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TOMORROW TODAY

ADC & eADC MAPS


Processing the DWI images in ReadyView

Description:
READY View has algorithms to process DWI images, to generate ADC and eADC maps to eliminate T2 “shine through”
in the Combined DWI images. The ADC algorithm subtracts the T2 information from the DWI image. The Ratio(eADC)
map is a relative inverse of the ADC map.
• In an isotropic DWI image, restricted diffusion is bright and T2 “shine through” is bright.
• When ADC is applied, restricted diffusion is dark and the T2 is isointense.
• When eADC is applied, restricted diffusion is bright (the same as the DWI image) and T2 is isointense.

Workflow

A. The workflow to generate ADC


Maps is the same for any anatomy.

B. From the Image Management tab,


highlight the Diffusion series &
select READYView from the
Session Apps.

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TOMORROW TODAY

C. On the Loading Panel, make sure the series you wish to


process is selected, then select Ok to proceed.
D. The READYView application will now open to the DWI
processing protocol, by default it will open to the ADC Tab
*The remaining Review Steps on top are for image review &
not necessary to obtain ADC/eADC maps.

E. Once the color maps are


displayed, you can
interact with the screens
F. The original DWI images
are displayed on the
upper left port
G. The ADC Map is on the
bottom left port & the
other ports display
reformats of the ADC
MAP & a mip
H. To change the displayed
image on a port, right
click on the type of image
& select a different map
from the popup menu
(the maps in the popup
are all the maps that
were automatically
generated)
I. The ADC Wizard will be
on the right side of the

Considerations: screen

• The processing is done automatically, the system sets a default threshold,


and generates the maps.
• From the ADC Wizard you can make any needed changes:
Adjust the slider bars to change the Threshold, being careful to not exclude
data inside the volume of interest. Only the left or low threshold slider bar
(air or noise) should be adjusted. The maps will update as you change the
threshold.
o 100-150 for Neuro
o 30-50 for Body
• If the images exhibit distortions with respect to the reference image, click
the Preprocessing arrow and Select EPI Correction, this may take up to a
few minutes to complete.
• Clip Min & Max values allows you to set a minimum & maximum threshold of
signals to visualize a particular anatomy or pathology and then overlay it on
another image or map.
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TOMORROW TODAY

• Clicking on the Tools GEAR will display additional processing settings.


• For Neuro single b-value scans, the default values under Advanced Settings
will work, these are usually Confidence Level 0.01 & Kernel Spatial
Smoothing 0.
• For body & multiple b-value scans it is important to set the Confidence Level
to 0.5 or higher for better quality maps, and set the Kernel size to 1 to help
with black holes (1 or 2 in Functool and 1 in ReadyView).
• When finished with adjustments select Compute to generate maps with the
new settings.

Additional Tips:
• You can use the same Advanced Settings for Automated/Inline processing
• When processing multi b-value scans, the system generates a combined ADC
map of all the scanned b-values. If you want individual b-value maps, you can
just highlight the images with the desired b-value and then launch ReadyView.
• To get ADC Values draw an ROI on the ADC map while in ReadyView. The
result is the Av value.

*To change the color scheme of the maps to


gray levels, left click on the Color Ramp, the
Color Ramp Screen will open, select Linear Gray

Saving the ADC & eADC Maps:

• From the Export Toolbar, click the Save Functional


Volume icon
• The Save Functional Volume screen will open
• Use the Ctrl key to select the maps you want to save.
o For Body scans is customary to save only the
ADC Map
• Select the image type to save:
o SCPT for Screen Save for colored maps
o PROCESSED for gray level maps, which can be
manipulated
• Select SAVE to generate the ADC Map series
• The series are time stamped for the date they are saved.
• Series numbers are derived from the original series (ex:
series 300 created from series 3).

Notice
The materials contained in this document are intended for educational purposes only. This document does not establish specifications, operating procedures or
maintenance methods for any of the devices referenced. Always refer to the official written materials (labeling) provided with the device for specifications,
operating procedures and maintenance requirements. The option described in this document may not be part of your current system configuration. Refer to your
individual system for option availability.

Proprietary Training Material Property of GE Healthcare © 2021 General Electric Company – All rights reserved.
DOC2521693

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