Diagnostic value of MRI-based 3D texture analysis for tissue characterisation and discrimination of low-grade chondrosarcoma from enchondroma: a pilot study.

Objectives: To explore the diagnostic value of MRI-based 3D texture analysis to identify texture features that can be used for discrimination of low-grade chondrosarcoma from enchondroma.Methods: Eleven patients with low-grade chondrosarcoma and 11 patients with enchondroma were retrospectively eval...

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Publicado en:European Radiology Vol. 28; no. 2; pp. 468 - 478
Autores principales: Lisson, Catharina S., Lisson, Christoph G., Flosdorf, Kerstin, Mayer-Steinacker, Regine, Schultheiss, Markus, von Baer, Alexandra, Barth, Thomas F. E., Beer, Ambros J., Baumhauer, Matthias, Meier, Reinhard, Beer, Meinrad, Schmidt, Stefan A.
Formato: Journal Article
Publicado: Springer Nature Feb2018
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
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        atl: Diagnostic value of MRI-based 3D texture analysis for tissue characterisation and discrimination of low-grade chondrosarcoma from enchondroma: a pilot study.
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          Lisson, Catharina S.
          Lisson, Christoph G.
          Flosdorf, Kerstin
          Mayer-Steinacker, Regine
          Schultheiss, Markus
          von Baer, Alexandra
          Barth, Thomas F. E.
          Beer, Ambros J.
          Baumhauer, Matthias
          Meier, Reinhard
          Beer, Meinrad
          Schmidt, Stefan A.
        affil: Department of Diagnostic and Interventional Radiology, University Hospital of Ulm, Albert-Einstein-Allee 23, D-89081, Ulm, Germany
      sug:
        subj:
          Magnetic Resonance Imaging Methods
          Imaging, Three-Dimensional Methods
          Bone Neoplasms Diagnosis
          Chondrosarcoma Diagnosis
          Chondroma Diagnosis
          Tomography, Emission-Computed, Single-Photon Methods
          Neoplasm Staging
          Aged, 80 and Over
          Adult
          Female
          Pilot Studies
          Male
          Retrospective Design
          ROC Curve
          Aged
          Middle Age
          Aged, 80 & over
          Adult: 19-44 years
          Aged: 65+ years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Objectives: To explore the diagnostic value of MRI-based 3D texture analysis to identify texture features that can be used for discrimination of low-grade chondrosarcoma from enchondroma.Methods: Eleven patients with low-grade chondrosarcoma and 11 patients with enchondroma were retrospectively evaluated. Texture analysis was performed using mint Lesion: Kurtosis, entropy, skewness, mean of positive pixels (MPP) and uniformity of positive pixel distribution (UPP) were obtained in four MRI sequences and correlated with histopathology. The Mann-Whitney U-test and receiver operating characteristic (ROC) analysis were performed to identify most discriminative texture features. Sensitivity, specificity, accuracy and optimal cut-off values were calculated.Results: Significant differences were found in four of 20 texture parameters with regard to the different MRI sequences (p<0.01). The area under the ROC curve values to discriminate chondrosarcoma from enchondroma were 0.876 and 0.826 for kurtosis and skewness in contrast-enhanced T1 (ceT1w), respectively; in non-contrast T1, values were 0.851 and 0.822 for entropy and UPP, respectively. The highest discriminatory power had kurtosis in ceT1w with a cut-off ≥3.15 to identify low-grade chondrosarcoma (82 % sensitivity, 91 % specificity, accuracy 86 %).Conclusion: MRI-based 3D texture analysis might be able to discriminate low-grade chondrosarcoma from enchondroma by a variety of texture parameters.Key Points: • MRI texture analysis may assist in differentiating low-grade chondrosarcoma from enchondroma. • Kurtosis in the contrast-enhanced T1w has the highest power of discrimination. • Tools provide insight into tumour characterisation as a non-invasive imaging biomarker.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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