The principal barrier to clinical application of diffusion-weighted MR
imaging is the severe image degradation caused by patient motion, One
way to compensate for motion effects is the use of a ''navigator echo
'' phase correction scheme, In this work, a modification of this techn
ique is introduced, in which the phase correction step is performed in
the frequency domain (i.e., after the readout Fourier transform). Thi
s significantly improves the robustness of the navigator echo approach
and, when combined with cardiac gating, allows diagnostic quality dif
fusion-weighted images of the brain to be routinely obtained on standa
rd clinical scanner hardware, The technique was evaluated in phantom s
tudies and in 23 humans (3 normal volunteers and 20 patients). Diffusi
on anisotropy and apparent diffusion coefficient maps were generated f
rom the image data and showed decreased apparent diffusion in acute st
roke lesions and, in several cases, increased apparent diffusion in ch
ronic stroke lesions.