Summary: Although brain ischemia has been extensively studied using diffusion-weighted magnetic resonance im aging, most studies performed so far have not had ade quate time resolution to follow the temporal changes in the water apparent diffusion coefficient (ADC) in hyper acute ischemia. Using diffusion echo planar imaging, we obtained ADC maps (calculated from measurements made with 8 b-values) with a time resolution of 43 s in a feline model of global brain ischemia and reperfusion. Different protocols were performed: to-min hypoperfu sion, to-and 22-min ischemia followed by reperfusion, and cardiac arrest. ADC values were obtained from white matter of the internal capsule and from the thalamus. Cor tical gray matter measurements were not deemed reliable due to the close proximity of CSF in the cortical sulci. Following occlusion, the ADC declined in the thalamus to <2 SD of its normal baseline value within 1.5-2.5 min.This decay was exponential with a time constant (T ± SD) of 6.0 ± 2.6 min; no further decrease in the ADC was observed to min following ischemia. Following reperfu sion, in animals that showed ADC recovery, the ADC Numerous experimental and clinical studies have demonstrated that diffusion-weighted (DW) mag netic resonance imaging (MRl) , a technique in which signal intensity is influenced by the random translational motion of protons , provides a previously unattainable noninvasive as sessment of cerebral ischemia. Following the first Received June 21, 1995: final revision received February 9, 1996; accepted February 13, 1996 . Address correspondence and reprint requests to Dr . C. Pierpaoli at NIH, Rm. IC22?, Bldg. 10, 9000 Rockville Pike, Bethesda, MO 20892, U. S.A.Abbreviations used: AOC, apparent diffusion coefficient; OWl, diffusion-weighted imaging; EPl, echo planar imaging; MRI, magnetic resonance imaging; PCR, phosphocreatine; RO!, region of interest.
892began increasing immediately, returning to its preis chemic value in � 15 min. No significant ADC changes were observed during hypoperfusion. Following cardiac arrest, the decay of ADC was more rapid in the thalamus (T = 2.6 ± 0.6 min) than in white matter (T = 6.6 ± 1.8 min). We observed that the ADC at 40 min after cardiac arrest was similar to the ADC at 10 min after ischemia. Given that all animals subjected to 10-min ischemic epi sodes showed ADC recovery with reperfusion, doubt is cast on whether it is possible to define a threshold value of the ADC below which brain tissue is irreversibly dam aged. Finally, despite variability in the time constants of the ADC decay induced by ischemia, the ADC values at 10 min were very similar in all the animals. This suggests that when blood flow is diminished sufficiently to induce an ADC reduction, differences in perfusion affect the ra pidity of the decrease but not the final asymptotic value reached. Key Words: Brain-Diffusion-weighted imag ing-Echo planar imaging-Ischemia-Magnetic reso nance imaging-Metabolism-White matter.study by Moseley et al. in 1990, a number of exper iments have...