1. Bi-exponential diffusion-weighted imaging for differentiating high-grade gliomas from solitary brain metastases: a VOI-based histogram analysis.
- Author
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Su Y, Wang J, Guo J, Liu X, Yang X, Cheng R, Wang C, Xu C, He Y, and Ji H
- Subjects
- Humans, Middle Aged, Female, Male, Aged, Adult, Diagnosis, Differential, Neoplasm Grading, ROC Curve, Brain Neoplasms diagnostic imaging, Brain Neoplasms secondary, Brain Neoplasms pathology, Glioma diagnostic imaging, Glioma pathology, Diffusion Magnetic Resonance Imaging methods
- Abstract
This study investigated the use of bi-exponential diffusion-weighted imaging (DWI) combined with structural features to differentiate high-grade glioma (HGG) from solitary brain metastasis (SBM). A total of 57 patients (31 HGG, 26 SBM) who underwent pre-surgical multi-b DWI and structural MRI (T1W, T2W, T1W + C) were included. Volumes of interest (VOI) in the peritumoral edema area (PTEA) and enhanced tumor area (ETA) were selected for analysis. Histogram features of slow diffusion coefficient (D
slow ), fast diffusion coefficient (Dfast ), and perfusion fraction (frac) were extracted. Results showed that HGG patients had higher skewness of Dfast (P = 0.022) and frac (P = 0.077), higher kurtosis of Dslow (P = 0.019) and frac (P = 0.025), and lower entropy of Dslow (P = 0.005) and frac (P = 0.001) within the ETA. Additionally, HGG exhibited lower mean frac in both ETA (P = 0.007) and PTEA (P = 0.017). Combining skewness of frac in ETA with clear tumor margin enhanced diagnostic performance, achieving an optimal AUC of 0.79. These findings suggest that histogram analysis of diffusion and perfusion characteristics in ETA and structural features can effectively differentiate HGG from SBM., Competing Interests: Declarations. Competing interests: J. Guo is an employee of GE Healthcare. The other authors have no conflicts of interest to declare. Ethics approval: The study was conducted in accordance with the Declaration of Helsinki (as revised in 2013). The protocol was reviewed and approved by the Ethics Committee of Shanxi Provincial People’s Hospital/Fifth Hospital of Shanxi Medical University (2022 Research Review No. 153). Consent to participate: The informed consent was waived by the Ethics Committee of Shanxi Provincial People’s Hospital /Fifth Hospital of Shanxi Medical University (2022 Research Review No. 153). Consent to publish: Not applicable., (© 2024. The Author(s).)- Published
- 2024
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