高级检索
当前位置: 首页 > 详情页

Whole-tumor histogram analysis of non-Gaussian distribution DWI parameters to differentiation of pancreatic neuroendocrine tumors from pancreatic ductal adenocarcinomas

文献详情

资源类型:
Pubmed体系:
单位: [a]Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China [b]Department of Radiology, The first affiliated hospital of Nanyang Medical College, China
出处:
ISSN:

关键词: Magnetic resonance imaging Microcirculation Neuroendocrine tumors Normal distribution Pancreatic carcinoma

摘要:
Purpose: To evaluate the utility of volumetric histogram analysis of monoexponential and non-Gaussian distribution DWI models for discriminating pancreatic ductal adenocarcinoma (PDAC) and neuroendocrine tumor (pNET). Materials and methods: A total of 340 patients were retrospectively reviewed. Finally, 62 patients with histopathological confirmed PDAC (n = 42) and pNET (n = 20) were enrolled in the study. All the patients accepted magnetic resonance imaging (MRI) at 3 T (including multi-b value DWI, 0–1000 s/mm2). Isotropic apparent diffusion coefficient (ADC), true molecular diffusion (Dt), perfusion-related diffusion (Dp), perfusion fraction (f), distributed diffusion coefficient (DDC) and alpha (α) were obtained from different DWI models. Then, mean value, median value, 10th and 90th percentiles were obtained from histogram analysis of each DWI parameter. Results: Histogram metrics derived from ADC, Dp, f and DDC were significantly lower in PDAC than pNET group (P < 0.05). In contrast, histogram metrics derived from α were observed significantly higher in the PDAC than pNET group (P < 0.05). No significant difference was found in Dt (P ≥ 0.05) between PDAC and pNET patients. Among all parameters, f-median had the highest diagnostic performance (AUC 0.91, cutoff value 0.188, sensitivity 97.62%, specificity 80%). Conclusions: f-Median derived from IVIM DWI model may be potentially more valuable parameter than ADC, Dp, DDC and α for discriminating PDAC and pNET. Histogram analysis based on the entire tumor was an emerging and valuable tool. © 2018 Elsevier Inc.

基金:
语种:
PubmedID:
中科院(CAS)分区:
出版当年[2018]版:
大类 | 3 区 医学
小类 | 3 区 核医学
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 核医学
第一作者:
第一作者单位: [a]Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
通讯作者:
推荐引用方式(GB/T 7714):
APA:
MLA:

资源点击量:426 今日访问量:1 总访问量:409 更新日期:2025-04-01 建议使用谷歌、火狐浏览器 常见问题

版权所有:重庆聚合科技有限公司 渝ICP备12007440号-3 地址:重庆市两江新区泰山大道西段8号坤恩国际商务中心16层(401121)