Magnetic resonance imaging最新文献

{"title":"Association of white matter hyperintensities with cognitive impairment.","authors":"Wen-Jun Feng, Yu-Meng Gu, Xiao-Shuang Xia, Xin Li","doi":"10.1016/j.mri.2025.110464","DOIUrl":"10.1016/j.mri.2025.110464","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to examine the characteristics of cognitive impairment in individuals with white matter hyperintensities (WMH) and to compare differences in cognitive dysfunction across varying levels of WMH severity.</p><p><strong>Methods: </strong>A total of 100 participants were randomly recruited from inpatient and outpatient departments of a hospital between November 2018 and December 2022. The cohort included 55 patients with cerebral small vessel disease (CSVD) and 45 control participants without CSVD. Among the CSVD group, 37 individuals had WMH. Cognitive function assessments were conducted for both the WMH and control groups to evaluate the characteristics of WMH-related cognitive dysfunction. Furthermore, cognitive scale scores and fractional anisotropy (FA) values obtained from diffusion tensor imaging (DTI) were compared among patients with varying WMH severity levels to analyze variations in cognitive performance and lesion characteristics across multiple brain regions.</p><p><strong>Results: </strong>Statistically significant differences were observed between the control and CSVD groups in age, hypertension, diabetes, coronary heart disease, smoking, and physical activity (P < 0.05). The WMH and control groups demonstrated significant differences in the Montreal Cognitive Assessment (MoCA) total score, Digit Span Test (DST)-forward, DST-backward, Color Trail Test (CTT)-A, and CTT-B scores (p < 0.05). Significant differences were also identified between the mild and severe WMH groups (p < 0.05). Analysis of moderate and severe WMH groups indicated significant differences in FA values of the anterior horn of the lateral ventricle (p < 0.05), along with significant differences in age, DST-forward, and CTT-B scores (p < 0.05).</p><p><strong>Conclusion: </strong>Cognitive impairment in individuals with WMH is predominantly characterized by marked declines in executive function and attention, while memory and language impairments are less pronounced. Severe WMH is associated with greater damage to the anterior horn of the lateral ventricle.</p>","PeriodicalId":18165,"journal":{"name":"Magnetic resonance imaging","volume":" ","pages":"110464"},"PeriodicalIF":2.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144760490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A study of magnetic resonance diffusion tensor imaging in the prognostic assessment of severe craniocerebral trauma.","authors":"Xiangzhen Meng","doi":"10.1016/j.mri.2025.110481","DOIUrl":"10.1016/j.mri.2025.110481","url":null,"abstract":"<p><strong>Background: </strong>Magnetic resonance diffusion tensor imaging (DTI) is recognized for its diagnostic capabilities in severe craniocerebral trauma but is less explored for its prognostic utility. This study assesses the prognostic value of DTI in predicting outcomes for patients with severe craniocerebral trauma.</p><p><strong>Methods: </strong>We conducted a retrospective analysis of 125 patients who sustained severe craniocerebral injuries between March 2021 and September 2022. Patients were evaluated 90 days post-injury using the Glasgow Outcome Scale (GOS) and categorized into good (GOS 4-5, n = 74) and poor (GOS 1-3, n = 51) prognosis groups. DTI parameters were analyzed using logistic regression and Receiver Operating Characteristic (ROC) curves to identify prognostic indicators.</p><p><strong>Results: </strong>No significant demographic differences were observed (P > 0.05); however, significant variances were noted in DTI parameters like ADC and FA, correlating with patient outcomes. Multifactorial analysis highlighted GCS ≤ 4, midline shift ≥5 mm, and ADC ≤ 2.7 × 10^-3 mm²/s as key predictors of poor prognosis.</p><p><strong>Discussion: </strong>DTI provides valuable insights into the structural impacts of severe craniocerebral trauma, with ADC and FA serving as reliable indicators of prognosis. Identifying these parameters early can guide clinical interventions and potentially improve outcomes, underscoring the need for integrating DTI into routine prognostic assessments.</p>","PeriodicalId":18165,"journal":{"name":"Magnetic resonance imaging","volume":" ","pages":"110481"},"PeriodicalIF":2.