Malignant
gliomas
are
the
most
common
primary
brain
tumors
in
adults.This
family
of
includes
different
types
that
differ
their
genetic
characteristics
and
prognostic
outcomes,
latter
being
generally
unfavorable.Survival
is
especially
poor
high-grade
such
as
glioblastomas,
so
those
cases
predicting
expected
survival
crucial
for
efficient
surgery
treatment
planning.This
thesis
a
reflection
collective
efforts
support
many
individuals,
who
I
would
like
to
thank.Firstly,
express
my
gratitude
advisors
Prof.
Carlos
Alberola
López
Rodrigo
de
Luis
García
unwavering
guidance
throughout
entire
process.Their
expertise,
encouragement,
constructive
feedback
have
Medical Image Analysis,
Journal Year:
2025,
Volume and Issue:
102, P. 103531 - 103531
Published: March 7, 2025
Diffusion
Magnetic
Resonance
Imaging
(dMRI)
sensitises
the
MRI
signal
to
spin
motion.
This
includes
Brownian
diffusion,
but
also
flow
across
intricate
networks
of
capillaries.
effect,
intra-voxel
incoherent
motion
(IVIM),
enables
microvasculature
characterisation
with
dMRI,
through
metrics
such
as
vascular
fraction
fV
or
Apparent
Coefficient
(ADC)
D∗.
The
IVIM
metrics,
while
sensitive
perfusion,
are
protocol-dependent,
and
their
interpretation
can
change
depending
on
regime
spins
experience
during
dMRI
measurements
(e.g.,
diffusive
vs
ballistic),
which
is
in
general
not
known
for
a
given
voxel.
These
facts
hamper
practical
clinical
utility,
innovative
models
needed
enable
vivo
calculation
biologically
meaningful
markers
capillary
flow.
could
have
relevant
applications
cancer,
assessment
response
anti-angiogenic
therapies
targeting
tumour
vessels.
paper
tackles
this
need
by
introducing
SpinFlowSim,
an
open-source
simulator
signals
arising
from
blood
within
pipe
networks.
tailored
laminar
patterns
capillaries,
synthesis
highly-realistic
microvascular
signals,
reconstructed
histology.
We
showcase
generating
synthetic
15
networks,
liver
biopsies,
containing
cancerous
non-cancerous
tissue.
Signals
exhibit
complex,
non-mono-exponential
behaviours,
consistent
patterns,
pointing
towards
co-existence
different
regimes
same
network,
well
diffusion
time
dependence.
demonstrate
potential
utility
SpinFlowSim
devising
strategy
property
mapping
informed
focussing
quantification
velocity
distribution
moments
apparent
network
branching
index.
were
estimated
silico
vivo,
healthy
volunteers
scanned
at
1.5T
3T
13
cancer
patients,
1.5T.
In
conclusion,
realistic
simulations,
those
enabled
may
play
key
role
development
next-generation
methods
mapping,
immediate
oncology.
Magnetic Resonance Materials in Physics Biology and Medicine,
Journal Year:
2025,
Volume and Issue:
unknown
Published: March 19, 2025
Quantitative
MRI
has
been
an
active
area
of
research
for
decades
and
produced
a
huge
range
approaches
with
enormous
potential
patient
benefit.
In
many
cases,
however,
there
are
challenges
reproducibility
which
have
hampered
clinical
translation.
is
form
measurement
like
any
other
it
requires
supporting
metrological
framework
to
be
fully
consistent
compatible
the
international
system
units.
This
means
not
just
expressing
results
in
terms
seconds,
meters,
etc.,
but
demonstrating
consistency
their
internationally
recognized
definitions.
Such
yet
complete,
considerable
amount
work
done
towards
building
one.
article
describes
current
state
art
metrology,
including
detailed
description
principles
how
they
relevant
quantitative
MRI.
It
also
undertakes
gap
analysis
where
we
versus
need
support
focusses
particularly
on
role
activities
national
institutes
across
globe,
illustrating
genuinely
collaborative
nature
field.
Frontiers in Oncology,
Journal Year:
2025,
Volume and Issue:
15
Published: March 10, 2025
Background
To
compare
the
ability
and
potential
additional
value
of
various
diffusion
models,
including
continuous-time
random
walk
(CTRW),
restrictive
spectrum
imaging
(RSI),
diffusion-weighted
(DWI),
as
well
their
associated
histograms,
in
distinguishing
pathological
subtypes
liver
cancer.
Methods
40
patients
with
cancer
were
included
this
study.
Histogram
metrics
derived
from
CTRW
(D,
α,
β),
RSI
(f
1
,
f
2
3
),
DWI
(ADC)
parameters
across
entire
tumor
volume.
Statistical
analyses
Chi-square
test,
independent
samples
t-test,
Mann-Whitney
U
ROC,
logistic
regression,
Spearman
correlation.
Results
Patients
hepatocellular
carcinoma
exhibited
higher
values
median
20th
40th
60th
compared
to
intrahepatic
cholangiocarcinoma,
whereas
D
mean
80th
percentiles
lower
(P<0.05).
