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Correlation Between Intravoxel Incoherent Motion and Dynamic Contrast-Enhanced Magnetic Resonance Imaging Parameters in Rectal Cancer

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单位: [1]Department of Radiology, China-Japan Friendship Hospital, No.2 Yinghua East Street, Chaoyang District, Beijing 100029, China [2]Philips Healthcare, Shatin, New Territories, Hong Kong, China
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关键词: Rectal cancer intravoxel incoherent motion dynamic contrast-enhanced magnetic resonance imaging

摘要:
Rationale and Objectives: This study aimed to determine the correlation between intravoxel incoherent motion (IVIM) and multiphase dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) quantitative parameters in patients with rectal cancer. Materials and Methods: Ninety-seven patients with rectal cancer were included in this study. All pelvic MRI examinations were performed in a 3.0 T MR unit, including diffusion-weighted imaging with 16 b values, DCE-MRI with two different flip angles (5 degrees and 10 degrees, respectively), and T1-fast field echo sequences as the reference. The IVIM perfusion-related parameters (f, perfusion fraction; D*, pseudo-diffusion coefficient; f.D*, the multiplication of the two parameters) were calculated by biexponential analysis. Quantitative DCE-MRI parameters were transfer constant (K-trans) between blood plasma and extravascular extracellular space), K-ep (rate between extravascular extracellular space and blood plasma), V-e (extravascular volume fraction), V-p (plasma volume fraction), and area under the gadolinium concentration curve. Interobserver agreements were evaluated using the intraclass correlation coefficient and Bland-Altman analysis. A p value <0.05 indicated a statistically significant difference. Results: The study included 75 males and 22 females with a median age of 58.8 years (range, 26-85years). Interobserver reproducibility for IVIM perfusion-related parameters and DCE-MRI quantitative parameters was good to excellent (intraclass correlation coefficient = 0.8618-0.9181, intraclass correlation coefficient = 0.7826-0.9088, respectively). Moderate correlations were found between f.D* and K-trans (r = 0.533; p < 0.001), and relatively weak correlations between D* and K-trans (r = 0.389; p < 0.001), D* and V-p (r = 0.442; p < 0.001), f.D* and Vp (r = 0.466; p < 0.001), and f and V-p (r = -0.234; p = 0.021). Conclusion: IVIM perfusion-related parameters, especially f.D*, demonstrated moderate correlations with DCE-MRI quantitative parameters in rectal cancer.

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出版当年[2018]版:
大类 | 4 区 医学
小类 | 3 区 核医学
最新[2025]版:
大类 | 2 区 医学
小类 | 2 区 核医学
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出版当年[2017]版:
Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
最新[2023]版:
Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2017版] 出版当年五年平均[2013-2017] 出版前一年[2016版] 出版后一年[2018版]

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第一作者单位: [1]Department of Radiology, China-Japan Friendship Hospital, No.2 Yinghua East Street, Chaoyang District, Beijing 100029, China
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