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Comparison of the Diagnostic Value of Monoexponential, Biexponential, and Stretched Exponential Diffusion weighted MRI in Differentiating Tumor Stage and Histological Grade of Bladder Cancer

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单位: [1]Huazhong Univ Sci & Technol, Dept Radiol, Tongji Hosp, Tongji Med Coll, 1095 Jiefang Ave, Wuhan 430030, Hubei, Peoples R China [2]Johns Hopkins Univ Hosp, Dept Radiol, Baltimore, MD 21287 USA
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关键词: Monoexponential model biexponential model stretched exponential model magnetic resonance imaging bladder cancer

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Rationale and Objectives: We aimed to determine the utility of various diffusion parameters obtained from monoexponential, biexponential, and stretched exponential diffusion-weighted imaging (DWI) models in differentiating tumor stage and grade of bladder cancer. Materials and Methods: Forty-five patients with pathologically confirmed bladder cancer underwent multi-b-value DWI. An apparent diffusion coefficient (ADC) was calculated from DWI by using a monoexponential model. A true diffusion coefficient (D), perfusion-related pseudo-diffusion coefficient (D*), and perfusion fraction (f) were calculated from DWI by using a biexponential model. A water molecular diffusion heterogeneity index (a) and distributed diffusion coefficient (DDC) were calculated from DWI by using a stretched exponential model. All parameters were compared between different stages and grades by using the Mann-Whitney U test. Receiver operating characteristic and intrareader correlation coefficient analysis were used for statistical evaluations. Results: ADC, 0, f, and DDC values were significantly higher in the non muscle-invasive vs muscle-invasive bladder cancers (P =.000,.000,.002, and.000, respectively) and in low-grade vs high-grade ones (P =.000,.000,.018, and.000, respectively). D* value was significantly lower in the low-grade bladder cancers compared to high-grade ones (P =.012). The areas under the receiver operating characteristic curve of ADC, D, and DDC values were 0.945, 0.912, and 0.946 in staging bladder cancers; 0.866, 0.862, and 0.856 in grading bladder cancers, respectively. Conclusion: Biexponential and stretched exponential DWI models may provide more parameters in staging and grading bladder cancers and show a slight difference between DDC and ADC values in staging bladder cancers. These two DWI models, as well as the monoexponential models, were very helpful in staging and grading bladder cancers.

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出版当年[2018]版:
大类 | 4 区 医学
小类 | 3 区 核医学
最新[2025]版:
大类 | 2 区 医学
小类 | 2 区 核医学
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出版当年[2017]版:
Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
最新[2023]版:
Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

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第一作者单位: [1]Huazhong Univ Sci & Technol, Dept Radiol, Tongji Hosp, Tongji Med Coll, 1095 Jiefang Ave, Wuhan 430030, Hubei, Peoples R China
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