Abstract:【Abstract】 Objective To determine the associations of liver lobebased magnetic resonance diffusion weighted imaging (DWI) using multiple b values with cirrhosis in patients with hepatitis B. Methods Seventyfour cirrhotic patients with hepatitis B and 25 healthy volunteers underwent DWI with b values of 0, 500, 800 and 1000 sec/mm2. Apparent diffusion coefficients of individual liver lobes for b(0,500), b(0,800) or b(0,1000) were derived from the signal intensity averaged across images obtained with b values of 0 and 500 sec/mm2, of 0 and 800 sec/mm2, or of 0 and 1000 sec/mm2, respectively; and apparent diffusion coefficients (ADCs) of left lateral liver lobe (LLL), left medial liver lobe (LML), right liver lobe (RL) and caudate lobe (CL) for b(0,500), b(0,800) or b(0,1000) were statistically analyzed to evaluate cirrhosis. Results ADCs for b(0, 500), b(0, 800) and b(0, 1000) were inversely correlated with ChildPugh class in LLL, LML, RL and CL (r =035 to060, all P <005) except ADC for b(0,1000) in LML (r =017, P > 005). Among parameters, ADC for b(0, 500) in LLL could best differentiate normal liver from cirrhosis with an area under receiver operating characteristic curve (AUC) of 0989. Conclusion Liver lobebased apparent diffusion coefficients for b(0,500), b(0,800) tend to be associated with cirrhosis. Apparent diffusion coefficients for b(0,500) in LLL can best identify cirrhosis.