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Denis Le Bihan (born July 30, 1957) is a
medical doctor A physician (American English), medical practitioner (Commonwealth English), medical doctor, or simply doctor, is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through th ...
,
physicist A physicist is a scientist who specializes in the field of physics, which encompasses the interactions of matter and energy at all length and time scales in the physical universe. Physicists generally are interested in the root or ultimate caus ...
, member of the
Institut de France The (; ) is a French learned society, grouping five , including the Académie Française. It was established in 1795 at the direction of the National Convention. Located on the Quai de Conti in the 6th arrondissement of Paris, the institute m ...
(
French Academy of sciences The French Academy of Sciences (French: ''Académie des sciences'') is a learned society, founded in 1666 by Louis XIV of France, Louis XIV at the suggestion of Jean-Baptiste Colbert, to encourage and protect the spirit of French Scientific me ...
), member of the
French Academy of Technologies The National Academy of Technologies of France (''Académie des technologies'') is a learned society, founded in 2000, with an emphasis on technology, and the newest of French academies. In 2007 it acquired the status of ''établissement public'', w ...
and director since 2007 of NeuroSpin, an institution of the Atomic Energy and Alternative Energy Commission (CEA) in
Saclay Saclay () is a commune in the southwestern suburbs of Paris, France. It is located from the centre of Paris. It had a population of 3,067 in 2006. It is best known for the large scientific facility CEA Saclay, mostly dealing with nuclear and pa ...
, dedicated to the study of the brain by
magnetic resonance imaging Magnetic resonance imaging (MRI) is a medical imaging technique used in radiology to form pictures of the anatomy and the physiological processes of the body. MRI scanners use strong magnetic fields, magnetic field gradients, and radio wave ...
(MRI) with a very high
magnetic field A magnetic field is a vector field that describes the magnetic influence on moving electric charges, electric currents, and magnetic materials. A moving charge in a magnetic field experiences a force perpendicular to its own velocity and to ...
. Denis Le Bihan has received international recognition for his outstanding work, introducing new imaging methods, particularly for the study of the human brain, as evidenced by the many international awards he has received, such as the Gold Medal of the International Society of Magnetic Resonance in Medicine (2001), the coveted Lounsbery Prize (US National Academy of Sciences and French Academy of sciences 2002), the Louis D. Prize from the Institut de France (with
Stanislas Dehaene Stanislas Dehaene (born May 12, 1965) is a French author and cognitive neuroscientist whose research centers on a number of topics, including numerical cognition, the neural basis of reading and the neural correlates of consciousness. As of 201 ...
, 2003), the prestigious Honda Prize (2012), the Louis-Jeantet Prize (2014), the Rhein Foundation Award (with Peter Basser) (2021). His work has focused on the introduction, development and application of highly innovative methods, notably diffusion MRI.


