scholarly journals Comparison of different ROI analysis methods for liver lesion characterization with simplified intravoxel incoherent motion (IVIM)

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Narine Mesropyan ◽  
Petra Mürtz ◽  
Alois M. Sprinkart ◽  
Wolfgang Block ◽  
Julian A. Luetkens ◽  
...  

AbstractThis study investigated the impact of different ROI placement and analysis methods on the diagnostic performance of simplified IVIM-DWI for differentiating liver lesions. 1.5/3.0-T DWI data from a respiratory-gated MRI sequence (b = 0, 50, 250, 800 s/mm2) were analyzed in patients with malignant (n = 74/54) and benign (n = 35/19) lesions. Apparent diffusion coefficient ADC = ADC(0,800) and IVIM parameters D1′ = ADC(50,800), D2′ = ADC(250,800), f1′ = f(0,50,800), f2′ = f(0,250,800), and D*' = D*(0,50,250,800) were calculated voxel-wise. For each lesion, a representative 2D-ROI, a 3D-ROI whole lesion, and a 3D-ROI from “good” slices were placed, including and excluding centrally deviating areas (CDA) if present, and analyzed with various histogram metrics. The diagnostic performance of 2D- and 3D-ROIs was not significantly different; e.g. AUC (ADC/D1′/f1′) were 0.958/0.902/0.622 for 2D- and 0.942/0.892/0.712 for whole lesion 3D-ROIs excluding CDA at 1.5 T (p > 0.05). For 2D- and 3D-ROIs, AUC (ADC/D1′/D2′) were significantly higher, when CDA were excluded. With CDA included, AUC (ADC/D1′/D2′/f1′/D*') improved when low percentiles were used instead of averages, and was then comparable to the results of average ROI analysis excluding CDA. For lesion differentiation the use of a representative 2D-ROI is sufficient. CDA should be excluded from ROIs by hand or automatically using low percentiles of diffusion coefficients.

2021 ◽  
pp. 20210059
Author(s):  
Farhad Nalaini ◽  
Fatemeh Shahbazi ◽  
Seyedeh Maryam Mousavinezhad ◽  
Ali Ansari ◽  
Mohammadgharib Salehi

Objectives: We undertook a systematic review and meta-analysis of the diagnostic performance of mean apparent diffusion coefficient (ADC) values derived by diffusion-weighted (DW)-MRI in the characterization of solid benign and malignant liver lesions, and to assess their value in discriminating these lesions in daily routine practice. Methods: A systematic review of PubMed, Embase, Scopus, and Web of Science was conducted to retrieve studies that used ADC values for differentiating solid benign/dysplastic nodules and malignant liver lesions. A bivariate random-effects model with pooled sensitivity and specificity values with 95% CI (confidence interval) was used. This meta-analysis was performed on the per-lesion basis. Summary receiver operating characteristic (SROC) plot and area under curve (AUC) were created. Results: A total of 14 original articles were retrieved. The combined (95% CI) sensitivity and specificity of mean ADC values for differentiating solid benign from malignant lesions were 78% (67 to 86%) and 74% (64 to 81%), respectively. The pooled (95% CI) positive and negative LRs were respectively 3 (2.3 to 3.8) and 0.3 (0.21 to 0.43). The DOR (95% CI) was 10 (7 to 15). The AUC (95% CI) of the SROC plot was 82% (78 to 85%). Reporting bias was negligible (P value of regression test = 0.36). Mean size of malignant lesions and breathing pattern of MRI were found to be sources of heterogeneity of pooled sensitivity. Conclusion: ADC measurement independently may not be an optimal diagnostic imaging method for differentiating solid malignant from solid benign hepatic lesions. The meta-analysis showed that ADC measurement had moderate diagnostic accuracy for characterizing solid liver lesions. Further prospective and comparative studies with pre-specified ADC thresholds could be performed to investigate the best MRI protocol and ADC threshold for characterizing solid liver lesions. Advances in knowledge: ADC measurement by DW-MRI does not have a good diagnostic performance to differentiate solid malignant from solid benign lesions. Therefore, we suggest not using ADC values in clinical practice to evaluate solid liver lesions.


Geophysics ◽  
2016 ◽  
Vol 81 (5) ◽  
pp. D519-D526 ◽  
Author(s):  
Andreas Weller ◽  
Zeyu Zhang ◽  
Lee Slater ◽  
Sabine Kruschwitz ◽  
Matthias Halisch

Permeability estimation from induced polarization (IP) measurements is based on a fundamental premise that the characteristic relaxation time [Formula: see text] is related to the effective hydraulic radius [Formula: see text] controlling fluid flow. The approach requires a reliable estimate of the diffusion coefficient of the ions in the electrical double layer. Others have assumed a value for the diffusion coefficient, or postulated different values for clay versus clay-free rocks. We have examined the link between a widely used single estimate of [Formula: see text] and [Formula: see text] for an extensive database of sandstone samples, in which mercury porosimetry data confirm that [Formula: see text] is reliably determined from a modification of the Hagen-Poiseuille equation assuming that the electrical tortuosity is equal to the hydraulic tortuosity. Our database does not support the existence of one or two distinct representative diffusion coefficients but instead demonstrates strong evidence for six orders of magnitude of variation in an apparent diffusion coefficient that is well-correlated with [Formula: see text] and the specific surface area per unit pore volume [Formula: see text]. Two scenarios can explain our findings: (1) the length scale defined by [Formula: see text] is not equal to [Formula: see text] and is likely much longer due to the control of pore-surface roughness or (2) the range of diffusion coefficients is large and likely determined by the relative proportions of the different minerals (e.g., silica and clays) making up the rock. In either case, the estimation of [Formula: see text] (and hence permeability) is inherently uncertain from a single characteristic IP relaxation time as considered in this study.


PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0247301
Author(s):  
Jelena Djokić Kovač ◽  
Marko Daković ◽  
Aleksandra Janković ◽  
Milica Mitrović ◽  
Vladimir Dugalić ◽  
...  

Background The utility of intravoxel incoherent motion (IVIM) related parameters in differentiation of hypovascular liver lesions is still unknown. Purpose The purpose of this study was to evaluate the value of IVIM related parameters in comparison to apparent diffusion coefficient (ADC) for differentiation among intrahepatic mass-forming cholangiocarcinoma (IMC), and hypovascular liver metastases (HLM). Methods Seventy-four prospectively enrolled patients (21 IMC, and 53 HLM) underwent 1.5T magnetic resonance examination with IVIM diffusion-weighted imaging using seven b values (0–800 s/mm2). Two independent readers performed quantitative analysis of IVIM-related parameters and ADC. Interobserver reliability was tested using a intraclass correlation coefficient. ADC, true diffusion coefficient (D), perfusion-related diffusion coefficient (D*), and perfusion fraction (ƒ) were compared among the lesions using Kruskal-Wallis H test. The diagnostic accuracy of each parameter was assessed by receiver operating characteristic (ROC) curve analysis. Results The interobserver agreement was good for ADC (0.802), and excellent for D, D*, and ƒ (0.911, 0.927, and 0.942, respectively). ADC, and D values were significantly different among IMC and HLM (both p < 0.05), while there was no significant difference among these lesions for ƒ and D* (p = 0.101, and p = 0.612, respectively). ROC analysis showed higher diagnostic performance of D in comparison to ADC (AUC = 0.879 vs 0.821). Conclusion IVIM-derived parameters in particular D, in addition to ADC, could help in differentiation between most common hypovascular malignant liver lesions, intrahepatic mass—forming cholangiocarcinoma and hypovascular liver metastases.


SPE Journal ◽  
2021 ◽  
pp. 1-26
Author(s):  
Zizhong Liu ◽  
Hamid Emami-Meybodi

Summary The complex pore structure and storage mechanism of organic-rich ultratight reservoirs make the hydrocarbon transport within these reservoirs complicated and significantly different from conventional oil and gas reservoirs. A substantial fraction of pore volume in the ultratight matrix consists of nanopores in which the notion of viscous flow may become irrelevant. Instead, multiple transport and storage mechanisms should be considered to model fluid transport within the shale matrix, including molecular diffusion, Knudsen diffusion, surface diffusion, and sorption. This paper presents a diffusion-based semianalytical model for a single-component gas transport within an infinite-actingorganic-rich ultratight matrix. The model treats free and sorbed gas as two phases coexisting in nanopores. The overall mass conservation equation for both phases is transformed into one governing equation solely on the basis of the concentration (density) of the free phase. As a result, the partial differential equation (PDE) governing the overall mass transport carries two newly defined nonlinear terms; namely, effective diffusion coefficient, De, and capacity factor, Φ. The De term accounts for the molecular, Knudsen, and surface diffusion coefficients, and the Φ term considers the mass exchange between free and sorbed phases under sorption equilibrium condition. Furthermore, the ratio of De/Φ is recognized as an apparent diffusion coefficient Da, which is a function of free phase concentration. The nonlinear PDE is solved by applying a piecewise-constant-coefficient technique that divides the domain under consideration into an arbitrary number of subdomains. Each subdomain is assigned with a constant Da. The diffusion-based model is validated against numerical simulation. The model is then used to investigate the impact of surface and Knudsen diffusion coefficients, porosity, and adsorption capacity on gas transport within the ultratight formation. Further, the model is used to study gas transport and production from the Barnett, Marcellus, and New Albany shales. The results show that surface diffusion significantly contributes to gas production in shales with large values of surface diffusion coefficient and adsorption capacity and small values of Knudsen diffusion coefficient and total porosity. Thus, neglecting surface diffusion in organic-rich shales may result in the underestimation of gas production.


2018 ◽  
Vol 139 (1) ◽  
pp. 61-68 ◽  
Author(s):  
Qun Wang ◽  
JiaShu Zhang ◽  
Xinghua Xu ◽  
XiaoLei Chen ◽  
BaiNan Xu

2015 ◽  
Vol 15 (01) ◽  
pp. 1550011
Author(s):  
DONG RUIQI ◽  
JIANG WENTAO ◽  
YAN FEI ◽  
ZHENG TINGHUI ◽  
FAN YUBO

Objectives: To investigate the influence of atherosclerotic plaque and different drug-eluting stent (DES) spacing on drug deposition in the curved artery wall. Methods: Based on the computational fluid dynamics (CFD) method, the numerical investigation on distributions of drug concentration in the artery wall was carried out considering three different interstrut distances and five values of the plaque diffusion coefficients. The results were compared with those of the model without plaque. Results: Under the same stent spacing, drug deposition weakly increased with the increasing plaque diffusion coefficient. When the same diffusion coefficient value was taken, drug deposition presented steady growth with the expansion of stent spacing. When the stent spacing was of 1-strut length or the diffusion coefficient of plaque was much smaller than the diffusion coefficient of tissue (an order of magnitude or more), the drug deposition would be evidently reduced. Conclusions: In a curved artery, the stent spacing is still an important factor in drug deposition. The diffusion coefficients of plaque have little influence on the average drug concentration, but they show a relatively obvious effect on drug distributions.


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