Purpose:To determine whether bi-or tri-exponential models, and full or segmented fittings, better fit IVIM imaging signal of healthy livers.
Materials and methods:Diffusion-weighted images were acquired with a 3-T scanner using respiratory-triggered echo-planar sequence and 16 b-values (0~800 s/mm 2 ). Eighteen healthy volunteers had liver scanned twice in the same session, and then once again in another session.Region of interest (ROI)-based measurements were processed with bi-exponential model full fitting and segmented fitting (threshold b-value = 80 s/mm 2 ), as well as tri-exponential model full fitting and segmented fitting (threshold b-value = 200 s/mm 2 ).
Results:With all scans' signal averaged, bi-exponential model full fitting showed D slow =1.14, D fast =193.6×10 -3 mm 2 /s, and PF=16.9%, and segmented fitting showed D slow =1.03, D fast =56.7×10 -3 mm 2 /s, and PF=21.3%. IVIM parameters derived from tri-exponential model were similar for full fitting and segmented fitting, with a slow (D' slow =0.98×10 -3 mm 2 /s; F' slow =76.4 or 76.6%), a fast (D' fast =15.1 or 15.4×10 -3 mm 2 /s; F' fast =11.8 or 11.7%) and a very fast (D' Vfast =445.0 or 448.8×10 -3 mm 2 /s; F' Vfast =11.8 or 11.7 %) diffusion compartments. Tri-exponential model provided an overall better fit than bi-exponential model. For bi-exponential model, full fitting provided better fit at very low and low b-values compared with segmented fitting with the later tended to underestimate D fast , however, segmented method demonstrated lower error in signal prediction for high b-values. Compared with full fitting, tri-exponential segmented fitting offered better scan-rescan reproducibility.Conclusion: For healthy liver, tri-exponential modelling is preferred than bi-exponential modelling. For bi-exponential model, segmented fitting underestimates D fast , but offers more accurate estimation of D slow . 4 the best fit for IVIM signal decay in the liver over the 0-800 s/mm 2 range (6). More recently, Wurnig et al. investigated an extensive DW-imaging protocol including 68 b-values and computed apparent diffusion coefficient 'spectra', and demonstrated the presence of a third component of diffusion in liver and kidney (7). However, till now tri-exponential decay model has not been studied at individual subject level with clinically applicable examination set-up. With 50 IVIM diffusion MR scans from 18 healthy volunteers, this study analyzes the fitting accuracy of biexponential vs. tri-exponential models, and full fitting vs. segmented fitting methods. Fitting residual error of predicted MR signal vs. measured MR signal with the four fitting approaches, as well as scan-rescan repeatability/reproducibility at individual subjects' level, are compared. An analysis of the error distribution in model signal prediction can offer insight into why triexponential model offers better fit than bi-exponential model for liver diffusion signal decay. The IVIM parameter physiological values associated with each fitting approach are also presented in this paper....