Diffusion kurtosis imaging and diffusion-weighted imaging in assessment of liver fibrosis stage and necroinflammatory activity

2016 ◽  
Vol 42 (4) ◽  
pp. 1176-1182 ◽  
Author(s):  
Ruo Fan Sheng ◽  
He Qing Wang ◽  
Li Yang ◽  
Kai Pu Jin ◽  
Yan Hong Xie ◽  
...  
2021 ◽  
Author(s):  
Akiko Imaizumi ◽  
Takayuki Obata ◽  
Jeff Kershaw ◽  
Yasuhiko Tachibana ◽  
Yoichiro Abe ◽  
...  

Purpose: The purpose of this study was to compare parameter estimates for the 2-compartment (2Comp) and diffusion kurtosis imaging (DKm) models obtained from diffusion-weighted imaging (DWI) of aquaporin-4 (AQP4) expression-controlled cells, and to look for biomarkers that indicate differences in the cell membrane water permeability. Methods: DWI was performed on AQP4-expressing and non-expressing cells and the signal was analyzed with the 2Comp and DKm models. For the 2Comp model, the diffusion coefficients (Df, Ds) and volume fractions (Ff, Fs, Ff=1-Fs) of the fast and slow compartments were estimated. For the DKm model, estimates of the diffusion kurtosis (K) and corrected diffusion coefficient (D) were obtained. Results: For the 2Comp model, Ds and Fs showed clear differences between AQP4-expressing and non-expressing cells. Fs was also sensitive to cell density. There was no clear relationship with the cell type for the DKm parameters. Conclusions: Changes to cell membrane water permeability due to AQP4 expression affected DWI of cell suspensions. For the 2Comp and DKm models, Ds was the parameter most sensitive to differences in AQP4 expression.


2019 ◽  
Vol 61 (8) ◽  
pp. 1012-1020 ◽  
Author(s):  
Shuangshuang Xie ◽  
Qing Li ◽  
Yue Cheng ◽  
Li Zhou ◽  
Shuang Xia ◽  
...  

Background Early and accurate detection of liver fibrosis are important for clinical treatment. Purpose To compare the diagnostic accuracy of liver diffusion kurtosis imaging (DKI) and conventional diffusion-weighted imaging (cDWI) in differentiating patients with mild and substantial fibrosis from normal individuals. Material and Methods Twenty-seven healthy volunteers with no fibrosis (S0) and 45 patients with mild (S1) or substantial (S2) liver fibrosis underwent DWI with multiple b-values. Liver mean apparent diffusion (MD) and mean kurtosis (MK) values derived from DKI and apparent diffusion coefficient (ADC) derived from cDWI were measured and compared. Their discriminative abilities were analyzed and compared by receiver operating characteristic (ROC) curve analysis. Results Significant differences in MD and ADC values were found between groups ( P < 0.05). MD value was statistically different between S0 and S1 ( P = 0.028) and S0 and S2 ( P = 0.005). ADC value was statistically different between S0 and S2 ( P = 0.012). MK value was similar between groups ( P = 0.646). MD and ADC values significantly correlated with fibrosis stages ( rs = −0.668, −0.341; P < 0.01). MK values had no correlation with fibrosis stages ( rs = 0.180; P = 0.130). The area under ROC curves (AUC) for MD and ADC was 0.937 and 0.707 for characterization of S1–2 and 0.817 and 0.658 for S2, respectively. MD performed better than ADC for characterization of S1–2 and S2 ( P < 0.05). Conclusion Differentiating patients with mild or substantial fibrosis from normal individuals is feasible using DKI, which performs better than cDWI.


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