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Application of bi-planar reduced field-of-view DWI (rFOV DWI) in the assessment of muscle-invasiveness of bladder cancer

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单位: [1]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Dept Radiol,Wuhan,Hubei,Peoples R China [2]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Dept Urol,Wuhan,Hubei,Peoples R China
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关键词: Bladder cancer Diffusion weighted imaging Histopathology VI-RADS

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Objectives: To compare the image quality of the reduced field-of-view (rFOV) diffusion-weighted imaging (DWI) with the full field-of-view (fFOV) DWI in the assessment of bladder cancer (BC); and to explore the possible superiority of bi-planar (axial and sagittal) rFOV DWI over single planar fFOV DWI in predicting muscle-invasiveness of BC. Materials and methods: This retrospective study analyzed 61 patients with BC who underwent DWI sequences including axial fFOV DWI, axial rFOV DWI, and sagittal rFOV DWI. Qualitative and quantitative image quality assessment were compared between axial fFOV DWI and rFOV DWI sequences. The tumor with its base could be clearly displayed on DWI was defined as the evaluable lesion, and the number of evaluable lesions detected from single axial fFOV DWI, axial rFOV DWI, sagittal rFOV DWI, and bi-planar rFOV DWI sequences was recorded and compared. The apparent diffusion coefficient (ADC) was compared between non-muscular-invasive bladder cancer (NMIBC) and muscular-invasive bladder cancer (MIBC) based on the sequences of axial fFOV DWI and rFOV DWI, respectively. Vesical Imaging-Reporting and Data System (VI-RADS) was introduced to evaluate the overall risk of muscle-invasiveness of BC and receiver operating characteristic (ROC) curve analysis was applied to assess the diagnostic performance. Results: The contrast-to-noise ratio (CNR) of the rFOV DWI was significantly higher than that of fFOV DWI (p < 0.01), while the signal-to-noise ratio (SNR) was significantly lower than that of fFOV DWI (p < 0.01). The subjective score of rFOV DWI was significantly higher than that of fFOV DWI (p < 0.01). The ADC value of the MIBC group was significantly lower than that of the NMIBC in both rFOV DWI and fFOV DWI (allp < 0.01). The number of evaluable lesions detected from the bi-planar rFOV DWI was significantly higher than that detected from the single axial fFOV DWI, axial rFOV DWI, and sagittal rFOV DWI (allp < 0.01). VI-RADS based on the bi planar rFOV DWI offered high predictive power (the area under the ROC curve, 0.946) for predicting the presence of muscle-invasiveness of BC. Conclusion: Bi-planar rFOV DWI may provide more diagnostic confidence than the single planar DWI for predicting the presence of muscle-invasiveness in BC, with improved image quality over the fFOV DWI.

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出版当年[2020]版:
大类 | 3 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[2019]版:
Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
最新[2023]版:
Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

影响因子: 最新[2023版] 最新五年平均 出版当年[2019版] 出版当年五年平均 出版前一年[2018版] 出版后一年[2020版]

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