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Liu J, Karfoul A, Marage L, Shu H, Gambarota G. Estimation of intravoxel incoherent motion (IVIM) parameters in vertebral bone marrow: a comparative study of five algorithms. MAGMA (NEW YORK, N.Y.) 2023; 36:837-847. [PMID: 36715885 DOI: 10.1007/s10334-023-01064-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/04/2022] [Revised: 01/15/2023] [Accepted: 01/16/2023] [Indexed: 01/31/2023]
Abstract
OBJECTIVES To access the performances of different algorithms for quantification of Intravoxel incoherent motion (IVIM) parameters D, f, [Formula: see text] in Vertebral Bone Marrow (VBM). MATERIALS AND METHODS Five algorithms were studied: four deterministic algorithms (the One-Step and three segmented methods: Two-Step, Three-Step, and Fixed-[Formula: see text] algorithm) based on the least-squares (LSQ) method and a Bayesian probabilistic algorithm. Numerical simulations and quantification of IVIM parameters D, f, [Formula: see text] in vivo in vertebral bone marrow, were done on six healthy volunteers. The One-way repeated-measures analysis of variance (ANOVA) followed by Bonferroni's multiple comparison test (p value = 0.05) was applied. RESULTS In numerical simulations, the Bayesian algorithm provided the best estimation of D, f, [Formula: see text] compared to the deterministic algorithms. In vivo VBM-IVIM, the values of D and f estimated by the Bayesian algorithm were close to those of the One-Step method, in contrast to the three segmented methods. DISCUSSION The comparison of the five algorithms indicates that the Bayesian algorithm provides the best estimation of VBM-IVIM parameters, in both numerical simulations and in vivo data.
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Affiliation(s)
- Jie Liu
- Laboratory of Image Science and Technology (LIST), School of Computer Science and Engineering, Southeast University, Nanjing, 210096, China.
- College of Information Science and Technology, Nanjing Forestry University, Nanjing, 210037, China.
- Univ Rennes, Southeast University, INSERM, Centre de Recherche en Information Biomèdicale sino-français (CRIBs)-LIA, 35000, Rennes, France.
| | - Ahmad Karfoul
- Univ Rennes, Southeast University, INSERM, Centre de Recherche en Information Biomèdicale sino-français (CRIBs)-LIA, 35000, Rennes, France
- Univ Rennes, INSERM, LTSI-UMR 1099, 35000, Rennes, France
| | - Louis Marage
- Department of Medical Physics, Georges François Leclerc Cancer Center, 21000, Dijon, France
| | - Huazhong Shu
- Laboratory of Image Science and Technology (LIST), School of Computer Science and Engineering, Southeast University, Nanjing, 210096, China
- Univ Rennes, Southeast University, INSERM, Centre de Recherche en Information Biomèdicale sino-français (CRIBs)-LIA, 35000, Rennes, France
| | - Giulio Gambarota
- Univ Rennes, Southeast University, INSERM, Centre de Recherche en Information Biomèdicale sino-français (CRIBs)-LIA, 35000, Rennes, France
- Univ Rennes, INSERM, LTSI-UMR 1099, 35000, Rennes, France
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Kim Y, Lee SK, Kim JY, Kim JH. Pitfalls of Diffusion-Weighted Imaging: Clinical Utility of T2 Shine-through and T2 Black-out for Musculoskeletal Diseases. Diagnostics (Basel) 2023; 13:diagnostics13091647. [PMID: 37175036 PMCID: PMC10177815 DOI: 10.3390/diagnostics13091647] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2023] [Revised: 04/30/2023] [Accepted: 05/04/2023] [Indexed: 05/15/2023] Open
Abstract
Diffusion-weighted imaging (DWI) with an apparent diffusion coefficient (ADC) value is a relatively new magnetic resonance imaging (MRI) sequence that provides functional information on the lesion by measuring the microscopic movement of water molecules. While numerous studies have evaluated the promising role of DWI in musculoskeletal radiology, most have focused on tumorous diseases related to cellularity. This review article aims to summarize DWI-acquisition techniques, considering pitfalls such as T2 shine-through and T2 black-out, and their usefulness in interpreting musculoskeletal diseases with imaging. DWI is based on the Brownian motion of water molecules within the tissue, achieved by applying diffusion-sensitizing gradients. Regardless of the cellularity of the lesion, several pitfalls must be considered when interpreting DWI with ADC values in musculoskeletal radiology. This review discusses the application of DWI in musculoskeletal diseases, including tumor and tumor mimickers, as well as non-tumorous diseases, with a focus on lesions demonstrating T2 shine-through and T2 black-out effects. Understanding these pitfalls of DWI can provide clinically useful information, increase diagnostic accuracy, and improve patient management when added to conventional MRI in musculoskeletal diseases.
