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. 2023 Oct 21;13(12):8259–8273. doi: 10.21037/qims-23-541

Table 5. A synoptic table of main findings in this study.

Metrics Model Potential pathophysiological implications Correlation with tumor grade Correlation with IDH1 mutation status Value in diagnosis
ALPS-index DTI Potentially correlated with the function of the glymphatic system Gliomas can lead to decrease in the ALPS-index, and patients with GBMs have a lower ALPS-index than do patients with LrGGs Patients with IDH1-wild-type gliomas have a lower ALPS-index than do patients with IDH1 mutant gliomas The ALPS-index could improve the diagnostic ability when added to other conventional diffusion metrics
FA The measurement of the directionality of molecular motion, which can reflect the white matter integrity in brain GBMs have a higher FA than do LrGGs IDH1-wild-type gliomas have a higher FA These conventional DTI- and DKI-derived metrics have been used in glioma grading and IDH1 genotyping
MD The rate of water molecules’ diffusional motion, which correlates with tumor cellularity GBMs have a lower MD than do LrGGs IDH1-wild-type gliomas have a lower MD
MK DKI Can provide the kurtosis of water diffusion under non-Gaussian distribution in an organism GBMs have a higher MK than do LrGGs IDH1-wild-type gliomas have a higher MK

IDH1, isocitrate dehydrogenase 1; ALPS, analysis along the perivascular space; FA, fractional anisotropy; MD, mean diffusivity; MK, mean kurtosis; DTI, diffusion tensor imaging; DKI, diffusion kurtosis imaging; LrGG, lower-grade glioma; GBM, glioblastoma.