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144794871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"4D flow MRI of aortic blood flow parameters in healthy volunteers: Sex- and age-specific analysis.","authors":"Gyu-Han Lee, Hojin Ha, Kyung Jin Park, Hyun Jung Koo, June-Goo Lee, Hyun Seo Lee, Jong Eun Lee, Dong Hyun Yang, Dae-Hee Kim","doi":"10.1016/j.mri.2025.110482","DOIUrl":"10.1016/j.mri.2025.110482","url":null,"abstract":"<p><strong>Purpose: </strong>Four-dimensional (4D) flow MRI enables comprehensive assessment of aortic hemodynamics, but normative values remain limited, especially for Asian populations. This study aimed to establish age- and sex-specific normative values for flow-related parameters in healthy Korean adults.</p><p><strong>Methods: </strong>Seventy-seven healthy volunteers (aged 20-79 years) underwent 4D flow MRI. Hemodynamic parameters-velocity, viscous energy loss, normalized vorticity, and helicity-were quantified in the ascending aorta (AAo), aortic arch (AoA), and descending aorta (DAo).</p><p><strong>Results: </strong>Significant sex differences were found for velocity in the AAo (p < 0.001) and viscous energy loss across all segments (p < 0.05), while normalized vorticity and helicity showed no sex-related differences. In viscous energy loss, males had higher values than females in the AAo (2.84 ± 1.05 vs 2.22 ± 0.60 mW, p = 0.017), AoA (0.74 ± 0.37 vs 0.42 ± 0.19 mW, p = 0.001), and DAo (4.78 ± 1.82 vs 3.32 ± 1.55 mW, p = 0.002). Most parameters demonstrated age-related declines, especially in the DAo. Strongest correlations with age were seen for velocity (r = -0.725, p < 0.001) and viscous energy loss (r = -0.745, p < 0.001). Positive helicity showed sex-specific aging trends, with the strongest correlations in the DAo for men and the AoA for women. Negative helicity showed the strongest correlation in the DAo in both sexes.</p><p><strong>Conclusions: </strong>This study established age- and sex-specific normative values for aortic hemodynamic parameters in healthy Korean adults using 4D flow MRI. While sex differences were limited, most flow parameters declined with age.</p>","PeriodicalId":18165,"journal":{"name":"Magnetic resonance imaging","volume":" ","pages":"110482"},"PeriodicalIF":2.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144799546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimizing MPRAGE for enhanced blood suppression and intraplaque hemorrhage detection in carotid artery imaging.","authors":"Seong-Eun Kim, John A Roberts, J Rock Hadley, J Scott McNally, Gerald S Treiman, Yibin Xie, Debiao Li, Kim-Lien Nguyen, Dimitrios Mitsouras, Jonas Schollenberger, David Salone, Arunbalaji Pugazhendhi, Kevin J Johnson, Maria Altbach, Douglas Morris, Kevin DeMarco, Vibhas Deshpande, Pedro Itriago-Leon, Dennis L Parker","doi":"10.1016/j.mri.2025.110531","DOIUrl":"https://doi.org/10.1016/j.mri.2025.110531","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to optimize the Magnetization Prepared Rapid Acquisition Gradient Echo (MPRAGE) technique to improve the accuracy of intraplaque hemorrhage (IPH) detection in carotid diseases and enhance reliability for clinical use, addressing the challenge of inconsistent blood suppression observed in commonly used clinical protocols.</p><p><strong>Methods: </strong>Bloch equation simulations were used to evaluate the effects of inversion time and flip angle on blood suppression and tissue contrast. The optimized parameters were implemented on a clinical 3 T scanner and tested in four subjects. Quantitative measures included blood-muscle contrast and contrast-to-noise ratios (CNR) for lumen-wall and lumen-IPH. Imaging was performed in 21 patients with carotid artery disease, two MPRAGE acquisitions were performed per patient: (1) at the magnet isocenter with the standard IR pulse, and (2) at a 50-mm shifted position toward the heart with the wideband IR pulse. Qualitative image quality was evaluated independently by two neuroradiologists using a predefined 4-point scale (1 = poor, 4 = excellent) for blood suppression, vessel wall clarity, motion artifacts, and IPH visualization, in addition to quantitative SNR and CNR measurements.</p><p><strong>Results: </strong>The optimized MPRAGE sequence demonstrated significantly improved blood suppression, with blood-muscle contrast increasing from 0.42 ± 0.08 to 0.61 ± 0.07 (p = 0.002). Lumen-wall CNR increased from 15.2 ± 3.4 to 22.8 ± 4.1 (p = 0.01), and lumen-IPH CNR increased from 18.7 ± 5.2 to 26.3 ± 6.0 (p = 0.004). These improvements enhanced vessel wall delineation and IPH conspicuity.