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Affiliation(s)
- Yuri Kim
- Department of Radiology, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea
| | - Seul Ki Lee
- Department of Radiology, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea
| | - Jee-Young Kim
- Department of Radiology, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea
| | - Jun-Ho Kim
- Department of Orthopaedic Surgery, Center for Joint Diseases, Kyung Hee University Hospital at Gangdong, Seoul 05278, Republic of Korea
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Ogon I, Takebayashi T, Takashima H, Abe Y, Oguma H, Imamura R, Akatsuka Y, Morita T, Teramoto A. Intravoxel Incoherent Motion Factors Affecting Collapse and Nonunion of Osteoporotic Vertebral Fracture. Global Spine J 2023:21925682231167788. [PMID: 37001146 DOI: 10.1177/21925682231167788] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/19/2023] Open
Abstract
STUDY DESIGN Longitudinal study. OBJECTIVES Intravoxel incoherent motion (IVIM), a magnetic resonance imaging (MRI) scanning technique that applies diffusion-weighted imaging (DWI), is effective for the quantitative assessment of malignant tumors of the vertebral bone. We hypothesized that IVIM parameters of vertebral bodies are associated with the prognosis of osteoporotic vertebral fracture (OVF). We aimed to explore the relationships between IVIM parameters for vertebral collapse and non-union after OVF and calculate the cut-off values of these parameters for vertebral collapse and non-union. METHODS A total of 150 patients with acute OVF (150 women; mean age: 79.1 ± 7.4 years) were included and treated conservatively with bracing. MRI was performed at the time of injury. IVIM parameters, such as apparent diffusion coefficient (ADC), molecular diffusion coefficient (D), and perfusion-related diffusion (D*) were recorded. The patients were classified into 3 groups: low-collapse (height loss of ≤50%), high-collapse (height loss of >50%), and non-union. We compared ADC, D, and D* among the low-collapse, high-collapse, and non-union groups and performed a receiver operating characteristic (ROC) curve analysis to determine the boundary values of the high-collapse and non-union groups. RESULTS The low-collapse, high-collapse, and non-union groups had no significant differences in ADC and D. However, D* differed significantly among the 3 groups. ROC analysis revealed cut-off values of 19.0 × 10-3 mm2/s and 12.3 × 10-3 mm2/s for the high-collapse and non-union groups, respectively. CONCLUSIONS D* is a significant prognostic indicator for high-collapse and non-union groups with OVF. This suggests that D* should be considered when assessing OVF.
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Affiliation(s)
- Izaya Ogon
- Department of Orthopaedic Surgery, Sapporo Medical University, School of Medicine, Sapporo, Japan
| | - Tsuneo Takebayashi
- Department of Orthopaedic Surgery, Sapporo Maruyama Orthopaedic Hospital, Sapporo, Japan
| | | | - Yasuhisa Abe
- Department of Orthopaedic Surgery, Sapporo Maruyama Orthopaedic Hospital, Sapporo, Japan
| | - Hiroshi Oguma
- Department of Orthopaedic Surgery, Sapporo Maruyama Orthopaedic Hospital, Sapporo, Japan
| | - Rui Imamura
- Department of Orthopaedic Surgery, Sapporo Medical University, School of Medicine, Sapporo, Japan
| | - Yoshihiro Akatsuka
- Department of Orthopaedic Surgery, Sapporo Medical University, School of Medicine, Sapporo, Japan
| | - Tomonori Morita
- Department of Orthopaedic Surgery, Sapporo Medical University, School of Medicine, Sapporo, Japan
| | - Atsushi Teramoto
- Department of Orthopaedic Surgery, Sapporo Medical University, School of Medicine, Sapporo, Japan
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Zhang E, Li Y, Xing X, Qin S, Yuan H, Lang N. Intravoxel incoherent motion to differentiate spinal metastasis: A pilot study. Front Oncol 2022; 12:1012440. [PMID: 36276105 PMCID: PMC9582254 DOI: 10.3389/fonc.2022.1012440] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2022] [Accepted: 09/26/2022] [Indexed: 11/13/2022] Open
Abstract
BackgroundTo investigate the value of intravoxel incoherent motion (IVIM) magnetic resonance imaging (MRI) to discriminate spinal metastasis from tuberculous spondylitis.MethodsThis study included 50 patients with spinal metastasis (32 lung cancer, 7 breast cancer, 11 renal cancer), and 20 with tuberculous spondylitis. The IVIM parameters, including the single-index model (apparent diffusion coefficient (ADC)-stand), double exponential model (ADCslow, ADCfast, and f), and the stretched-exponential model parameters (distributed diffusion coefficient (DDC) and α), were acquired. Receiver operating characteristic (ROC) and the area under the ROC curve (AUC) analysis was used to evaluate the diagnostic performance. Each parameter was substituted into a logistic regression model to determine the meaningful parameters, and the combined diagnostic performance was evaluated.ResultsThe ADCfast and f showed significant differences between spinal metastasis and tuberculous spondylitis (all p < 0.05). The logistic regression model results showed that ADCfast and f were independent factors affecting the outcome (P < 0.05). The AUC values of ADCfast and f were 0.823 (95% confidence interval (CI): 0.719 to 0.927) and 0.876 (95%CI: 0.782 to 0.969), respectively. ADCfast combined with f showed the highest AUC value of 0.925 (95% CI: 0.858 to 0.992).ConclusionsIVIM MR imaging might be helpful to differentiate spinal metastasis from tuberculous spondylitis, and provide guidance for clinical treatment.
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Affiliation(s)
- Enlong Zhang
- Department of Radiology, Peking University Third Hospital, Beijing, China
- Department of Radiology, Peking University International Hospital, Beijing, China
| | - Yuan Li
- Department of Radiology, Peking University Third Hospital, Beijing, China
| | - Xiaoying Xing
- Department of Radiology, Peking University Third Hospital, Beijing, China
| | - Siyuan Qin
- Department of Radiology, Peking University Third Hospital, Beijing, China
| | - Huishu Yuan
- Department of Radiology, Peking University Third Hospital, Beijing, China
- *Correspondence: Huishu Yuan, ; Ning Lang,
| | - Ning Lang
- Department of Radiology, Peking University Third Hospital, Beijing, China
- *Correspondence: Huishu Yuan, ; Ning Lang,
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Identification of abnormal BMD and osteoporosis in postmenopausal women with T2*-corrected Q-Dixon and reduced-FOV IVIM: correlation with QCT. Eur Radiol 2022; 32:4707-4717. [DOI: 10.1007/s00330-021-08531-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2021] [Revised: 12/13/2021] [Accepted: 12/20/2021] [Indexed: 02/07/2023]
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