Diffusion MRI - Science@NICHD · diffusion MRI. Here we review the most common manifesta-tions of...

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303 18 Artifacts in Diffusion MRI CARLO PIERPAOLI Summary Box This chapter focuses on artifacts that are relevant for diffusion imaging studies of the brain in a clinical research setting. For typical clinical studies, the most relevant sources of “physi- ological noise” artifacts are subject motion and cardiac pulsation, and the most common sources of “system-related artifacts” are eddy current distortions. Artifacts not only increase the variability of diffusion MRI mea- sures but also, most importantly, introduce bias, resulting in poten- tially false-positive findings. Physiological noise artifacts affect the statistical properties of diffusion-derived measures in a regionally heterogeneous manner. Some anatomical regions are severely affected, while others are almost immune. For diffusion tensor imaging (DTI), there are several data-processing approaches that can successfully remove effects of artifacts and improve the quality of the computed diffusion metrics. Identification and removal of artifactual data points in high b-value /HARDI applications is still a largely unmet challenge. As technology improves and scanning is performed at higher magnetic fields, the relative importance of thermal noise in deter- mining the quality of diffusion MRI measurements is decreasing, while that of physiological noise is increasing. Contrary to what is commonly assumed, if correctly implemented, cardiac gating can be performed in a time-efficient way with no or very little increase in total scan time. Practical suggestions for designing optimal acquisition protocols aimed at minimizing the effects of artifacts are provided in this chapter. 18-Jones-Chap-18.indd 303 18-Jones-Chap-18.indd 303 8/4/2010 2:45:13 PM 8/4/2010 2:45:13 PM