Among
individual
histogram
parameters,
percentile
demonstrated
highest
accuracy
(AUC
=
0.717).
Regarding
combined
single
total
model
best
diagnostic
performance
0.792).
Although
showed
efficacy
than
0.731,
0.717),
combination
further
improved
0.787),
achieving
superior
sensitivity
specificity
(sensitivity
0.72,
0.80).
Conclusion
CTRW,
RSI,
corresponding
distinguish
between
Moreover,
whole-lesion
provided
more
comprehensive
statistical
insights
alone.
NMR in Biomedicine,
Journal Year:
2025,
Volume and Issue:
38(6)
Published: April 28, 2025
ABSTRACT
Diffusion
MRI
models
accounting
for
varying
diffusion
times
and
high
b‐values,
such
as
VERDICT,
hold
potential
non‐invasively
characterizing
tumor
tissue
types,
potentially
enabling
improved
grading,
treatment
evaluation.
Furthermore,
cluster
analysis
can
aid
in
identifying
multidimensional
patterns
the
(dMRI)
data
that
are
not
apparent
when
analyzing
individual
parameters
isolation.
The
aim
of
this
study
was
to
evaluate
how
well
VERDICT
be
used
intratumor
characterization
compared
ADC
a
mouse
model
human
small
intestine
neuroendocrine
(GOT1),
validate
method
by
histological
analysis.
Mice
implanted
with
GOT1
were
irradiated
subsequently
imaged
using
dMRI
protocol
designed
estimation
values.
Histological
hematoxylin
eosin
(H&E),
Masson's
trichrome,
Ki67
staining
identified
three
distinct
types:
necrotic,
fibrotic,
viable
tissue.
ROIs
drawn
on
regions
low
ADC,
which
spatially
matched
necrosis
or
fibrosis,
tissue,
respectively.
Among
parameters,
cell
radius
index
(
R
)
most
effective
distinguishing
between
necrotic
fibrotic
whereas
intracellular
fraction
f
IC
differentiating
from
non‐viable
A
Gaussian
mixture
(GMM)
clusters,
representing
each
type,
fitted
all
voxel
data.
maps
corresponded
histology
classification
overall.
Fibrotic
best
,
intermediate
.
In
conclusion,
GMM
shows
tumors.
European Radiology,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Oct. 8, 2024
Abstract
Objectives
This
study
by
the
EUSOBI
International
Breast
Diffusion-weighted
Imaging
(DWI)
working
group
aimed
to
evaluate
current
and
future
applications
of
advanced
DWI
in
breast
imaging.
Methods
A
literature
search
a
comprehensive
survey
members
explore
clinical
use
potential
techniques
were
involved.
Advanced
approaches
such
as
intravoxel
incoherent
motion
(IVIM),
diffusion
kurtosis
imaging
(DKI),
tensor
(DTI)
assessed
for
their
status
challenges
implementation.
Results
Although
revealed
an
increasing
number
publications
growing
academic
interest
DWI,
limited
adoption
among
members,
with
32%
using
IVIM
models,
17%
non-Gaussian
analysis,
only
8%
DTI.
variety
are
used,
being
most
popular,
but
less
than
half
it,
suggesting
that
identified
gap
between
benefits
its
actual
practice.
Conclusion
The
findings
highlight
need
further
research,
standardization
simplification
transition
from
research
tool
regular
practice
concludes
guidelines
recommendations
directions
implementation,
emphasizing
importance
interdisciplinary
collaboration
this
field
improve
cancer
diagnosis
treatment.
Clinical
relevance
statement
imaging,
while
currently
use,
offers
promising
improvements
diagnosis,
staging,
treatment
monitoring,
highlighting
standardized
protocols,
accessible
software,
collaborative
promote
broader
integration
into
routine
Key
Points
Increasing
on
over
last
decade
indicates
.
shows
is
used
primarily
not
extensively
More
needed
integrate
medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2024,
Volume and Issue:
unknown
Published: April 29, 2024
Abstract
Innovative
diffusion
Magnetic
Resonance
Imaging
(dMRI)
models
enable
the
non-invasive
measurement
of
cancer
biological
properties
in
vivo
.
However,
while
cancers
frequently
spread
to
liver,
tailored
for
liver
application
and
easy
deploy
clinic
are
still
sought.
We
fill
this
gap
by
delivering
a
practical,
clinically-viable
dMRI
framework
tumour
imaging,
informing
its
design
through
histology.
By
comparing
histological
data
from
mice
patients,
we
select
signal
model
restricted
intra-cellular
with
negligible
extra-cellular
contributions,
maximising
radiological-histological
correlations.
The
enables
phenotyping,
providing
cell
size
density
estimates
that
i)
correlate
their
histopathology
counterparts,
ii)
associated
proliferation
volume,
iii)
distinguish
types.
metrics
biologically
meaningful,
our
approach
may
complement
standard-of-care
radiology,
become
new
tool
enhanced
characterisation
precision
oncology.