Gadoterate meglumine decreases ADC values of breast lesions depending on the b value combination

To retrospectively evaluated the influence of administration of the gadolinium based intravenous contrast agent (G-CA) on apparent diffusion coefficient (ADC) values in ADC maps generated using multiple b value combinations. A total of 106 women underwent bilateral 3.0 T breast MRI. As an internal v...

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Veröffentlicht in:Scientific reports 2018-01, Vol.8 (1), p.87-87, Article 87
Hauptverfasser: Arponen, Otso, Sudah, Mazen, Sutela, Anna, Taina, Mikko, Masarwah, Amro, Liimatainen, Timo, Vanninen, Ritva
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container_start_page 87
container_title Scientific reports
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creator Arponen, Otso
Sudah, Mazen
Sutela, Anna
Taina, Mikko
Masarwah, Amro
Liimatainen, Timo
Vanninen, Ritva
description To retrospectively evaluated the influence of administration of the gadolinium based intravenous contrast agent (G-CA) on apparent diffusion coefficient (ADC) values in ADC maps generated using multiple b value combinations. A total of 106 women underwent bilateral 3.0 T breast MRI. As an internal validation, diffusion-weighted imaging (b values of 0, 200, 400, 600, 800 s/mm 2 ) was performed before and after the G-CA (gadoterate meglumine (0.2 ml/kg, 3 ml/s)). Whole lesion and fibroglandular tissue (FGT) covering region-of-interests (ROIs) were drawn on the b = 800 s/mm 2 images; ROIs were then propagated to multiple retrospectively generated ADC maps. Twenty-seven patients (mean age 55.8 ± 10.8 years) with 32 mass-like enhancing breast lesions including 25 (78.1 %) histopathologically malignant lesions were enrolled. Lesion ADC values were statistically significantly higher in pre-G-CA than post-G-CA ADC maps (ADC 0,200,400,600,800 : 1.05 ± 0.35 × 10 −3  mm 2 /s vs. 1.02 ± 0.36 × 10 −3  mm 2 /s ( P  
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A total of 106 women underwent bilateral 3.0 T breast MRI. As an internal validation, diffusion-weighted imaging (b values of 0, 200, 400, 600, 800 s/mm 2 ) was performed before and after the G-CA (gadoterate meglumine (0.2 ml/kg, 3 ml/s)). Whole lesion and fibroglandular tissue (FGT) covering region-of-interests (ROIs) were drawn on the b = 800 s/mm 2 images; ROIs were then propagated to multiple retrospectively generated ADC maps. Twenty-seven patients (mean age 55.8 ± 10.8 years) with 32 mass-like enhancing breast lesions including 25 (78.1 %) histopathologically malignant lesions were enrolled. Lesion ADC values were statistically significantly higher in pre-G-CA than post-G-CA ADC maps (ADC 0,200,400,600,800 : 1.05 ± 0.35 × 10 −3  mm 2 /s vs. 1.02 ± 0.36 × 10 −3  mm 2 /s ( P  &lt; 0.05); ADC 0,200,400 : 1.25 ± 0.42 × 10 −3  mm 2 /s vs. 1.20 ± 0.35 × 10 −3  mm 2 /s ( P  &lt; 0.05)). ADC values between pre- and post-contrast maps were not statistically different when the maps were generated using other b value combinations. Contrast agent administration did not affect the FGT ADC values. 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A total of 106 women underwent bilateral 3.0 T breast MRI. As an internal validation, diffusion-weighted imaging (b values of 0, 200, 400, 600, 800 s/mm 2 ) was performed before and after the G-CA (gadoterate meglumine (0.2 ml/kg, 3 ml/s)). Whole lesion and fibroglandular tissue (FGT) covering region-of-interests (ROIs) were drawn on the b = 800 s/mm 2 images; ROIs were then propagated to multiple retrospectively generated ADC maps. Twenty-seven patients (mean age 55.8 ± 10.8 years) with 32 mass-like enhancing breast lesions including 25 (78.1 %) histopathologically malignant lesions were enrolled. Lesion ADC values were statistically significantly higher in pre-G-CA than post-G-CA ADC maps (ADC 0,200,400,600,800 : 1.05 ± 0.35 × 10 −3  mm 2 /s vs. 1.02 ± 0.36 × 10 −3  mm 2 /s ( P  &lt; 0.05); ADC 0,200,400 : 1.25 ± 0.42 × 10 −3  mm 2 /s vs. 1.20 ± 0.35 × 10 −3  mm 2 /s ( P  &lt; 0.05)). ADC values between pre- and post-contrast maps were not statistically different when the maps were generated using other b value combinations. Contrast agent administration did not affect the FGT ADC values. 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A total of 106 women underwent bilateral 3.0 T breast MRI. As an internal validation, diffusion-weighted imaging (b values of 0, 200, 400, 600, 800 s/mm 2 ) was performed before and after the G-CA (gadoterate meglumine (0.2 ml/kg, 3 ml/s)). Whole lesion and fibroglandular tissue (FGT) covering region-of-interests (ROIs) were drawn on the b = 800 s/mm 2 images; ROIs were then propagated to multiple retrospectively generated ADC maps. Twenty-seven patients (mean age 55.8 ± 10.8 years) with 32 mass-like enhancing breast lesions including 25 (78.1 %) histopathologically malignant lesions were enrolled. Lesion ADC values were statistically significantly higher in pre-G-CA than post-G-CA ADC maps (ADC 0,200,400,600,800 : 1.05 ± 0.35 × 10 −3  mm 2 /s vs. 1.02 ± 0.36 × 10 −3  mm 2 /s ( P  &lt; 0.05); ADC 0,200,400 : 1.25 ± 0.42 × 10 −3  mm 2 /s vs. 1.20 ± 0.35 × 10 −3  mm 2 /s ( P  &lt; 0.05)). ADC values between pre- and post-contrast maps were not statistically different when the maps were generated using other b value combinations. Contrast agent administration did not affect the FGT ADC values. G-CA statistically significantly reduced the ADC values of breast lesions on ADC maps generated using the clinically widely utilized b values.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>29311709</pmid><doi>10.1038/s41598-017-18035-0</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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subjects 59
59/57
692/308
692/308/575
Biopsy
Breast
Diffusion coefficient
Gadolinium
Humanities and Social Sciences
Intravenous administration
Lesions
Magnetic resonance imaging
multidisciplinary
Science
Science (multidisciplinary)
title Gadoterate meglumine decreases ADC values of breast lesions depending on the b value combination
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