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Water content-based electrical properties tomography (wEPT) can retrieve electrical properties (EPs) from water content maps, thereby eliminating the need for B 1 field measurement in the traditional magnetic resonance electrical properties tomography method. The wEPT is performed by conventional MR scanning, such as T 1 -weighted spin-echo imaging, and thus can be directly applied to clinical settings. However, the random noise propagation involved in wEPT causes inaccuracy in EP mapping. To guarantee the EP estimates desired for clinical practice, this study statically investigates the noise-specific uncertainty of wEPT through probability density function models. We calculated the probability distribution of EP maps with different noise levels and examined the effects of scan parameters on reconstruction accuracy with various flip angles (FAs) and repetition time (TR) settings. The theoretical derivation was validated by Monte Carlo simulations and human imaging experiment at 3 T.Results showed that a serious deviation could occur in tissues with large conductivity value at a low signal-to-noise ratio and quantitatively demonstrate that such deviation could be mitigated by increased FAs or TRs. This study provided useful information for the setup of scan parameters, evaluation of accuracy of the wEPT under specific SNR levels, and promote its clinical applications. K E Y W O R D Selectrical conductivity, electrical properties tomography, magnetic resonance imaging, probability density function, relative permittivity, water content

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(1) Background: The objective of this study was to determine whether arterial spin labeling (ASL), amide proton transfer (APT), or their combination could distinguish between patients with a low and high modified Rankin Scale (mRS) and forecast the effectiveness of the therapy; (2) Methods: Fifty-eight patients with subacute phase ischemic stroke were included in this study. Based on cerebral blood flow (CBF) and asymmetry magnetic transfer ratio (MTRasym) images, histogram analysis was performed on the ischemic area to acquire imaging biomarkers, and the contralateral area was used as a control. Imaging biomarkers were compared between the low (mRS 0–2) and high (mRS 3–6) mRS score groups using the Mann–Whitney U test. Receiver operating characteristic (ROC) curve analysis was used to evaluate the performance of the potential biomarkers in differentiating between the two groups; (3) Results: The rAPT 50th had an area under the ROC curve (AUC) of 0.728, with a sensitivity of 91.67% and a specificity of 61.76% for differentiating between patients with low and high mRS scores. Moreover, the AUC, sensitivity, and specificity of the rASL max were 0.926, 100%, and 82.4%, respectively. Combining the parameters with logistic regression could further improve the performance in predicting prognosis, leading to an AUC of 0.968, a sensitivity of 100%, and a specificity of 91.2%; (4) Conclusions: The combination of APT and ASL may be a potential imaging biomarker to reflect the effectiveness of thrombolytic therapy for stroke patients, assisting in guiding treatment approaches and identifying high-risk patients such as those with severe disability, paralysis, and cognitive impairment.

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