Biography

Denis Le Bihan studied medicine and physics in Paris. After an internship in
neurosurgery Neurosurgery or neurological surgery, known in common parlance as brain surgery, is the medical specialty concerned with the surgical treatment of disorders which affect any portion of the nervous system including the brain, spinal cord and peri ...
,
radiology Radiology ( ) is the medical discipline that uses medical imaging to diagnose diseases and guide their treatment, within the bodies of humans and other animals. It began with radiography (which is why its name has a root referring to radiat ...
and
nuclear medicine Nuclear medicine or nucleology is a medical specialty involving the application of radioactive substances in the diagnosis and treatment of disease. Nuclear imaging, in a sense, is "radiology done inside out" because it records radiation emitting ...
, he obtained his doctorate in medicine in 1984 (
University of Paris VI Pierre and Marie Curie University (french: link=no, Université Pierre-et-Marie-Curie, UPMC), also known as Paris 6, was a public research university in Paris, France, from 1971 to 2017. The university was located on the Jussieu Campus in the La ...
) with the specialty "radiology". He also follows a course in human biology (functional explorations of the nervous system, mathematical models in medicine). His training in physics focuses on
nuclear physics Nuclear physics is the field of physics that studies atomic nuclei and their constituents and interactions, in addition to the study of other forms of nuclear matter. Nuclear physics should not be confused with atomic physics, which studies the ...
and
elementary particle In particle physics, an elementary particle or fundamental particle is a subatomic particle that is not composed of other particles. Particles currently thought to be elementary include electrons, the fundamental fermions ( quarks, leptons, an ...
s. He obtained his doctorate in physics in 1987, his thesis focusing on a completely new method of magnetic resonance imaging that he introduced and developed (diffusion imaging and IVIM imaging (en) for IntraVoxel Incoherent Motion). In 1987, he joined the
National Institutes of Health The National Institutes of Health, commonly referred to as NIH (with each letter pronounced individually), is the primary agency of the United States government responsible for biomedical and public health research. It was founded in the late ...
(NIH) in Bethesda, Maryland, USA, where he remained until 1994. This is where he continues to develop diffusion MRI, introducing diffusion tensor MRI (DTI) with Peter Basser. Denis Le Bihan joined the Frédéric Joliot Hospital Service of the CEA in 1994 to head the anatomical and functional
neuroimaging Neuroimaging is the use of quantitative (computational) techniques to study the structure and function of the central nervous system, developed as an objective way of scientifically studying the healthy human brain in a non-invasive manner. Incre ...
laboratory. In 2000, he became Director of the Federal Institute for Research in Functional Neuroimaging (IFR 49). He presided over the founding and opening of NeuroSpin in 2007 and has been its director since then. Since 2005, Denis Le Bihan has also been a regular guest professor at
Kyoto University , mottoeng = Freedom of academic culture , established = , type = National university, Public (National) , endowment = ¥ 316 billion (2.4 1000000000 (number), billion USD) , faculty = 3,480 (Teaching Staff) , administrative_staff ...
(Human Brain Research Center). NeuroSpin has been able to mobilize significant public funding to conduct innovative research in
neurodegenerative disease A neurodegenerative disease is caused by the progressive loss of structure or function of neurons, in the process known as neurodegeneration. Such neuronal damage may ultimately involve cell death. Neurodegenerative diseases include amyotrophic ...
imaging. As part of the Franco-German Iseult NeuroSpin project, CEA teams are in the process of finalizing the construction of a unique MRI scanner using a record magnetic field of 11.7 teslas, thanks to a magnet of more than 100 tons with an original design.


Scientific Works

Denis Le Bihan is particularly recognized for his pioneering work on diffusion MRI, a concept whose principles he establishedLe Bihan D et Breton E, « Imagerie de diffusion ''in vivo'' par résonance magnétique nucléaire » ''C.R. Acad. Sc. Paris'', T.301, Série II:1109–1112, 1985 and demonstrated its potential,10.1148/radiology.161.2.3763909< particularly in the medical field during the 1980s. Since then, Denis Le Bihan has continued to develop and perfect the method, and has further extended its fields of application. Diffusion MRI is used worldwide to study the anatomy of our brain, its connections and functioning. In medicine, major neurological applications include acute stroke and
white matter White matter refers to areas of the central nervous system (CNS) that are mainly made up of myelinated axons, also called tracts. Long thought to be passive tissue, white matter affects learning and brain functions, modulating the distribution ...
disorders, including
psychiatric disorders A mental disorder, also referred to as a mental illness or psychiatric disorder, is a behavioral or mental pattern that causes significant distress or impairment of personal functioning. Such features may be persistent, relapsing and remitti ...
. Diffusion MRI is also of great importance outside the brain for the detection and monitoring of cancers and
metastases Metastasis is a pathogenic agent's spread from an initial or primary site to a different or secondary site within the host's body; the term is typically used when referring to metastasis by a cancerous tumor. The newly pathological sites, then, ...
.


