Purpose:To investigate whether variability in reported renal apparent diffusion coeffi cient (ADC ) values in literature can be explained by the use of different diffusion weightings ( b values) and the use of a monoexponential model to calculate ADC .
Materials and Methods:This prospective study was approved by institutional review board and was HIPAA-compliant, and all subjects gave written informed consent. Diffusion-weighted (DW) imaging of the kidneys was performed in three healthy volunteers to generate reference diffusion decay curves. In a literature meta-analysis, the authors resampled the ref-
Results:Signifi cant correlation was found between the reported and predicted ADC values for whole renal parenchyma ( R 2 = 0.50, P = .002), cortex ( R 2 = 0.87, P = .0002), and medulla ( R 2 = 0.61, P = .0129), indicating that most of the variability in reported ADC values arises from limitations of a monoexponential model and use of different b values.
Conclusion:The use of a monoexponential function for DW imaging analysis and variably sampled diffusion weighting plays a substantial role in causing the variability in ADC of healthy kidneys. For maximum reliability in renal apparent diffusion coeffi cient quantifi cation, data for monoexponential analysis should be acquired at a fi xed set of b values or a biexponential model should be used.q RSNA, 2010