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Pancreatic neuroendocrine tumors: correlation between histogram analysis of apparent diffusion coefficient maps and tumor grade

dc.contributor.authorPereira, JA
dc.contributor.authorRosado, E
dc.contributor.authorBali, M
dc.contributor.authorMetens, T
dc.contributor.authorChao, SL
dc.date.accessioned2015-11-24T16:54:01Z
dc.date.available2015-11-24T16:54:01Z
dc.date.issued2015
dc.description.abstractPurpose: To explore the role of histogram analysis of apparent diffusion coefficient (ADC) MRI maps based on entire tumor volume data in determining pancreatic neuroendocrine tumor (PNT) grade. Methods and Materials: Retrospective evaluation of 22 patients with PNTs included low-grade (G1; n = 15), intermediate-grade (G2; n = 4), and high-grade (G3; n = 3) tumors. Regions of interest containing the lesion were drawn on every section of the ADC map containing the tumor and summated to obtain histograms for entire tumor volume. Calculated histographic parameters included mean ADC (mADC), 5th percentile ADC, 10th percentile ADC, 25th percentile ADC, 50th per- centile ADC, 75th percentile ADC (ADC75), 90th percentile ADC (ADC90) and 95th percentile ADC (ADC95), skewness and kurtosis. Histogram parameters were correlated with tumor grade by repeated measures analysis of variance with Tukey–Kramer post hoc comparisons. Results: The mADC, ADC75, ADC90, and ADC95 were significantly higher in G1 tumors (1283 ± 267; 1404 ± 300; 1495 ± 318; 1562 ± 347 9 10 -6 mm 2 /s) compared to G2 (892 ± 390; 952 ± 381; 1036 ± 384; 1072 ± 374 9 10 -6 mm 2 /s) and to G3 tumors (733 ± 225; 864 ± 284; 1008 ± 288; 1152 ± 192 9 10 - 6 mm 2 /s) (p value <0.05). Skewness and kurtosis were significantly different between G1 (0.041 ± 0.466; 2.802 ± 0.679) and G3 (1.01 ± 1.140; 5.963 ± 4.008) tumors (p value <0.05). Tumor volume (mL) was significantly higher on G3 (55 ± 15.7) compared to G1(1.9 ± 2.7) and G2 (4.5 ± 3.6) tumors (p value <0.05). In this small sample size, we did not detect statistically significant parameters between G2 (n = 4) and G3 (n = 3) tumors. Conclusions: Histographic analysis of ADC maps on the basis of the entire tumor volume can be useful in differentiating histologic grades of PNTs.pt_PT
dc.identifier.citationAbdom Imaging. 2015 Oct;40(8):3122-8pt_PT
dc.identifier.doi10.1007/s00261-015-0524-7pt_PT
dc.identifier.issn1432-0509
dc.identifier.urihttp://hdl.handle.net/10400.10/1552
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringerpt_PT
dc.subjectNeoplasias do pâncreaspt_PT
dc.subjectDiagnóstico diferencialpt_PT
dc.subjectImagem de difusão por ressonância magnéticapt_PT
dc.subjectDiffusion magnetic resonance imagingpt_PT
dc.subjectPancreatic neoplasmspt_PT
dc.titlePancreatic neuroendocrine tumors: correlation between histogram analysis of apparent diffusion coefficient maps and tumor gradept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceNew Yorkpt_PT
oaire.citation.endPage3128pt_PT
oaire.citation.startPage3122pt_PT
oaire.citation.titleAbdominal imagingpt_PT
oaire.citation.volume40pt_PT
rcaap.rightsclosedAccesspt_PT
rcaap.typearticlept_PT

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