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Abstract #0959

Perfusion Correction of Brain Tumor Functional Diffusion Maps

Alexander D. Cohen1, Pete S. LaViolette2, Melissa A. Prah2, Kathleen M. Schmainda, 12

1Biophysics, Medical College of Wisconsin, Milwaukee, WI, United States; 2Radiology, Medical College of Wisconsin, Milwaukee, WI, United States

Functional diffusion maps (fDMs) use temporal changes in ADC to monitor brain tumor progression and treatment response. Traditional fDMs, calculated with b=0,1000 s/mm2, are confounded by perfusion effects. This study used flow compensated fDMs, calculated with b=500,1000 s/mm2, to evaluate the effects of perfusion changes on longitudinal diffusion differences. Voxels classified differently on flow compensated fDMs vs. traditional fDMs had significant perfusion changes. This indicates flow compensated fDMs are less sensitive to perfusion effects as voxels classified as changing ADC on the traditional fDM solely due to perfusion effects are classified as not changing ADC on the flow compensated fDM.

Keywords

accurate advanced analyzed apparent assess audience axis biophysics blood blue brain cancer categories categorized cerebral changing classification classified clinicians coefficient college color colors column comparing compensated compensates confound contrast contributions correction created creation decrease decreased decreases derived developed diagnoses diagonal dictated diffusion dots driven dynamic errors evaluate evaluated fast flow functional general generated goal grade greater horizontal hypothesize include indicate indicates indicating influence insensitive intensity leakage lesions location longitudinal made maps medical moving negative patient patients perfusion place plot plots positive previously progression published quantified radiologists radiology recede representative represents researchers respectively retrospectively sample scatter sensitive serial sessions sets significantly solely specifically standardization subtracting successful suggesting suppressed susceptibility table target tended theoretically thirty thresholding traditional treatment tumor typically upper versus vertical vessels volume zero