Taffel Myles T, Johnson Evan J, Chandarana Hersh
Department of Radiology, New York University School of Medicine, New York, NY.
Top Magn Reson Imaging. 2017 Dec;26(6):243-249. doi: 10.1097/RMR.0000000000000144.
Diffusion-weighted imaging (DWI) is increasingly incorporated into routine body magnetic resonance imaging protocols. DWI can assist with lesion detection and even in characterization. Quantitative DWI has exhibited promise in the discrimination between benign and malignant pathology, in the evaluation of the biologic aggressiveness, and in the assessment of the response to treatment. Unfortunately, inconsistencies in DWI acquisition parameters and analysis have hampered widespread clinical utilization. Focusing primarily on liver applications, this article will review the basic principles of quantitative DWI. In addition to standard mono-exponential fitting, the authors will discuss intravoxel incoherent motion and diffusion kurtosis imaging that involve more sophisticated approaches to diffusion quantification.
扩散加权成像(DWI)越来越多地被纳入常规体部磁共振成像协议中。DWI有助于病变检测,甚至在病变特征描述方面也有帮助。定量DWI在鉴别良恶性病变、评估生物学侵袭性以及评估治疗反应方面已显示出前景。不幸的是,DWI采集参数和分析的不一致阻碍了其在临床的广泛应用。本文主要聚焦于肝脏应用,将回顾定量DWI的基本原理。除了标准的单指数拟合外,作者还将讨论体素内不相干运动和扩散峰度成像,这些涉及更复杂的扩散量化方法。