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The Role of Parallel Diffusion-Weighted Imaging and Apparent Diffusion Coefficient (ADC) Map Values for Evaluating Breast Lesions: Preliminary Results

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机构: [1]Department of Radiology, Xuanwu Hospital, Capital Medical University, Beijing, China 100053, [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
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关键词: Diffusion-weighted imaging (DWI) MRI breast carcinoma apparent diffusion coefficient (ADC) map

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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.

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出版当年[2009]版:
大类 | 4 区 医学
小类 | 3 区 核医学
最新[2023]版:
大类 | 2 区 医学
小类 | 2 区 核医学
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出版当年[2008]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[2008版] 出版当年五年平均 出版前一年[2007版] 出版后一年[2009版]

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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
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通讯机构: [1]Department of Radiology, Xuanwu Hospital, Capital Medical University, Beijing, China 100053,
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