DWI & DTI: Where, Why & How It Is & Is Not Used
Kei Yamada1
1Kyoto Prefectural Univ. of Medicine, Japan
Synopsis
Diffusion-weighted imaging (DWI)and
diffusion-tensor imaging (DTI) has become one of the essential
research/clinical tools in analyzing the brain in both normal and pathological
states. In this presentation, I will first cover the brief history of DWI, and
then explain how this tool has become an essential part of our daily practice.
Diffusion-weighted imaging (DWI)and
diffusion-tensor imaging (DTI) has become one of the essential
research/clinical tools in analyzing the brain in both normal and pathological
states. In this presentation, I will first cover the brief history of DWI, and
then explain how this tool has become an essential part of our daily practice.
The breakthrough was the implementation of echo planer imaging (EPI) on
clinical scanners. This led to motion-free image acquisition, which is crucial
for DWI which is sensitive to motion in the order of microns. Following this
introduction of this talk, I will explain about DTI and its related techniques,
including tractography. These tools have also become vital elements of
presurgical planning for brain tumors. Tractography has enabled visualization of
three-dimensional fiber orientation in the living brain. The FACT algorithm was
one of the most frequently used method [1]. Attempts to validate this technique
have been made in the past, but are limited to comparisons of the images with
known neuroanatomy. One has to interpret the results with cautions when
applying this technique clinically [2,3]. Acknowledgements
No acknowledgement found.References
1. Mori S, et al. Three-dimensional tracking of axonal projections
in the brain by magnetic resonance imaging. Ann Neurol 1999; 45: 265-9
2. Yamada K. Diffusion tensor tractography should be used with
caution. Proc Natl Acad Sci U S A. 2009 106:E14
3. Kinoshita M, Yamada K, et al. Fiber-tracking does not
accurately estimate size of fiber bundle in pathological condition. Neuroimage.
2005 1; 25: 424-429.
Proc. Intl. Soc. Mag. Reson. Med. 30 (2022)