Academic Journal

Comparison of magnetic resonance elastography and diffusion-weighted imaging for differentiating benign and malignant liver lesions

التفاصيل البيبلوغرافية
العنوان: Comparison of magnetic resonance elastography and diffusion-weighted imaging for differentiating benign and malignant liver lesions
المؤلفون: Mohammed Saied Abdelgawad, Bassuoni Abdelaziz Elseady, Osama Lotfy ELabd, Mohamed Samy Kohla, Mohamed El Sayed Abdel Samea
المصدر: The Egyptian Journal of Radiology and Nuclear Medicine, Vol 55, Iss 1, Pp 1-10 (2024)
بيانات النشر: SpringerOpen, 2024.
سنة النشر: 2024
المجموعة: LCC:Medical physics. Medical radiology. Nuclear medicine
مصطلحات موضوعية: Hepatic focal lesions, Benign hepatic lesion, Malignant hepatic lesion, MR elastography, Diffusion-weighted imaging, Medical physics. Medical radiology. Nuclear medicine, R895-920
الوصف: Abstract Background Imaging is a crucial diagnostic tool in focal liver lesions (FLLs) diagnosis. Without the need for an intravenous contrast agent, two such MRI methods that can distinguish between benign and malignant FLLs are diffusion-weighted imaging (DWI) and magnetic resonance elastography (MRE). The purpose of this study was to assess the utility of diffusion-weighted magnetic resonance imaging and magnetic resonance elastography in the identification and differentiation of benign and malignant hepatic focal lesions. Methods This cross-sectional study was carried out on ninety patients (with mean age 52 years) with hepatic focal lesions (29 benign and 61 malignant). Both MRE and DWI were performed on the patients. A modified gradient-echo sequence was used for MRE, and respiratory-triggered fat-suppressed single-shot echoplanar DW imaging (b = 0.800) was used for DWI. Maps of the apparent diffusion coefficient (ADC) and stiffness were produced. Regions of interest were placed over the FLLs on stiffness and ADC maps to get FLL ADC values and mean stiffness. Receiver operating curve (ROC) analysis was used to compare the roles of MRE and DWI in the differentiation of benign and malignant FLL. Results The ADC of FLLs and MRE stiffness exhibited strong negative correlation [(r: −0.559; p 4.23 and ≤ 1.43, respectively; the area under the curve (AUC) values were 0.991 and 0.894, and the sensitivity and specificity results were 96.7%, 93.1%, and 85.2%, 89.7%, respectively. Conclusions MRE was found to be more sensitive method for identifying benign and malignant hepatic focal lesions than DWI.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2090-4762
Relation: https://doaj.org/toc/2090-4762
DOI: 10.1186/s43055-024-01213-2
URL الوصول: https://doaj.org/article/c72296eccec4453f8232ff5d9e7835e1
رقم الانضمام: edsdoj.72296eccec4453f8232ff5d9e7835e1
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:20904762
DOI:10.1186/s43055-024-01213-2