Objective To evaluate the role of the ADC value in patients with high-grade glioma (WHO III-IV) using high B-value diffusion weighted imaging (DWI), as a potential noninvasive quantitative index in defining the boundary of glioma. Methods 25 cases of surgical pathologically confirmed glioma underwent the DWI scan with b=1000 and 3000s/mm2 respectively in a 3T MR scanner. The ADC values of the glioma substantial zone, cerebral parenchyma within 0-10/10-20mm radium and the cerebral parenchyma of the opposite sphere are statistically analyzed by SPSS17.0. Results When b=1000 and 3000 s/mm2, the difference in the ADC values of the tumor and the 0-10mm region had no statistical significance(P>0.05). When b-value = 1000 s/mm2, there is statistically valid difference among ADC values of 10-20mm area, lesions and comparing group (P<0.05); When b-value =3000 s/mm2, there is no statistically valid difference among ADC values of 10-20mm area and lesions（P>0.05）. The ADC value of 10-20mm area is validly lower than the lesions. Conclusion The ADC value in high B value DWI scan indicating that the ADC value is more sensitive in quantitatively analyzing the infiltration zone of glioma relative to the low B value DWI scan.
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