Differential MRI diagnosis between brain abscesses and necrotic or cystic brain tumors using the apparent diffusion coefficient and normalized diffusion-weighted images

Magnetic Resonance Diffusion-Weighted Imaging (DWI) has been reported to be helpful for the differential diagnosis between abscesses and cystic/necrotic brain tumors. However the number of patients is still limited, and the sensitivity and specificity of the method remain to be confirmed. The primar...

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Veröffentlicht in:Magnetic resonance imaging 2003-07, Vol.21 (6), p.645-650
Hauptverfasser: Nadal Desbarats, Lydie, Herlidou, Sandra, de Marco, Giovanni, Gondry-Jouet, Catherine, Le Gars, Daniel, Deramond, Hervé, Idy-Peretti, Ilana
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container_end_page 650
container_issue 6
container_start_page 645
container_title Magnetic resonance imaging
container_volume 21
creator Nadal Desbarats, Lydie
Herlidou, Sandra
de Marco, Giovanni
Gondry-Jouet, Catherine
Le Gars, Daniel
Deramond, Hervé
Idy-Peretti, Ilana
description Magnetic Resonance Diffusion-Weighted Imaging (DWI) has been reported to be helpful for the differential diagnosis between abscesses and cystic/necrotic brain tumors. However the number of patients is still limited, and the sensitivity and specificity of the method remain to be confirmed. The primary purpose of this study was to investigate a larger sample of patients, all investigated under the same experimental conditions, in order to obtain statistically significant data. Moreover, there is no consensus about the appropriate values of b required to use to make an accurate diagnosis from DWI. The secondary purpose of this study was to determine the discriminating threshold b values for raw diffusion-weighted images and for normalized diffusion-weighted images. On the basis of 14 abscesses, 10 high-grade gliomas and 2 metastases, we show that the calculation of accurate Apparent Diffusion Coefficient (ADC) values gives a specificity rate of 100%. Without ADC calculation, we show that image normalization is required to make an accurate differential diagnosis, and we highlight the ability of DWI to discriminate between brain abscesses and cystic/necrotic brain tumors using normalized signal intensity at lower b values (503 s/mm 2) than usual.
doi_str_mv 10.1016/S0730-725X(03)00084-5
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However the number of patients is still limited, and the sensitivity and specificity of the method remain to be confirmed. The primary purpose of this study was to investigate a larger sample of patients, all investigated under the same experimental conditions, in order to obtain statistically significant data. Moreover, there is no consensus about the appropriate values of b required to use to make an accurate diagnosis from DWI. The secondary purpose of this study was to determine the discriminating threshold b values for raw diffusion-weighted images and for normalized diffusion-weighted images. On the basis of 14 abscesses, 10 high-grade gliomas and 2 metastases, we show that the calculation of accurate Apparent Diffusion Coefficient (ADC) values gives a specificity rate of 100%. 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ispartof Magnetic resonance imaging, 2003-07, Vol.21 (6), p.645-650
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source MEDLINE; ScienceDirect Journals (5 years ago - present)
subjects ADC
Adolescent
Adult
Aged
Biological and medical sciences
Brain - pathology
Brain abscess
Brain Abscess - diagnosis
Brain Neoplasms - diagnosis
Child
Child, Preschool
Diagnosis, Differential
Diffusion-weighted images
Female
Humans
Image Processing, Computer-Assisted
Life Sciences
Magnetic Resonance Imaging - methods
Male
Medical sciences
Middle Aged
MRI
Necrosis
Necrotic or cystic tumor
Sensitivity and Specificity
Signal intensity
Statistics, Nonparametric
title Differential MRI diagnosis between brain abscesses and necrotic or cystic brain tumors using the apparent diffusion coefficient and normalized diffusion-weighted images
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