Standardization of the apparent diffusion coefficient value of bladder cancer across different centers: Applicability in predicting aggressive pathologic phenotypes

Abstract Purpose We investigated whether the standardized apparent diffusion coefficient (ADC) value reflects bladder cancer characteristics across different centers. Methods Ninety-eight bladder cancer patients underwent MRI at two institutions. Standardized tumor ADC (sT-ADC) was calculated by div...

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Veröffentlicht in:Clinical imaging 2017-07, Vol.44, p.121-126
Hauptverfasser: Nishizawa, Toshinori, Yoshida, Soichiro, Koga, Fumitaka, Tanaka, Hiroshi, Kaga, Mihiro, Watanabe, Kotaro, Fukushima, Hiroshi, Nakanishi, Yasukazu, Yokoyama, Minato, Ishioka, Junichiro, Matsuoka, Yoh, Saito, Kazutaka, Fujii, Yasuhisa, Kihara, Kazunori
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container_end_page 126
container_issue
container_start_page 121
container_title Clinical imaging
container_volume 44
creator Nishizawa, Toshinori
Yoshida, Soichiro
Koga, Fumitaka
Tanaka, Hiroshi
Kaga, Mihiro
Watanabe, Kotaro
Fukushima, Hiroshi
Nakanishi, Yasukazu
Yokoyama, Minato
Ishioka, Junichiro
Matsuoka, Yoh
Saito, Kazutaka
Fujii, Yasuhisa
Kihara, Kazunori
description Abstract Purpose We investigated whether the standardized apparent diffusion coefficient (ADC) value reflects bladder cancer characteristics across different centers. Methods Ninety-eight bladder cancer patients underwent MRI at two institutions. Standardized tumor ADC (sT-ADC) was calculated by dividing absolute tumor ADC (aT-ADC) by that of gluteus maximus. We compared ADCs between MRI protocols according to grade and T-stage. Results The differences in aT-ADC between MRI protocols were negated by sT-ADC. The best sT-ADC cut-offs to predict cancer aggressiveness in the development cohort worked in the validation cohort compared to the development cohort. Conclusion Standardized ADC overcomes the incompatibility between different MRI protocols.
doi_str_mv 10.1016/j.clinimag.2017.05.004
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Methods Ninety-eight bladder cancer patients underwent MRI at two institutions. Standardized tumor ADC (sT-ADC) was calculated by dividing absolute tumor ADC (aT-ADC) by that of gluteus maximus. We compared ADCs between MRI protocols according to grade and T-stage. Results The differences in aT-ADC between MRI protocols were negated by sT-ADC. The best sT-ADC cut-offs to predict cancer aggressiveness in the development cohort worked in the validation cohort compared to the development cohort. Conclusion Standardized ADC overcomes the incompatibility between different MRI protocols.</description><identifier>ISSN: 0899-7071</identifier><identifier>EISSN: 1873-4499</identifier><identifier>DOI: 10.1016/j.clinimag.2017.05.004</identifier><identifier>PMID: 28505504</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological markers ; Biomarkers ; Bladder ; Bladder cancer ; Cancer ; Cancer therapies ; Carcinoma, transitional cells ; Chemotherapy ; Cohort Studies ; Diffusion coefficient ; Diffusion magnetic resonance imaging ; Diffusion Magnetic Resonance Imaging - methods ; Female ; Genotype &amp; phenotype ; Health risk assessment ; Humans ; Incompatibility ; Institutions ; Magnetic resonance imaging ; Magnetic Resonance Imaging - methods ; Male ; Mathematical analysis ; Metastasis ; Middle Aged ; NMR ; Nuclear magnetic resonance ; Patients ; Phenotype ; Radiology ; Reference Standards ; Standardization ; Tumors ; Urinary bladder ; Urinary Bladder - diagnostic imaging ; Urinary Bladder - pathology ; Urinary bladder neoplasms ; Urinary Bladder Neoplasms - diagnostic imaging ; Urinary Bladder Neoplasms - pathology ; Urogenital system</subject><ispartof>Clinical imaging, 2017-07, Vol.44, p.121-126</ispartof><rights>Elsevier Inc.</rights><rights>2017 Elsevier Inc.</rights><rights>Copyright © 2017 Elsevier Inc. 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Methods Ninety-eight bladder cancer patients underwent MRI at two institutions. Standardized tumor ADC (sT-ADC) was calculated by dividing absolute tumor ADC (aT-ADC) by that of gluteus maximus. We compared ADCs between MRI protocols according to grade and T-stage. Results The differences in aT-ADC between MRI protocols were negated by sT-ADC. The best sT-ADC cut-offs to predict cancer aggressiveness in the development cohort worked in the validation cohort compared to the development cohort. 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Yoshida, Soichiro ; Koga, Fumitaka ; Tanaka, Hiroshi ; Kaga, Mihiro ; Watanabe, Kotaro ; Fukushima, Hiroshi ; Nakanishi, Yasukazu ; Yokoyama, Minato ; Ishioka, Junichiro ; Matsuoka, Yoh ; Saito, Kazutaka ; Fujii, Yasuhisa ; Kihara, Kazunori</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c517t-7f335d75280853e1c84daec1642a42c9b01388bec3cb99dce734f4493edfa0073</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological markers</topic><topic>Biomarkers</topic><topic>Bladder</topic><topic>Bladder cancer</topic><topic>Cancer</topic><topic>Cancer therapies</topic><topic>Carcinoma, transitional cells</topic><topic>Chemotherapy</topic><topic>Cohort Studies</topic><topic>Diffusion coefficient</topic><topic>Diffusion magnetic resonance imaging</topic><topic>Diffusion Magnetic Resonance Imaging - methods</topic><topic>Female</topic><topic>Genotype &amp; 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Methods Ninety-eight bladder cancer patients underwent MRI at two institutions. Standardized tumor ADC (sT-ADC) was calculated by dividing absolute tumor ADC (aT-ADC) by that of gluteus maximus. We compared ADCs between MRI protocols according to grade and T-stage. Results The differences in aT-ADC between MRI protocols were negated by sT-ADC. The best sT-ADC cut-offs to predict cancer aggressiveness in the development cohort worked in the validation cohort compared to the development cohort. Conclusion Standardized ADC overcomes the incompatibility between different MRI protocols.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>28505504</pmid><doi>10.1016/j.clinimag.2017.05.004</doi><tpages>6</tpages></addata></record>
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subjects Adult
Aged
Aged, 80 and over
Biological markers
Biomarkers
Bladder
Bladder cancer
Cancer
Cancer therapies
Carcinoma, transitional cells
Chemotherapy
Cohort Studies
Diffusion coefficient
Diffusion magnetic resonance imaging
Diffusion Magnetic Resonance Imaging - methods
Female
Genotype & phenotype
Health risk assessment
Humans
Incompatibility
Institutions
Magnetic resonance imaging
Magnetic Resonance Imaging - methods
Male
Mathematical analysis
Metastasis
Middle Aged
NMR
Nuclear magnetic resonance
Patients
Phenotype
Radiology
Reference Standards
Standardization
Tumors
Urinary bladder
Urinary Bladder - diagnostic imaging
Urinary Bladder - pathology
Urinary bladder neoplasms
Urinary Bladder Neoplasms - diagnostic imaging
Urinary Bladder Neoplasms - pathology
Urogenital system
title Standardization of the apparent diffusion coefficient value of bladder cancer across different centers: Applicability in predicting aggressive pathologic phenotypes
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