Abstract
Diffusion-weighted imaging (DWI) utilizes the constant random motion of water molecules, called Brownian motion, to depict the movement or diffusion of water in tissue structures. The diffusion of water molecules in the brain provides us with a sensitive window to its underlying physiology and structure. DWI of the brain was introduced into clinical use in the early 1990s, primarily in the detection of acute ischemic stroke. Since that time, advances in technology have resulted in significant improvements in image quality, allowing the application of DWI to the evaluation of a variety of intracranial disease processes, such as infections, neoplasms, demyelinating processes, and trauma. In this chapter, we review the physical principles of DWI, starting with a description of Brownian motion and its relevance to molecular diffusion. We then describe the application of these principles to DWI of the brain using magnetic resonance imaging (MRI). We discuss basic imaging techniques in DWI of the brain, as well as limitations of current techniques, and newer imaging sequences that have been developed. The clinical applications of DWI are discussed in the following chapters.
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Sivapatham, T., Melhem, E.R. (2011). Physical Principles of Diffusion Imaging. In: Faro, S., Mohamed, F., Law, M., Ulmer, J. (eds) Functional Neuroradiology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4419-0345-7_1
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