Abstract #1735

A modified tri-exponential model for multi-b-value diffusion-weighted imaging to detect the strictly diffusion-limited compartment and its initial application in grading and differential diagnosis of gliomas

Qiang Zeng¹, Biao Jiang², Jianmin Zhang¹, Feina Shi³, Fei Dong², and Chenhan Ling¹

¹Department of Neurosurgery, Second Affiliated Hospital of Zhejiang University College of Medicine, Hangzhou, People's Republic of China, ²Department of Radiology, Second Affiliated Hospital of Zhejiang University College of Medicine, Hangzhou, People's Republic of China, ³Department of Neurology, Second Affiliated Hospital of Zhejiang University College of Medicine, Hangzhou, People's Republic of China

In this study, we focused on the strictly diffusion-limited compartment with extremely low ADC. Because of the negligible signal attenuation of this compartment, the ADC of this compartment was set as zero. By adding this compartment to the two-compartment model, we presented a modified tri-exponential model. The AICcs of this model were found to be lower than the bi-exponential model and the conventional tri-exponential model, indicating this model is the best. Additionally, the parameters derived from this model, especially the fraction of the strictly diffusion-limited compartment (f₀), showed potential clinical value in distinguishing the grade of malignancy of tumors.

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