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Abstract #4154

Uniform and Reproducible ADC Measurement on Liver

Tetsuo Ogino1, 2, Toshiaki Miyati, Marc Van Cauteren3, Tomohiko Horie4, Yutaka Imai5

1Healthcare department, Philips Electronics Japan, LTD, Minato-ku, Tokyo, Japan; 2Division of Health Sciences, Kanazawa University, Kanazawa, Ishikawa, Japan; 3Philips Healthcare LTD, Minato-ku, Tokyo, Japan; 4Dept. of Radiology, Tokai University Hospital, Isehara, Kanagawa, Japan; 5Radiology, Tokai University, Isehara, Kanagawa, Japan

A novel method to combine Breath holding, cardiac triggering and double bipolar diffusion gradient is proposed to improve reproducibility of liver ADC measurement. With conventional respiratory triggering DWI, left lobe of liver ADC is artificially elevated by cardiac motion and suffer from poor reproducibility. The proposed method eliminating the cardiac motion effect reduced left/right lobe normal parenchyma ADC difference to 3% from 70 % of conventional respiratory triggering method. 20 slices were acquired with 4 inspiration breath holdings of 10-20 seconds duration. It allows uniform and reproducible ADC measurement in clinically feasible scan time.

Keywords

abdominal acquisitions affects allows among another apparent apparently appears artificially attenuate beats bipolar blur body breath cancer cardiac cause caused causes certain clinical clinically combined combining compensates compensating compensation consistent consists constant correct cover delay dept detection diffusion division double duration early ease electronics elevated eliminate employed equal evaluation even executed feasible future gradient gradients health healthy hold holding homogeneous hospital implemented improved improves index induced infer intensity inter intra issue issues japan larger liver lobe lobes location loss magma mainly major maps matrix measured motion navigator nominal normally notably observe orthogonal peripheral poor poster preferred prior prolongation promising proposed pulsation pulse radiology recent recently reduced reducing repeated repeats reproducibility reproducible respect respiratory response reversal scanner scheme sciences selection sense sensitive separated severe shot significantly slice slices smaller statistically studies subject subjects suggests suppression system table therapy tracking traditional trigger triggering uniform unit volunteers whole widely