</p><p><strong>Conclusion: </strong>Optimization of MPRAGE parameters enhances blood suppression and contrast, providing improved visualization of the carotid vessel wall and more reliable detection of IPH. This approach may increase the diagnostic accuracy of carotid plaque imaging.</p>","PeriodicalId":18165,"journal":{"name":"Magnetic resonance imaging","volume":" ","pages":"110531"},"PeriodicalIF":2.0,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PHASE: Personalized Head-based Automatic Simulation for Electromagnetic properties in 7T MRI.","authors":"Zhengyi Lu, Hao Liang, Ming Lu, Dann Martin, Benjamin M Hardy, Benoit M Dawant, Xiao Wang, Xinqiang Yan, Yuankai Huo","doi":"10.1016/j.mri.2025.110532","DOIUrl":"10.1016/j.mri.2025.110532","url":null,"abstract":"<p><p>Accurate and individualized human head models are becoming increasingly important for electromagnetic (EM) simulations. These simulations depend on precise anatomical representations to realistically model electric and magnetic field distributions, particularly when evaluating Specific Absorption Rate (SAR) within safety guidelines. State of the art simulations use the Virtual Population due to limited public resources and the impracticality of manually annotating patient data at scale. This paper introduces Personalized Head-based Automatic Simulation for EM properties (PHASE), an automated open-source toolbox that generates high-resolution, patient-specific head models for EM simulations using paired T1-weighted (T1w) magnetic resonance imaging (MRI) and computed tomography (CT) scans with 14 tissue labels. To evaluate the performance of PHASE models, we conduct semi-automated segmentation and EM simulations on 15 real human patients, serving as the gold standard reference. The PHASE model achieved comparable global SAR and localized SAR averaged over 10 grams of tissue (SAR-10g), demonstrating its potential as a promising tool for generating large-scale human model datasets in the future. The code and models of PHASE toolbox have been made publicly available: https://github.com/hrlblab/PHASE.</p>","PeriodicalId":18165,"journal":{"name":"Magnetic resonance imaging","volume":" ","pages":"110532"},"PeriodicalIF":2.0,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145182084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Coherent flow effects on IVIM-based perfusion measurements: A phantom study in 3 T","authors":"Kamil Lipiński ,&nbsp;Grzegorz Domański ,&nbsp;Piotr Bogorodzki","doi":"10.1016/j.mri.2025.110533","DOIUrl":"10.1016/j.mri.2025.110533","url":null,"abstract":"<div><div>Quantitative, non-invasive measurement of perfusion remains a challenge in MRI. The Intravoxel Incoherent Motion (IVIM) technique, based on Diffusion-Weighted Imaging (DWI), offers a method to estimate perfusion at the sub-voxel level by modeling blood flow as a pseudo-diffusive process within a microvascular network. Key IVIM-derived parameters include the perfusion fraction (f) and the pseudo-diffusion coefficient (D*). While under specific structural assumptions, IVIM can be used to estimate Cerebral Blood Flow (CBF), direct conversions from IVIM metrics to CBF are rarely validated. This study investigates the accuracy of the IVIM-based perfusion measures, exploring coherent flow influence on signal from voxel. To assess the relation between flow (ground truth CBF), IVIM parameters, and calculated CBF, a phantom, composed of agarose gel and tubes mimicking arterioles with regulated flow velocity, was constructed. Thus, a signal fraction from the “fast” compartment, described by D* in the IVIM model, is represented by flow in tubes occupying a fixed fraction of the imaged voxel, simulating desired Cerebral Blood Volume (CBV) and CBF values. The phantom was scanned using IVIM-optimized DWI protocol, and data were processed for the IVIM measures. Besides IVIM, we also propose a model based on extended Bloch-Torrey equations with coherent flow term. Results demonstrate that IVIM can yield reasonable estimates of CBF and CBV within physiologically relevant flow ranges (0.5–2 mm/s) observed in the brain vasculature. However, a consistent overestimation of flow (up to 200 %) was obscerved at higher velocities, especially in arterial or vein-like flow conditions.