Optimization of b-value schemes for estimation of the diffusion coefficient and the perfusion fraction with segmented intravoxel incoherent motion model fitting.

Abstract

PurposeIntravoxel incoherent motion (IVIM) modeling for estimation of the diffusion coefficient (D) and perfusion fraction (f) is increasingly popular, but no consensus on standard protocols exists. This study provides a framework for optimization of b‐value schemes for reduced estimation uncertainty of D and f from segmented model fitting.TheoryAnalytical expressions for uncertainties of D and f from segmented model fitting were derived as Cramer‐Rao lower bounds (CRLBs).MethodsOptimized b‐value schemes were obtained for 3 to 12 acquisitions and in the limit of infinitely many acquisitions through constrained minimization of the CRLBs, with b‐values constrained to be 0 or 200 to 800 s/mm2. The optimized b‐value scheme with eight acquisitions was compared with b‐values linearly distributed in the allowed range using simulations and in vivo liver data from seven healthy volunteers.ResultsAll optimized b‐value schemes contained exactly three unique b‐values regardless of the total number of acquisitions (0, 200, and 800 s/mm2) with repeated acquisitions distributed approximately as 1:2:2. Compared with linearly distributed b‐values, the variability of estimates of D and f was reduced by approximately 30% as seen both in simulations and in repeated in vivo measurements.ConclusionThe uncertainty of IVIM D and f estimates can be reduced by the use of optimized b‐value schemes.