Dynamic contrast enhanced MRI in the differential diagnosis of soft tissue tumors
Küçük Resim Yok
Tarih
2005
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Elsevier Sci Ireland Ltd
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Purpose: The value of the dynamic contrast enhanced-magnetic resonance imaging (DCE-MRI) in differentiating benign and malignant soft tissue tumors was investigated. Materials and methods: Turbo FLASH DCE-MRI was performed on 22 subjects (2-74 years) with soft tissue tumors. Enhancement in the first min (E-max/1), second min (E-max/2) and maximum peak enhancement (E-max), and steepest slope were calculated. Discriminant analyses were performed to reveal parametric differences of benign and malignant lesions. Results: Diagnosis of benign (N = 10) tumors were hemangioma (n = 3), neurogenic tumor (n 3) lipoma (n = 2), giant cell tumor (n = 1) and desmoid (n = 1), whereas malignant lesions (N = 12) were classified as liposarcoma (n 5), malignant fibrous histiocytoma (n = 5) and synovial sarcoma (n = 2). For malignant lesions E-max/1 was 65-198%, E-max/2 was 65-145%, E-max was 78-198%, and steepest slope was 1.45-4.06. For benign lesions these values were 4-98%, 5-105%, 7-125% and 0.67-2.57, respectively. To determine the relation between the variables analysed, Pearson correlation coefficients were calculated. E-max was found to be highly correlated with other variables (rxy > 0.86, P < 0.0001). Consequently, this variable was excluded from the discriminant analysis. In order to determine discrimination of malignant and benign tumors using E-max/1, E-max/2, and steepest slope of the enhancement curve logistic regression was applied to the above mentioned data. When combined these parameters had a 95.5% of overall accuracy in classifying benign and malignant lesions (P = 0.004). Conclusion: DCE-MRI parameters that thought to be the surrogate markers of tumoral microcirculation and tissue perfusion provides a specific preoperative diagnosis. Dynamic imaging parameters are therefore advocated for monitoring the effect of chemotherapy in soft tissue tumors. (c) 2004 Elsevier Ireland Ltd. All rights reserved.
Açıklama
Anahtar Kelimeler
dynamic contrast enhanced MRI, semiquantitative enhancement parameters, soft tissue tumors, differential diagnosis
Kaynak
European Journal of Radiology
WoS Q Değeri
Q2
Scopus Q Değeri
N/A
Cilt
53
Sayı
3
