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What is the unit of ADC value?

Published in Medical Imaging Units 3 mins read

The unit of ADC (Apparent Diffusion Coefficient) value is square millimeters per second (mm²/s).

Understanding the Apparent Diffusion Coefficient (ADC)

The Apparent Diffusion Coefficient (ADC) is a quantitative measure derived from Diffusion-Weighted Imaging (DWI) sequences in Magnetic Resonance Imaging (MRI). It quantifies the magnitude of water molecule diffusion within tissues. In simple terms, ADC reflects how freely water molecules can move in a given tissue. The movement of water is restricted by cellular structures and membranes, so changes in tissue microstructure (like in tumors, stroke, or inflammation) can alter water diffusion, which is then captured by the ADC value.

For a deeper understanding of this crucial imaging parameter, explore resources on Diffusion MRI and its applications.

The Standard Unit of ADC: mm²/s

The standard unit for ADC values is square millimeters per second (mm²/s). This unit signifies the average area (in square millimeters) that water molecules effectively traverse per unit of time (in seconds). It represents a diffusion coefficient, indicating how quickly water diffuses through a biological medium.

Practical Examples of ADC Value Notation

ADC values are often very small, so they are typically expressed using scientific notation to enhance readability and consistency in medical reports. The MRI software provides these values, and they are usually presented in specific forms:

  • Common Notations:
    • 1.0 to 1.1 x 10⁻³ mm²/s
    • 1000 to 1100 x 10⁻⁶ mm²/s
  • It's important to note that these two notations represent the same value (e.g., 1.0 x 10⁻³ mm²/s is equivalent to 1000 x 10⁻⁶ mm²/s), showcasing different powers of ten for clarity.

How ADC Values Are Measured and Calculated

ADC values are not directly measured but are calculated from a series of Diffusion-Weighted Imaging (DWI) scans. The process involves:

  • Region of Interest (ROI) Placement: An area of interest within the tissue is identified, and typically the smallest possible Region of Interest (ROI) is placed over it by a radiologist or technician.
  • Automatic Calculation: The ADC value is automatically calculated by the MR scanner's integrated software.
  • Mean ADC Value: The MRI software then provides the mean ADC value within the designated ROI, expressed in the unit of mm²/s. This mean value helps in characterizing the tissue within that specific region.

Clinical Relevance of ADC in Medical Imaging

ADC mapping is an invaluable tool in clinical practice, particularly in neuroimaging and oncology. By analyzing ADC values, medical professionals can gain critical insights into various pathological conditions:

  • Ischemic Stroke: Areas of acute stroke show significantly reduced ADC values due to restricted water diffusion caused by cellular swelling.
  • Tumor Characterization: ADC values can help differentiate between benign and malignant tumors, grade tumors, and monitor treatment response. Highly cellular tumors often exhibit lower ADC values due to increased restriction of water movement.
  • Inflammation and Infection: ADC can help distinguish between different types of lesions and assess the extent of inflammation.

Understanding the ADC value and its unit is fundamental for interpreting diffusion MRI data and making informed clinical decisions.

Aspect Detail
Unit Name Square millimeters per second
Unit Symbol mm²/s
Typical Notation x 10⁻³ mm²/s or x 10⁻⁶ mm²/s
Example Value Range 1.0 to 1.1 x 10⁻³ mm²/s or 1000 to 1100 x 10⁻⁶ mm²/s