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.
基金:
National Key Research and Development Program of China [2017YFC0108900]; National Natural Science Foundation of China [81430037, 81727808, 81790650, 81790651]; Beijing Municipal Science & Technology Commission [Z171100000117012, Z161100000216152]; Shenzhen Peacock Plan [KQTD2015033016104926]; Shenzhen Science and Technology Research Funding Program [JCYJ20170412164413575]; Guangdong Pearl River Talents Plan Innovative and Entrepreneurial Team [2016ZT065220]
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
通讯作者:
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
推荐引用方式(GB/T 7714):
Xu Boyan,Su Lu,Wang Zhenxiong,et al.Anisotropy of anomalous diffusion improves the accuracy of differentiating low- and high-grade cerebral gliomas[J].MAGNETIC RESONANCE IMAGING.2018,51:14-19.doi:10.1016/j.mri.2018.04.005.
APA:
Xu, Boyan,Su, Lu,Wang, Zhenxiong,Fan, Yang,Gong, Gaolang...&Gao, Jia-Hong.(2018).Anisotropy of anomalous diffusion improves the accuracy of differentiating low- and high-grade cerebral gliomas.MAGNETIC RESONANCE IMAGING,51,
MLA:
Xu, Boyan,et al."Anisotropy of anomalous diffusion improves the accuracy of differentiating low- and high-grade cerebral gliomas".MAGNETIC RESONANCE IMAGING 51.(2018):14-19