To investigate the usefulness of diffusion-weighted imaging (DWI) for visualizing hypoxia of head and neck carcinoma, the correlation between DWI parameter estimates and 18F-fluoroazomycin arabinoside (FAZA) positron emission tomography (PET) activity was evaluated. The diffusion coefficients and fractions of the fast and slow compartments according to the 2-compartment model (Dfast, Dslow and Ffast, Fslow) were estimated. The diffusional kurtosis (K) and the corrected diffusion coefficient (D) were also obtained according to the diffusional kurtosis imaging (DKI) method. Amongst the DWI estimates, Dslow and K were significantly correlated with FAZA-PET activity, which suggests they might be useful as indicators of hypoxia.
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