Diffusion MRI and Stroke

Diffusion MRI allows us to detect in the context of the emergency, a few hours after the onset of a stroke, the area of the brain that is dying because it is deprived of blood flow when a blood vessel has been obliterated by a clot. The consequences of stroke are formidable: it is the third leading cause of death, and in 30% of cases it leaves severe functional sequelae (
hemiplegia Hemiparesis, or unilateral paresis, is weakness of one entire side of the body ('' hemi-'' means "half"). Hemiplegia is, in its most severe form, complete paralysis of half of the body. Hemiparesis and hemiplegia can be caused by different medic ...
,
speech disorder Speech disorders or speech impairments are a type of communication disorder in which normal speech is disrupted. This can mean stuttering, lisps, etc. Someone who is unable to speak due to a speech disorder is considered mute. Speech skills ar ...
s) in patients who become unable to support themselves. Stroke is by far the leading source of disability in the long term, with significant social and economic consequences. Diffusion MRI has led to the urgent and accurate identification of stroke and the development of drugs that, injected in the very first hours following stroke, can dissolve the clot and immediately clear up symptoms. The vast majority of MRI scanners manufactured and installed worldwide are equipped with the diffusion MRI method introduced by Denis Le Bihan.


Intracerebral connectivity

The brain contains about 100 billion
neuron A neuron, neurone, or nerve cell is an electrically excitable cell that communicates with other cells via specialized connections called synapses. The neuron is the main component of nervous tissue in all animals except sponges and placozoa. N ...
s, our grey matter, which are connected to each other at a rate of 1,000 to 10,000 connections per neuron through extensions called
axon An axon (from Greek ἄξων ''áxōn'', axis), or nerve fiber (or nerve fibre: see spelling differences), is a long, slender projection of a nerve cell, or neuron, in vertebrates, that typically conducts electrical impulses known as action po ...
s that constitute the fibres of the white matter. The diffusion MRI made it possible, for the first time, to produce 3D images of these connections (
tractography In neuroscience Neuroscience is the scientific study of the nervous system (the brain, spinal cord, and peripheral nervous system), its functions and disorders. It is a multidisciplinary science that combines physiology, anatomy, molecular b ...
), in a way that is totally harmless to patients (just lie down for about ¼ hours in the MRI scanner). The principle is based on the fact that the diffusion of water is slower perpendicular to the fibres. It is therefore sufficient to obtain images of the diffusion of water in different directions to account for the orientation of the fibres, which Denis Le Bihan's team first showed in 1991. With the diffusion tensor MRI technique (DTI) developed by Denis Le Bihan and Peter Basser at the NIH in 1992 and its variants developed since then (high angular resolution methods), it is now possible to obtain atlases of intracerebral connections with very high accuracy. Diffusion MRI can therefore not only diagnose and study white matter fibre disorders (such as
multiple sclerosis Multiple (cerebral) sclerosis (MS), also known as encephalomyelitis disseminata or disseminated sclerosis, is the most common demyelinating disease, in which the insulating covers of nerve cells in the brain and spinal cord are damaged. This d ...
), but also subtle connection abnormalities in neural circuits. These abnormalities that appear very early in life may reflect some functional disorders (
dyslexia Dyslexia, also known until the 1960s as word blindness, is a disorder characterized by reading below the expected level for one's age. Different people are affected to different degrees. Problems may include difficulties in spelling words, r ...
) or psychiatric conditions (
schizophrenia Schizophrenia is a mental disorder characterized by continuous or relapsing episodes of psychosis. Major symptoms include hallucinations (typically hearing voices), delusions, and disorganized thinking. Other symptoms include social withdra ...
,
autism The autism spectrum, often referred to as just autism or in the context of a professional diagnosis autism spectrum disorder (ASD) or autism spectrum condition (ASC), is a neurodevelopmental condition (or conditions) characterized by difficulti ...
). At the other end of life, normal or pathological aging (neurodegenerative diseases, such as Alzheimer's disease) is also accompanied by a rearrangement of brain connections that diffusion MRI shows.


