johnson1,2

  • 1Department of Veterinary Clinical Sciences, University of Minnesota, St. Paul, Minnesota, USA.

Magnetic Resonance in Medicine
|July 17, 2025
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Summary

A new optimized analytical segmented (opAS) method improves the accuracy of intravoxel incoherent motion (IVIM) imaging for measuring tissue perfusion and diffusion, especially in low-perfusion areas.

Keywords:
bone marrowdiffusionintravoxel incoherent motionmagnetic resonance imagingperfusion

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Area of Science:

  • Biomedical Imaging
  • Diffusion MRI
  • Quantitative Imaging

Background:

  • Intravoxel incoherent motion (IVIM) diffusion-weighted imaging is crucial for assessing tissue perfusion and diffusion.
  • Limited signal in low-perfused tissues challenges accurate IVIM parameter measurement.
  • Existing segmented (S), oversegmented (OS), and analytical segmented (AS) fitting methods have limitations.

Purpose of the Study:

  • To introduce and evaluate an optimized analytical segmented (opAS) method for IVIM parameter extraction.
  • To compare the performance of opAS against S, OS, and AS methods.
  • To assess the sensitivity of these methods in detecting perfusion changes in ischemic tissues.

Main Methods:

  • Numerical simulations were conducted to compare accuracy and precision of the four fitting methods across various signal-to-noise ratio (SNR) levels and parameter combinations.
  • Retrospective analysis of IVIM data from 11 piglets with induced bone marrow ischemia was performed.
  • The methods' ability to detect differences in perfusion between ischemic and perfused femoral heads was evaluated.

Main Results:

  • The opAS method demonstrated the lowest errors in estimating diffusion (D), pseudo-diffusion fraction (f), and pseudo-diffusion coefficient (D*) in simulations, particularly for low f and D* values.
  • In vivo, all methods detected increased D and decreased f and f × D* in ischemic compared to perfused femoral heads.
  • Only AS and opAS methods consistently detected decreased D* in ischemic regions.

Conclusions:

  • The opAS method offers superior accuracy for IVIM parameter estimation compared to S, OS, and AS methods.
  • opAS is particularly advantageous for accurately quantifying perfusion-related parameters (D* and f) in low-perfusion states.
  • This optimized method enhances the reliability of IVIM for studying tissue perfusion dynamics.