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Updated: Sep 13, 2025

Diffusion Imaging in the Rat Cervical Spinal Cord
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Multi-institution longitudinal apparent diffusion coefficient measurements in a diffusion weighted imaging phantom at

Chris Moore1,2, Charlotte Bull3, Angela Darekar4

  • 1Christie Medical Physics and Engineering, The Christie NHS Foundation Trust, Manchester, UK.

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|August 4, 2025
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This study validated apparent diffusion coefficient (ADC) measurements using a novel phantom, showing good accuracy and repeatability for multi-institution cancer biomarker studies. Simplified quality assurance is now feasible for longitudinal imaging.

Keywords:
Imaging biomarkersMulti-centre longitudinal QAQAQuantitative apparent diffusion coefficientTechnical validation

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Area of Science:

  • Biomedical Imaging
  • Quantitative MRI
  • Biomarker Development

Background:

  • Apparent Diffusion Coefficient (ADC) is a key biomarker in cancer research.
  • Technical validation is crucial for multi-institutional studies.
  • Standardized quality assurance protocols are needed for reliable ADC measurements.

Purpose of the Study:

  • To technically validate ADC measurements across multiple institutions.
  • To evaluate ADC accuracy, repeatability, and reproducibility using a room-temperature phantom.
  • To assess the feasibility of transferring diffusion-weighted imaging (DWI) sequences between scanners.

Main Methods:

  • Utilized a traveling room-temperature DWI phantom across six scanners at four UK institutions over 18 months.
  • Calculated ADC bias, intra-scanner repeatability, and inter-scanner reproducibility according to QIBA DWI profiles.
  • Employed an MR-readable thermometer for simplified ADC measurements without ice-water setup.

Main Results:

  • Mean ADC bias was <0.01 × 10⁻³ mm²s⁻¹ (0.81%).
  • Mean isocenter ADC error estimate was 1.43%, with average short-term repeatability <0.01 × 10⁻³ mm²s⁻¹ (1%).
  • Reproducibility was 0.07 × 10⁻³ mm²s⁻¹ (9%).

Conclusions:

  • Demonstrated good ADC accuracy, repeatability, and reproducibility.
  • Confirmed the feasibility of transferring diagnostic DWI sequences between scanners from the same manufacturer.
  • Showcased the potential for assessing ADC in multi-institution longitudinal studies with minimal quality control.