Diffusion MRI and cancer

Diffusion MRI is becoming increasingly important at the beginning of the 21st century in the exploration of cancers, particularly breast, prostate and liver cancers. While diffusion MRI is mainly used for the brain, Denis Le Bihan's first trials actually focused on the liver to identify tumours and distinguish them from vascular malformations. The proliferation of cells in cancers and metastases are all obstacles to the diffusion of water, which slows down. Diffusion MRI therefore makes it possible to identify these cancerous lesions and to judge the effect of treatments (such as chemotherapy) well before clinical improvement, which makes it possible to adapt treatment very early in the absence of a positive response.


Non-professional activities

Denis Le Bihan is passionate about music and an experienced amateur pianist who occasionally gives concerts on a voluntary basis. He is also an experienced photographer: he exhibited an extract of his works (photos of Kyoto) in November 2011 at the French Institute of Japan – Kansai in honour of the victims of the Pacific Coast earthquake at Tōhoku He is also at the origin of a weather forecast website (updated daily with a 6-day window, for the moment for the West Paris region) with original forecasting tools that he himself has developed since the age of 12.


International recognition

As a pioneer in his field, Denis Le Bihan has received many awards and recognitions during his career. * 2022: Antoine Béclère Medal * 2021: Technology Award of the
Eduard Rhein Foundation The Eduard Rhein Foundation was founded in 1976 in Hamburg (Germany) by Eduard Rhein. The goal of the foundation is to promote scientific research, learning, arts, and culture. This is done in particular by granting awards for outstanding achievemen ...
Eduard Rhein Foundation – Technology Award 2021
/ref> * 2014:
Louis-Jeantet Prize for Medicine Established in 1986, the Louis-Jeantet Prizes are funded by the ''Fondation Louis-Jeantet'' and awarded each year to experienced researchers who have distinguished themselves in the field of biomedical research in one of the member states of t ...
* 2012
Honda Prize
* 2011: European Congress of Radiology, Opening Lecturer * 2010: Holst Award, University of Eindhoven/Philips Research * 2010: JA Vezina Award, Elected Honorary Member of the Canadian Society of French-speaking Radiology * 2009: Béclère Honorary Lecturer, Medal for the 100th anniversary of the French Society of Radiology * 2009: Fellow of the European Society for Magnetic Resonance in Medicine and Biology * 2004: Elected Honorary Member of the American Society of Neuroradiology * 2003: Louis D. Foundation Prize, Institut de France * 2002: Lounsbery Prize, US National Academy of Sciences and French Academy of sciences * 2002: Elected member of the European Academy of Sciences * 2001: Gold Medal,
International Society of Magnetic Resonance in Medicine The International Society for Magnetic Resonance in Medicine is a "multi-disciplinary nonprofit association that promotes innovation, development, and application of magnetic resonance Magnetic resonance is a process by which a physical excit ...
* 2000: Fellow, International Society of Magnetic Resonance in Medicine * 1995: Kodak-Landucci Prize, Laureate of the French Academy of sciences, Paris * 1994, 1993, 1992, 1990: Editor's Recognition Award, with Distinction for Outstanding Review in Radiology * 1994: Award of the European Society of Magnetic Resonance in Medicine and Biology * 1993: Cum Laude Award, American Society of Neuroradiology * 1993: Magna Cum Laude, Society of Magnetic Resonance Imaging * 1991: Sylvia Sorkin Greenfield Award (best publication in Medical Physics, American Association of Physicists in Medicine (AAPM)) * 1991: Cum Laude Citation, Society of Magnetic Resonance Imaging * 1989: Foucault Prize, French Physics Society * 1989: Magna Cum Laude Award, Radiological Society of North America * 1987: Magnetic Resonance Evaluation College Award * 1986: René Djindjian Prize, French Society of Neuroradiology * 1986: Cum Laude Award, Radiological Society of North America * 1985: Michel Katz Prize, French Society of Radiology


