ارزش تشخیصی تصویربرداری دیفیوژن در تمایز ضایعات خوش خیم از بدخیم کبدی
The diagnostic value of diffusion-weighted imaging in differentiating benign from malignant hepatic lesions
نویسندگان: رضا جواد رشید , ابوالحسن شاکری باویل علیائی , محمد کاظم طرزمنی , رقیه رزاقی , جواد جلیلی , شهریار هاشم زاده , محمد میرزا آقازاده عطاری , علی کیانی نظرلو , آرمین زرین تن
کلمات کلیدی: (DWI) Diffusion weighted, Hepatic mass, MR
نشریه: 43901 , 13 , 10 , 2020
| نویسنده ثبت کننده مقاله |
رضا جواد رشید |
| مرحله جاری مقاله |
تایید نهایی |
| دانشکده/مرکز مربوطه |
دانشکده پزشکی |
| کد مقاله |
71500 |
| عنوان فارسی مقاله |
ارزش تشخیصی تصویربرداری دیفیوژن در تمایز ضایعات خوش خیم از بدخیم کبدی |
| عنوان لاتین مقاله |
The diagnostic value of diffusion-weighted imaging in differentiating benign from malignant hepatic lesions |
| ناشر |
9 |
| آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ |
بلی |
| عنوان نشریه (خارج از لیست فوق) |
|
| نوع مقاله |
Original Article |
| نحوه ایندکس شدن مقاله |
ایندکس شده سطح سه – Scopus |
| آدرس لینک مقاله/ همایش در شبکه اینترنت |
|
| Background:Diffusion-weighted imaging (DWI) is a novel imaging technique with growing application in onco-imaging. This modality evaluates the diffusion of water molecules in various tissues, which is restricted in hypercellular regions such as malignant tissue. Apparent diffusion co-efficient (ADC) is a method which can quantify thedegree of restriction in tissues and can have diagnostic roles in characterization of hepatic lesions. In this study, 93patients with proven hepatic lesions were included. These patients had undergone initial evaluation viaultrasonography and dynamic CT scan, and had a definite diagnosis confirmed by biopsy. These patientsunderwent DW imaging and ADC values of their lesions were calculated. Patients were divided into two groups,benign and malignant groups, based on their biopsy results; and ADC values of hepatic lesions were compared inthe two groups.Results:The two groups were gender matched. There was a significant difference in the age distribution betweenthe two groups. Mean ADC values for benign and malignant hepatic lesions were 1.58 ± 0.35 (10-3mm2/s) and 0.87± 0.16 (10-3mm2/s), respectively. There was a statistically significant differences between benign and malignanthepatic lesions (pvalue < 10-3). DW imaging had a sensitivity of 97.6% and specificity of 98.7% in detectingmalignant hepatic lesions from benign ones (p= 0.0001, AUC = 0.99).Conclusion:DW MRI imaging can differentiate malignant and benign liver lesions with high sensitivity andspecificity using ADC values generated; furthermore, each subgroup of hepatic lesions could be determined basedon ADC values. |
| نام فایل |
تاریخ درج فایل |
اندازه فایل |
دانلود |
| 91130218(1).rar | 1399/05/04 | 4476099 | دانلود |
| 91130218(1).pdf | 1399/05/04 | 4849929 | دانلود |
| razzag.pdf | 1400/06/29 | 122482 | دانلود |