In vivo MR determination of water diffusion coefficients and diffusion anisotropy: Correlation with structural alteration in gliomas of the cerebral hemispheres

J. A. Brunberg, T. L. Chenevert, P. E. McKeever, D. A. Ross, L. R. Junck, K. M. Muraszko, R. Dauser, J. G. Pipe, A. T. Betley

Research output: Contribution to journalArticle

241 Scopus citations

Abstract

PURPOSE: To determine whether a relationship exists between water diffusion coefficients or diffusion anisotropy and MR-defined regions of normal or abnormal brain parenchyma in patients with cerebral gliomas. METHODS: In 40 patients with cerebral gliomas, diffusion was characterized in a single column of interest using a motion-insensitive spin-echo sequence that was applied sequentially at two gradient strength settings in three orthogonal directions. Apparent diffusion coefficients (ADCs) were derived for the three orthogonal axes at 128 points along the column. An average ADC and an index of diffusion anisotropy (IDA = diffusion coefficient(max- min)/diffusion(mean)) was then calculated for any of nine MR-determined regions of interest within the tumor or adjacent parenchyma. RESULTS: In cerebral edema, mean ADC (all ADCs as 10-7 cm2/s) was 138 ± 24 (versus 83 ± 6 for normal white matter) with mean IDA of 0.26 ± 0.14 (versus 0.45 ± 0.17 for normal white matter). Solid enhancing central tumor mean ADC was 131 ± 25 with mean IDA of 0.15 ± 0.10. Solid enhancing tumor margin mean ADC was 131 ± 25, with IDA of 0.25 ± 0.20. Cyst or necrosis mean ADC was 235 ± 35 with IDA of 0.07 ± 0.04. CONCLUSION: In cerebral gliomas ADC and IDA determinations provide information not available from routine MR imaging. ADC and IDA determinations allow distinction between normal white matter, areas of necrosis or cyst formation, regions of edema, and solid enhancing tumor. ADCs can be quickly and reliably characterized within a motion-insensitive column of interest with standard MR hardware.

Original languageEnglish (US)
Pages (from-to)361-371
Number of pages11
JournalAmerican Journal of Neuroradiology
Volume16
Issue number2
StatePublished - Jan 1 1995

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology

Fingerprint Dive into the research topics of 'In vivo MR determination of water diffusion coefficients and diffusion anisotropy: Correlation with structural alteration in gliomas of the cerebral hemispheres'. Together they form a unique fingerprint.

  • Cite this

    Brunberg, J. A., Chenevert, T. L., McKeever, P. E., Ross, D. A., Junck, L. R., Muraszko, K. M., Dauser, R., Pipe, J. G., & Betley, A. T. (1995). In vivo MR determination of water diffusion coefficients and diffusion anisotropy: Correlation with structural alteration in gliomas of the cerebral hemispheres. American Journal of Neuroradiology, 16(2), 361-371.