The CSF-like free water signal fraction is an advanced diffusion MRI metric representing the freely diffusing water in brain tissue. Different methods to calculate the free water signal fraction using constrained spherical deconvolution exist but it is still unknown how variation in data quality and acquisition affect measurements. Using a large clinical dataset with highly variable acquisition schemes, this study shows that the various acquisition parameters significantly affect outcome free water signal fraction, though the multi-shell analysis method is more susceptible than the single-shell method. This highlights the importance of harmonization and quality clinical imaging.
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