The value of apparent diffusion coefficient in the assessment of cervical cancer.

Objectives: To evaluate the potential value of apparent diffusion coefficient (ADC) measurement in the assessment of cervical cancer.Methods: One hundred twelve patients with cervical cancer and 67 control subjects underwent diffusion-weighted imaging (DWI) in addition to routine MR imaging at 3.0-T...

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Published in:European Radiology Vol. 23; no. 4; pp. 1050 - 1059
Main Authors: Kuang, Fei, Ren, Jing, Zhong, Qun, Liyuan, Fu, Huan, Yi, Chen, Ziqian
Format: research Journal Article
Published: Springer Nature Apr2013
Online Access:View this record in EBSCOhost
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      dt: Apr2013
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00330-012-2681-1
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        atl: The value of apparent diffusion coefficient in the assessment of cervical cancer.
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          Kuang, Fei
          Ren, Jing
          Zhong, Qun
          Liyuan, Fu
          Huan, Yi
          Chen, Ziqian
        affil: Department of Radiology, The 174th Hospital of Chinese PLA, No 96, Wen Yuan Road, Xiamen, Fujian Province, 361003, China.
      sug:
        subj:
          Algorithms
          Magnetic Resonance Imaging Methods
          Image Enhancement Methods
          Image Interpretation, Computer Assisted Methods
          Cervix Neoplasms Pathology
          Adult
          Aged
          Female
          Human
          Middle Age
          Reproducibility of Results
          Sensitivity and Specificity
          Adult: 19-44 years
          Aged: 65+ years
          Middle Aged: 45-64 years
          Female
      ab: Objectives: To evaluate the potential value of apparent diffusion coefficient (ADC) measurement in the assessment of cervical cancer.Methods: One hundred twelve patients with cervical cancer and 67 control subjects underwent diffusion-weighted imaging (DWI) in addition to routine MR imaging at 3.0-T MRI before therapy. All ADCs were calculated from b = 0, 600 s/mm(2) and b = 0, 1,000 s/mm(2).Results: The ADCs of cervical cancer were significantly lower than those of normal cervix for both ADC maps. There was a statistically significant difference between the ADCs of well-/moderately differentiated (G1/2) tumours and poorly differentiated (G3) tumours, between the ADCs of squamous cell carcinoma and adenocarcinoma, between the pretherapy ADCs of tumour recurrence or metastasis and tumour free patients after radical hysterectomy for both ADC maps. There was no significant difference among the ADCs of cervical cancer when divided by other features (FIGO, lymph node status, tumour size and age groups) for both ADC maps.Conclusion: ADC values were reliable for differentiating cervical cancer from normal cervix with high diagnostic accuracy. The ADCs can be used to indicate the degree and histological type of cervical cancer, although there is some overlap. G3 tumours and lower ADCs may indicate poor prognosis. The diagnostic accuracy was equal for both ADC maps.
      pubtype: Academic Journal
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        research
        Journal Article
      ougenre: Article
    language: English
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