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Anisotropy of anomalous diffusion improves the accuracy of differentiating low- and high-grade cerebral gliomas

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单位: [1]Peking Univ, Sch Phys, Inst Heavy Ion Phys, Beijing City Key Lab Med Phys & Engn, Beijing, Peoples R China [2]Peking Univ, Ctr MRI Res, Beijing 100871, Peoples R China [3]Capital Med Univ, Beijing Tiantan Hosp, Dept Radiol, Beijing, Peoples R China [4]Huazhong Univ Sci & Technol, Tongji Med Coll, Tongji Hosp, Dept Radiol, Wuhan, Hubei, Peoples R China [5]GE Healthcare, MR Res China, Beijing, Peoples R China [6]Beijing Normal Univ, State Key Lab Cognit Neurosci & Learning, Beijing, Peoples R China [7]Peking Univ, McGovern Inst Brain Res, Beijing, Peoples R China [8]Shenzhen Univ, Inst Affect & Social Neurosci, Shenzhen Key Lab Affect & Social Cognit Sci, Shenzhen, Peoples R China [9]Shenzhen Inst Neurosci, Ctr Emot & Brain, Shenzhen, Peoples R China
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关键词: Anomalous diffusion High b-value diffusion imaging Anisotropy Cerebral glioma Tumor grading

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Background: Anomalous diffusion model has been introduced and shown to be beneficial in clinical applications. However, only the directionally averaged values of anomalous diffusion parameters were investigated, and the anisotropy of anomalous diffusion remains unexplored. The aim of this study was to demonstrate the feasibility of using anisotropy of anomalous diffusion for differentiating low- and high-grade cerebral gliomas. Methods: Diffusion MRI images were acquired from brain tumor patients and analyzed using the fractional motion (FM) model. Twenty-two patients with histopathologically confirmed gliomas were selected. An anisotropy metric for the FM-related parameters, including the Noah exponent (alpha) and the Hurst exponent (H), was introduced and their values were statistically compared between the low- and high-grade gliomas. Additionally, multivariate logistic regression analysis was performed to assess the combination of the anisotropy metric and the directionally averaged value for each parameter. The diagnostic performances for grading gliomas were evaluated using a receiver operating characteristic (ROC) analysis. Results: The Hurst exponent H was more anisotropic in high-grade than in low-grade gliomas (P = 0.015), while no significant difference was observed for the anisotropy of alpha. The ROC analysis revealed that larger areas under the ROC curves were produced for the combination of alpha (1) and the combination of H (0.813) compared with the directionally averaged alpha (0.979) and H (0.594), indicating an improved performance for tumor differentiation. Conclusion: The anisotropy of anomalous diffusion can provide distinctive information and benefit the differentiation of low- and high-grade gliomas. The utility of anisotropic anomalous diffusion may have an improved effect for investigating pathological changes in tissues.

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出版当年[2017]版:
大类 | 4 区 医学
小类 | 3 区 核医学
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 核医学
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出版当年[2016]版:
Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
最新[2023]版:
Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

影响因子: 最新[2023版] 最新五年平均 出版当年[2016版] 出版当年五年平均 出版前一年[2015版] 出版后一年[2017版]

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第一作者单位: [1]Peking Univ, Sch Phys, Inst Heavy Ion Phys, Beijing City Key Lab Med Phys & Engn, Beijing, Peoples R China [2]Peking Univ, Ctr MRI Res, Beijing 100871, Peoples R China
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通讯机构: [1]Peking Univ, Sch Phys, Inst Heavy Ion Phys, Beijing City Key Lab Med Phys & Engn, Beijing, Peoples R China [2]Peking Univ, Ctr MRI Res, Beijing 100871, Peoples R China [7]Peking Univ, McGovern Inst Brain Res, Beijing, Peoples R China [8]Shenzhen Univ, Inst Affect & Social Neurosci, Shenzhen Key Lab Affect & Social Cognit Sci, Shenzhen, Peoples R China [9]Shenzhen Inst Neurosci, Ctr Emot & Brain, Shenzhen, Peoples R China
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