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Biomedical subjects

Yu-Chien Wu

Publications and source records attributed to Yu-Chien Wu.

4 recordsLinked to original sources

Comparison of diffusion tensor imaging measurements at 3.0 T versus 1.5 T with and without parallel imaging.

The diffusion properties of biological tissues are independent of magnetic field strength. Field strength, however, does affect the signal-to-noise ratio (SNR) and artifacts of diffusion-weighted (DW) images, which ultimately will influence the quantitative and spatial accuracy of diffusion tensor imaging (DTI). In this article, the effects of field strength on DTI are reviewed. The effects of parallel imaging also are discussed. A small study comparing DTI measurements both as a function of field strength (1.5 T and 3.0 T) and parallel imaging was performed. Overall, the SNR of the DW images roughly doubled going from 1.5 T to 3.0 T, and there was a relatively small decrease in SNR (15% to 30%) when parallel imaging was used. The increased SNR at 3.0 T resulted in smaller variances in the estimated mean diffusivities and fractional anisotropies. As expected, the amount of echo-planar image distortion roughly doubled going from 1.5 T to 3.0 T, but was reduced by 50% when using parallel imaging. In summary, DTI studies at 3.0 T using parallel imaging will provide significantly improved DTI measurements relative to studies at 1.5 T.

Brain↗

Principal diffusion direction in peritumoral fiber tracts: Color map patterns and directional statistics.

The ability of diffusion tensor imaging (DTI) to probe the ultrastructural properties of biological tissues presents new possibilities for DTI-based tissue characterization, with the potential for greater pathologic specificity than conventional imaging methods. This is urgently needed in the diagnosis and treatment of cerebral neoplasms, where clinical decisions depend on the ability to discriminate tumor-involved from uninvolved tissue, a major shortcoming of conventional imaging. Several investigators have attempted to make this determination on the basis of the apparent diffusion coefficient (ADC) or the fractional anisotropy (FA), with mixed results. The directionally encoded color map, with hues reflecting tensor orientation and intensity weighted by FA, provides an aesthetic and informative summary of DTI features throughout the brain in an easily interpreted format. The use of these maps is becoming increasingly common in both basic and clinical research, as well as in purely clinical settings. These examples serve to demonstrate our approach to the quantitation of regional diffusion tensor distributions using directional statistical methods.

Anisotropy↗

Diffusion tensor eigenvector directional color imaging patterns in the evaluation of cerebral white matter tracts altered by tumor.

PURPOSE: To categorize the varied appearances of tumor-altered white matter (WM) tracts on diffusion tensor eigenvector directional color maps. MATERIALS AND METHODS: Diffusion tensor imaging (DTI) was obtained preoperatively in 13 patients with brain tumors ranging from benign to high-grade malignant, including primary and metastatic lesions, and maps of apparent diffusion coefficient (ADC), fractional anisotropy (FA), and major eigenvector direction were generated. Regions of interest (ROIs) were drawn within identifiable WM tracts affected by tumor, avoiding grossly cystic and necrotic regions, known fiber crossings, and gray matter. Patterns of WM tract alteration were categorized on the basis of qualitative analysis of directional color maps and correlation analysis of ADC and FA. RESULTS: Four basic patterns of WM alteration were identified: 1) normal or nearly normal FA and ADC, with abnormal tract location or tensor directions attributable to bulk mass displacement, 2) moderately decreased FA and increased ADC with normal tract locations and tensor directions, 3) moderately decreased FA and increased ADC with abnormal tensor directions, and 4) near isotropy. FA and ADC were inversely correlated for Patterns 1-3 but did not discriminate edema from infiltrating tumor. However, in the absence of mass displacement, infiltrating tumor was found to produce tensor directional changes that were not observed with vasogenic edema, suggesting the possibility of discrimination on the basis of directional statistics. CONCLUSION: Tumor alteration of WM tracts tends to produce one of four patterns on FA and directional color maps. Clinical application of these patterns must await further study.

Adult↗

Quantitative analysis of diffusion tensor orientation: theoretical framework.

Diffusion-tensor MRI (DT-MRI) yields information about the magnitude, anisotropy, and orientation of water diffusion of brain tissues. Although white matter tractography and eigenvector color maps provide visually appealing displays of white matter tract organization, they do not easily lend themselves to quantitative and statistical analysis. In this study, a set of visual and quantitative tools for the investigation of tensor orientations in the human brain was developed. Visual tools included rose diagrams, which are spherical coordinate histograms of the major eigenvector directions, and 3D scatterplots of the major eigenvector angles. A scatter matrix of major eigenvector directions was used to describe the distribution of major eigenvectors in a defined anatomic region. A measure of eigenvector dispersion was developed to describe the degree of eigenvector coherence in the selected region. These tools were used to evaluate directional organization and the interhemispheric symmetry of DT-MRI data in five healthy human brains and two patients with infiltrative diseases of the white matter tracts. In normal anatomical white matter tracts, a high degree of directional coherence and interhemispheric symmetry was observed. The infiltrative diseases appeared to alter the eigenvector properties of affected white matter tracts, showing decreased eigenvector coherence and interhemispheric symmetry. This novel approach distills the rich, 3D information available from the diffusion tensor into a form that lends itself to quantitative analysis and statistical hypothesis testing.

Adolescent↗