Evidence of Tri-Exponential Decay for Liver Intravoxel Incoherent Motion MRI: A Review of Published Results and Limitations

Diffusion weighted imaging (DWI) and intravoxel incoherent motion (IVIM) have been explored to assess liver tumors and diffused liver diseases. IVIM reflects the microscopic translational motions that occur in voxels in magnetic resonance (MR) DWI. In biologic tissues, molecular diffusion of water a...

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Main Authors: Olivier Chevallier, Yì Xiáng J. Wáng, Kévin Guillen, Julie Pellegrinelli, Jean-Pierre Cercueil, Romaric Loffroy
Format: Article
Language:English
Published: MDPI AG 2021-02-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/11/2/379
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author Olivier Chevallier
Yì Xiáng J. Wáng
Kévin Guillen
Julie Pellegrinelli
Jean-Pierre Cercueil
Romaric Loffroy
author_facet Olivier Chevallier
Yì Xiáng J. Wáng
Kévin Guillen
Julie Pellegrinelli
Jean-Pierre Cercueil
Romaric Loffroy
author_sort Olivier Chevallier
collection DOAJ
description Diffusion weighted imaging (DWI) and intravoxel incoherent motion (IVIM) have been explored to assess liver tumors and diffused liver diseases. IVIM reflects the microscopic translational motions that occur in voxels in magnetic resonance (MR) DWI. In biologic tissues, molecular diffusion of water and microcirculation of blood in the capillary network can be assessed using IVIM DWI. The most commonly applied model to describe the DWI signal is a bi-exponential model, with a slow compartment of diffusion linked to pure molecular diffusion (represented by the coefficient D<sub>slow</sub>), and a fast compartment of diffusion, related to microperfusion (represented by the coefficient D<sub>fast</sub>). However, high variance in D<sub>fast</sub> estimates has been consistently shown in literature for liver IVIM, restricting its application in clinical practice. This variation could be explained by the presence of another very fast compartment of diffusion in the liver. Therefore, a tri-exponential model would be more suitable to describe the DWI signal. This article reviews the published evidence of the existence of this additional very fast diffusion compartment and discusses the performance and limitations of the tri-exponential model for liver IVIM in current clinical settings.
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spelling doaj.art-3bfd267c4c864d56922025f33cbbf8c12023-12-11T18:07:43ZengMDPI AGDiagnostics2075-44182021-02-0111237910.3390/diagnostics11020379Evidence of Tri-Exponential Decay for Liver Intravoxel Incoherent Motion MRI: A Review of Published Results and LimitationsOlivier Chevallier0Yì Xiáng J. Wáng1Kévin Guillen2Julie Pellegrinelli3Jean-Pierre Cercueil4Romaric Loffroy5Image-Guided Therapy Center, Department of Vascular and Interventional Radiology, François-Mitterrand University Hospital, 14 Rue Paul Gaffarel, BP 77908, 21079 Dijon, FranceDepartment of Imaging and Interventional Radiology, Faculty of Medicine, The Chinese University of Hong Kong, New Territories, Hong Kong, ChinaImage-Guided Therapy Center, Department of Vascular and Interventional Radiology, François-Mitterrand University Hospital, 14 Rue Paul Gaffarel, BP 77908, 21079 Dijon, FranceImage-Guided Therapy Center, Department of Vascular and Interventional Radiology, François-Mitterrand University Hospital, 14 Rue Paul Gaffarel, BP 77908, 21079 Dijon, FranceImage-Guided Therapy Center, Department of Vascular and Interventional Radiology, François-Mitterrand University Hospital, 14 Rue Paul Gaffarel, BP 77908, 21079 Dijon, FranceImage-Guided Therapy Center, Department of Vascular and Interventional Radiology, François-Mitterrand University Hospital, 14 Rue Paul Gaffarel, BP 77908, 21079 Dijon, FranceDiffusion weighted imaging (DWI) and intravoxel incoherent motion (IVIM) have been explored to assess liver tumors and diffused liver diseases. IVIM reflects the microscopic translational motions that occur in voxels in magnetic resonance (MR) DWI. In biologic tissues, molecular diffusion of water and microcirculation of blood in the capillary network can be assessed using IVIM DWI. The most commonly applied model to describe the DWI signal is a bi-exponential model, with a slow compartment of diffusion linked to pure molecular diffusion (represented by the coefficient D<sub>slow</sub>), and a fast compartment of diffusion, related to microperfusion (represented by the coefficient D<sub>fast</sub>). However, high variance in D<sub>fast</sub> estimates has been consistently shown in literature for liver IVIM, restricting its application in clinical practice. This variation could be explained by the presence of another very fast compartment of diffusion in the liver. Therefore, a tri-exponential model would be more suitable to describe the DWI signal. This article reviews the published evidence of the existence of this additional very fast diffusion compartment and discusses the performance and limitations of the tri-exponential model for liver IVIM in current clinical settings.https://www.mdpi.com/2075-4418/11/2/379diffusion weighted imagingintravoxel incoherent motionlivertri-exponentialb-value
spellingShingle Olivier Chevallier
Yì Xiáng J. Wáng
Kévin Guillen
Julie Pellegrinelli
Jean-Pierre Cercueil
Romaric Loffroy
Evidence of Tri-Exponential Decay for Liver Intravoxel Incoherent Motion MRI: A Review of Published Results and Limitations
Diagnostics
diffusion weighted imaging
intravoxel incoherent motion
liver
tri-exponential
b-value
title Evidence of Tri-Exponential Decay for Liver Intravoxel Incoherent Motion MRI: A Review of Published Results and Limitations
title_full Evidence of Tri-Exponential Decay for Liver Intravoxel Incoherent Motion MRI: A Review of Published Results and Limitations
title_fullStr Evidence of Tri-Exponential Decay for Liver Intravoxel Incoherent Motion MRI: A Review of Published Results and Limitations
title_full_unstemmed Evidence of Tri-Exponential Decay for Liver Intravoxel Incoherent Motion MRI: A Review of Published Results and Limitations
title_short Evidence of Tri-Exponential Decay for Liver Intravoxel Incoherent Motion MRI: A Review of Published Results and Limitations
title_sort evidence of tri exponential decay for liver intravoxel incoherent motion mri a review of published results and limitations
topic diffusion weighted imaging
intravoxel incoherent motion
liver
tri-exponential
b-value
url https://www.mdpi.com/2075-4418/11/2/379
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