Premium
Spectral diffusion analysis of kidney intravoxel incoherent motion MRI in healthy volunteers and patients with renal pathologies
Author(s) -
Stabinska Julia,
Ljimani Alexandra,
Zöllner Helge Jörn,
Wilken Enrica,
Benkert Thomas,
Limberg Juliane,
Esposito Irene,
Antoch Gerald,
Wittsack HansJörg
Publication year - 2021
Publication title -
magnetic resonance in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.696
H-Index - 225
eISSN - 1522-2594
pISSN - 0740-3194
DOI - 10.1002/mrm.28631
Subject(s) - intravoxel incoherent motion , kidney , medicine , subtraction , renal blood flow , renal medulla , renal cortex , blood flow , renal circulation , nuclear medicine , magnetic resonance imaging , pathology , effective diffusion coefficient , nuclear magnetic resonance , radiology , mathematics , physics , arithmetic
Purpose To assess the feasibility of measuring tubular and vascular signal fractions in the human kidney using nonnegative least‐square (NNLS) analysis of intravoxel incoherent motion data collected in healthy volunteers and patients with renal pathologies. Methods MR imaging was performed at 3 Tesla in 12 healthy subjects and 3 patients with various kidney pathologies (fibrotic kidney disease, failed renal graft, and renal masses). Relative signal fractions f and mean diffusivities of the diffusion components in the cortex, medulla, and renal lesions were obtained using the regularized NNLS fitting of the intravoxel incoherent motion data. Test–retest repeatability of the NNLS approach was tested in 5 volunteers scanned twice. Results In the healthy kidneys, the NNLS method yielded diffusion spectra with 3 distinguishable components that may be linked to the slow tissue water diffusion, intermediate tubular and vascular flow, and fast blood flow in larger vessels with the relative signal fractions, f slow , f interm and f fast , respectively. In the pathological kidneys, the diffusion spectra varied substantially from those acquired in the healthy kidneys. Overall, the renal cyst showed substantially higher f interm and lower f slow , whereas the fibrotic kidney, failed renal graft, and renal cell carcinoma demonstrated the opposite trend. Conclusion NNLS‐based intravoxel incoherent motion could potentially become a valuable tool in assessing changes in tubular and vascular volume fractions under pathophysiological conditions.