机构:[1]Department of Radiology, Xuanwu Hospital, Capital Medical University, Beijing, China 100053,放射科首都医科大学宣武医院[2]Department of Radiology, Meitan General Hospital, Beijing, China 100028[3]Department of Radiology, PLA General Hospital, Beijing, China[4]The Russell H. Morgan Department of Radiology and Radiological Science and Sidney Kimmel Comprehensive Cancer Center, The Johns Hopkins University School of Medicine, Baltimore, MD
Rationale and Objectives: To evaluate the feasibility of using diffusion-weighted imaging (DWI) with an array spatial sensitivity encoding technique (ASSET) and apparent diffusion coefficient (ADC) map values with different b values to distinguish benign and malignant breast lesions. Materials and Methods: Fifty-six female patients with 60 histologically proven breast lesions and 20 healthy volunteers underwent magnetic resonance imaging. A subset of normal volunteers (n = 7) and patients (n = 16) underwent both conventional DWI and ASSET-DWI, and the image quality between the two methods was compared. Finally, ASSET-DWI with b = 0, 600 s/mm(2), and b = 0, 1000 s/mm(2), were compared for their ability to distinguish benign and malignant breast lesions. Results: The ASSET-DWI method had less distortion, fewer artifacts, and a lower acquisition time than other methods. No significant difference (P > .05) was detected in ADC map values between ASSET-DWI and conventional DWI. For ASSET-DWI, the sensitivity of ADC values for malignant lesions with a threshold of less than 1.44 x 10(-3) mm(2)/s (b = 600 s/mm(2)) and 1.18 x 10-3 mm(2)/s (b = 1000 s/mm(2)) was 80% and 77.5%, respectively. The specificity of both groups was 95%. Conclusion: ASSET-DWI evaluation of breast tissue offers decreased distortion, susceptibility to artifacts, and acquisition time relative to other methods. The use of ASSET-DWI is feasible with b values ranging from 600 to 1000 s/mm(2) and provides increased specificity compared to other techniques. Thus, the ADC value of a breast lesion can be used to further characterize malignant lesions from benign ones.
第一作者机构:[1]Department of Radiology, Xuanwu Hospital, Capital Medical University, Beijing, China 100053,[2]Department of Radiology, Meitan General Hospital, Beijing, China 100028
通讯作者:
通讯机构:[1]Department of Radiology, Xuanwu Hospital, Capital Medical University, Beijing, China 100053,
推荐引用方式(GB/T 7714):
Guangwei Jin,Ningyu An,Michael A. Jacobs,et al.The Role of Parallel Diffusion-Weighted Imaging and Apparent Diffusion Coefficient (ADC) Map Values for Evaluating Breast Lesions: Preliminary Results[J].ACADEMIC RADIOLOGY.2010,17(4):456-463.doi:10.1016/j.acra.2009.12.004.
APA:
Guangwei Jin,Ningyu An,Michael A. Jacobs&Kuncheng Li.(2010).The Role of Parallel Diffusion-Weighted Imaging and Apparent Diffusion Coefficient (ADC) Map Values for Evaluating Breast Lesions: Preliminary Results.ACADEMIC RADIOLOGY,17,(4)
MLA:
Guangwei Jin,et al."The Role of Parallel Diffusion-Weighted Imaging and Apparent Diffusion Coefficient (ADC) Map Values for Evaluating Breast Lesions: Preliminary Results".ACADEMIC RADIOLOGY 17..4(2010):456-463