Autor: |
Dan Liao, Yuan-Cheng Liu, Jiang-Yong Liu, Di Wang, Xin-Feng Liu |
Jazyk: |
angličtina |
Rok vydání: |
2023 |
Předmět: |
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Zdroj: |
BMC Medical Imaging, Vol 23, Iss 1, Pp 1-11 (2023) |
Druh dokumentu: |
article |
ISSN: |
1471-2342 |
DOI: |
10.1186/s12880-023-01082-7 |
Popis: |
Abstract Background To investigate the diagnostic performance of parameters derived from monoexponential, biexponential, and stretched-exponential diffusion-weighted imaging models in differentiating tumour progression from pseudoprogression in glioblastoma patients. Methods Forty patients with pathologically confirmed glioblastoma exhibiting enhancing lesions after completion of chemoradiation therapy were enrolled in the study, which were then classified as tumour progression and pseudoprogression. All patients underwent conventional and multi-b diffusion-weighted MRI. The apparent diffusion coefficient (ADC) from a monoexponential model, the true diffusion coefficient (D), pseudodiffusion coefficient (D*) and perfusion fraction (f) from a biexponential model, and the distributed diffusion coefficient (DDC) and intravoxel heterogeneity index (α) from a stretched-exponential model were compared between tumour progression and pseudoprogression groups. Receiver operating characteristic curves (ROC) analysis was used to investigate the diagnostic performance of different DWI parameters. Interclass correlation coefficient (ICC) was used to evaluate the consistency of measurements. Results The values of ADC, D, DDC, and α values were lower in tumour progression patients than that in pseudoprogression patients (p |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
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