Skip Navigation LinksHome > July 2014 - Volume 93 - Issue 6 > Diffusion Weighted MR and Apparent Diffusion Coefficient Mea...
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Medicine:
doi: 10.1097/MD.0000000000000040
Article

Diffusion Weighted MR and Apparent Diffusion Coefficient Measurement in Classification and Characterization of Noncystic Focal Liver Lesions: Does a Clinical Role Exist?

Mungai, Francesco MD; Morone, Mario MD; Villanacci, Alberta MD; Bondioni, Maria Pia MD; Mazzoni, Lorenzo Nicola MS; Grazioli, Luigi MD; Colagrande, Stefano MD

Section Editor(s): Xu, Hui-Xiong

Open Access
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Abstract

Abstract: The objective of this study was to assess the clinical role of apparent diffusion coefficient (ADC) analysis in noncystic focal liver lesion (FLL) classification/characterization.

Six hundred liver magnetic resonances with multi-b (b = 50, 400, 800 s/mm2) diffusion-weighted imaging (DwI) were retrospectively reviewed. Mean ADC was measured in 388 lesions (195 benign and 193 malignant) excluding internal necrotic areas. Cystic benign lesions were excluded from analysis. Sensitivity and specificity in distinguishing benign from malignant lesions were calculated. Analysis of variance was performed to detect differences among subgroups of solid lesions.

Mean ADC of malignant lesions was 0.980 × 10−3 mm2/s, significantly (P < 0.05) lower than mean ADC of benign lesions (1.433 × 10−3 mm2/s). Applying an ADC cutoff of 1.066 × 10−3 mm2/s, specificity and sensitivity for malignancy were respectively 86.6% and 73.6%. Of all lesions, >1/3 (39.5%) presented values lower than 1 × 10−3 mm2/s, with 90.0% chance of malignancy. Above 1.5 × 10−3 mm2/s (about 20% of all lesions) chance of malignancy was 9.5%.

DwI cannot assist in noncystic FLL characterization, but can help in FLL classification in about half the cases.

© 2014 by Lippincott Williams & Wilkins, Inc.

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