</div></div>","PeriodicalId":18165,"journal":{"name":"Magnetic resonance imaging","volume":"124 ","pages":"Article 110533"},"PeriodicalIF":2.0,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145149806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Imaging cardiac fat by cardiovascular magnetic resonance – A state-of-the art review","authors":"Franca Morselli ,&nbsp;Iain Pierce ,&nbsp;Matthew Webber ,&nbsp;Debbie Falconer ,&nbsp;Alun D. Hughes ,&nbsp;Michele Orini ,&nbsp;Pier D. Lambiase ,&nbsp;James C. Moon ,&nbsp;Gabriella Captur","doi":"10.1016/j.mri.2025.110529","DOIUrl":"10.1016/j.mri.2025.110529","url":null,"abstract":"<div><div>Myocardial fat infiltration may represent a substrate for ventricular arrhythmias, and its presence has been associated with increased risk for sudden cardiac death in both ischaemic and non-ischaemic cardiomyopathies. Epicardial and pericardial adiposity has also been linked with adverse cardiovascular outcomes. Fat-water separation (FWS) is an advanced magnetic resonance imaging technique enabling for visualisation and quantification of lipid content within the myocardium, and it can also identify fat-containing neoplasms, discriminate epicardial and pericardial fat, and characterise pericardial disease. Methods for FWS have improved significantly over the years, with resulting optimisation of cardiac and extracardiac fat imaging, and resolution of artifacts that may arise from the presence of fat. This review covers the physics underlying FWS imaging technique, its evolution, the practical aspects of sequence acquisition, clinical applications, and future directions.</div></div>","PeriodicalId":18165,"journal":{"name":"Magnetic resonance imaging","volume":"124 ","pages":"Article 110529"},"PeriodicalIF":2.0,"publicationDate":"2025-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145131200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cardiac-induced brain tissue motion in Chiari Malformation type 1 subjects and its relationship to symptomatology, morphometrics, and surgical outcomes","authors":"Mahsa Karamzadeh ,&nbsp;Mohamad Motaz Al Samman ,&nbsp;Christopher Maclellan ,&nbsp;Rafeeque A. Bhadelia ,&nbsp;John Oshinski ,&nbsp;Rouzbeh Amini ,&nbsp;Seyed Amir Ebrahimzadeh ,&nbsp;Francis Loth","doi":"10.1016/j.mri.2025.110530","DOIUrl":"10.1016/j.mri.2025.110530","url":null,"abstract":"<div><h3>Purpose</h3><div>To determine whether cardiac-induced brain-tissue displacement in Chiari Malformation type 1 (CMI) relates to patient symptoms, morphometrics, and surgical outcomes.</div></div><div><h3>Methods</h3><div>We performed cardiac-gated phase-contrast MRI in 45 adults with CMI, converting velocity measurements to voxel-wise displacement in the cerebellum, pons, medulla, and cervical cord. We examined if displacement was correlated with each symptoms of subjects, and two anatomic measurements: tonsillar position (TP) and the ratio of neural-tissue area at foramen magnum to the area of foramen magnum. In seven patients who underwent posterior fossa decompression (PFD), we compared pre- versus post-operative displacement in seven paired scans and related changes to the Chicago Chiari Outcome Scale (CCOS).</div></div><div><h3>Results</h3><div>No significant correlations were found between displacement and symptom reports. TP correlated moderately with displacement (<em>r</em> = 0.47–0.61, <em>p</em> &lt; 0.002), and ratio of neural-tissue area showed modest links to cerebellar motion (<em>r</em> = 0.34–0.36, <em>p</em> &lt; 0.02). After PFD, mean and peak cerebellar displacement decreased by 45 % and 60 %, respectively (<em>p</em> &lt; 0.05), but neither pre-operative motion nor its reduction predicted CCOS scores.</div></div><div><h3>Conclusion</h3><div>While displacement increases with anatomical crowding and normalizes after surgery, it does not predict clinical symptoms or surgical outcomes. Future work should combine multiple biomechanical markers and detailed symptom scales in an effort to develop a multidimensional biomarker for guiding treatment and assessing recovery in CMI.