Bibliography

Denis Le Bihan is a prolific author with more than 300 publications in peer-reviewed scientific journals and a large number of book chapters. He is also the inventor or co-inventor for a dozen patents. Scientific publications of a historical or reference nature *    Le Bihan D., Breton E., Lallemand D., Grenier P., Cabanis E., Laval-Jeantet M., MR Imaging of Intravoxel Incoherent Motions: Application to Diffusion and Perfusion in Neurologic Disorders, Radiology, 161,401–407, 1986 (4,600 citations, 3rd most cited article of all time in Radiology journal). Establishes the foundation of diffusion MRI and its potential, showing the world's first images of water diffusion in patients' brains. *    Le Bihan D., Breton E., Lallemand D., Aubin M.L., Vignaud J., Laval-Jeantet M., Separation of diffusion and infusion in intravoxel incoherent motion MR imaging. Radiology, August 1988, 168(2):497–505. (3,500 citations, 11th most cited of all time in the journal Radiology). Establishes the foundation of IntraVoxel Incoherent Motion (IVIM) imaging to obtain infusion images from diffusion MRI. Accompanied by a very complimentary editorial (Dixon T. Separation of diffusion and infusion in intravoxel incoherent motion MR imaging: a modest proposal with tremendous potential. Radiology, August 1988 168:2 566–567) *    Basser P.J., Mattiello J., Le Bihan D., MR Diffusion Tensor Spectroscopy and Imaging. Biophys. J. 66:259–267, 1994. (6,700 citations). Establishes the principles of MRI of the diffusion tensor. *    Basser P.J., Mattiello J., Le Bihan D., Estimation of the effective self-diffusion tensor from the NMR spin echo. J. Magn. Reson. B. March 1994, 103(3):247–54. (4,300 citations). Establishes the principles of MRI of the diffusion tensor. *    Le Bihan D., Mangin J.F., Poupon C., Clark C.A., Pappata S., Molko N., Chabriat H., Diffusion tensor imaging: concepts and applications. J. Magn. Reson. Imaging, April 2001, 13(4):534–46. Review. (4,200 citations) Most downloaded annual article from the journal J. Magn. Reson. Imaging since 2001. Books *    Le Bihan, D., Imagerie par Résonance Magnétique : Bases Physiques. Masson, Paris, 1984. (1st book on the principles of MRI in French) *    Le Bihan, D., Magnetic Resonance Imaging of Diffusion and Perfusion: Applications to Functional Imaging. Lippincott-Raven Press, New York, 1995. (1st reference book on diffusion MRI and functional MRI). *    Le Bihan D., Fukuyama H. (Coeds), Water, the forgotten biological molecule, Pan Stanford Publishing, Singapore, 2011 *    Le Bihan, D., Le cerveau de cristal: Ce que nous révèle la neuro-imagerie. Odile Jacob. Paris, 2012 (book on neuroimaging, simply explaining the principles and potential, with many personal historical references) *    Le Bihan, D., Looking inside the brain : The power of neuroimaging. Princeton University Press, 2014 (English edition of Le cerveau de cristal). *    Le Bihan, D., Iima M., Federau C., Sigmund E.E. IVIM MRI : Principles and Applications, Pan Stanford Publishing, 2018. *    Iima M., Partridge S.C., Le Bihan, D., Diffusion MRI of the Breast, Elsevier, 2022. *    Le Bihan, D., Einstein's Error: At the Frontiers of the Brain and the Cosmos. Odile Jacob Publishing, Paris, New York, 2022.


References

{{DEFAULTSORT:Le Bihan, Denis 1947 births People from Nanterre French neuroscientists French Alternative Energies and Atomic Energy Commission French neurosurgeons Members of the French Academy of Sciences Living people Richard-Lounsbery Award laureates