</div></div>","PeriodicalId":18165,"journal":{"name":"Magnetic resonance imaging","volume":"124 ","pages":"Article 110530"},"PeriodicalIF":2.0,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145118542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"DF-TransUNet: A novel TransUNet model of pixel level classification for cardiac MR image segmentation","authors":"Yunhui Zheng,&nbsp;Zhiyong Wu,&nbsp;Fengna Ji,&nbsp;Lei Du,&nbsp;Zhenyu Yang","doi":"10.1016/j.mri.2025.110502","DOIUrl":"10.1016/j.mri.2025.110502","url":null,"abstract":"<div><div>A crucial step in the intelligent healthcare system is the automatic analysis of medical images by machines and processing them accordingly, particularly in disease diagnosis, as it provides accurate anatomical structure information for subsequent treatment. This process provides precise anatomical data vital for the subsequent treatments. There is a problem of uneven intensity distribution and fuzzy boundaries etc. in medical images, which creates a great problem in the segmentation task. To cope with this problem, an improved TransUNet structure is introduced in this paper. This method is based on the TransUNet framework, and adds a pixel level classification module on the basis of TransUNet segmentation. This module can further classify the boundary parts of the mask to be segmented at the pixel level to achieve more accurate segmentation results. The method in this paper effectively reduces the classification errors associated with pixels near the boundaries of various masks within the MR image. In particular, The pixel classification module aims to learn the category of pixels near the mask boundary, and then enhance the original segmentation results through pixel level adjustments. To validate the effectiveness of this model, a series of experiments were conducted using the 2017 MICCAI Automated Cardiac Diagnostic Challenge (ACDC) dataset. The results show that with an average Dice coefficient of 90.55% and a Hausdorff distance of up to 2.23 mm, the proposed approach achieves a commendable segmentation performance. Code and models are available at <span><span>https://github.com/laodeyip/DF-TransUNet</span><svg><path></path></svg></span>.</div></div>","PeriodicalId":18165,"journal":{"name":"Magnetic resonance imaging","volume":"124 ","pages":"Article 110502"},"PeriodicalIF":2.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145102708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Histogram analysis of quantitative susceptibility mapping and diffusion kurtosis imaging for the grading prediction of 2021 WHO adult-type diffuse gliomas","authors":"Pengxin Shen ,&nbsp;Yangyang Li ,&nbsp;Wenji Xu ,&nbsp;Zhiyi Zhang ,&nbsp;Xiaochun Wang ,&nbsp;Guoqiang Yang ,&nbsp;Jiangfeng Du ,&nbsp;Hui Zhang ,&nbsp;Yan Tan","doi":"10.1016/j.mri.2025.110528","DOIUrl":"10.1016/j.mri.2025.110528","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate the role of quantitative susceptibility mapping (QSM) and diffusion kurtosis imaging (DKI) histogram features in improving the 2021 World Health Organization Classification of Central Nervous System Tumors (WHO CNS 5) grading accuracy for adult-type diffuse gliomas when combined with conventional imaging sequences.</div></div><div><h3>Methods</h3><div>A total of 62 patients were retrospectively collected. Histogram features of QSM, DKI, CE-T1WI, T2FLAIR were extracted from tumor parenchyma. Independent <em>t</em>-tests and Mann-Whitney <em>U</em> tests were used to compare differences between grade 2/3 and grade 4 gliomas. The evaluation of the model included receiver operating characteristic (ROC) curves, 5-fold cross-validation, nomogram construction, and calibration curve analysis. Prognostic differences between two groups were assessed using Kaplan-Meier survival analysis.</div></div><div><h3>Results</h3><div>The functional imaging model (AUC = 0.892) was constructed using QSM mean absolute deviation (MAD) and relative mean kurtosis 90th percentile (rMK P90), while the conventional imaging model (AUC = 0.776) was built using CE-T1WI robust mean absolute deviation (RMAD) and T2FLAIR maximum. The imaging combined model, incorporating CE-T1WI RMAD, QSM MAD, and rMK P90, achieved an AUC of 0.936. Among the clinical factors, age showed a statistically significant difference between the two groups, with an AUC of 0.769. The integrated model combining the imaging model and age achieved the highest AUC of 0.949. The 5-fold internal cross validation showed that the average AUC was 0.944. Survival analysis revealed a significant difference between grade 2/3 and grade 4 gliomas.</div></div><div><h3>Conclusion</h3><div>Histogram features of QSM and DKI can complement conventional sequences, enhancing the diagnostic performance for adult-type diffuse gliomas grading.</div></div>","PeriodicalId":18165,"journal":{"name":"Magnetic resonance imaging","volume":"124 ","pages":"Article 110528"},"PeriodicalIF":2.0,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145086431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}