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Pancreatic Neuroendocrine Tumors: Correlation Between Histogram Analysis of Apparent Diffusion Coefficient Maps and Tumor Grade

dc.contributor.authorSousa Pereira, JA
dc.contributor.authorRosado, E
dc.contributor.authorBali, M
dc.contributor.authorMetens, T
dc.contributor.authorChao, SL
dc.date.accessioned2017-03-22T13:05:24Z
dc.date.available2017-03-22T13:05:24Z
dc.date.issued2015-10
dc.description.abstractPURPOSE: To explore the role of histogram analysis of apparent diffusion coefficient (ADC) MRI maps based on entire tumor volume data in determining pancreatic neuroendocrine tumor (PNT) grade. METHODS AND MATERIALS: Retrospective evaluation of 22 patients with PNTs included low-grade (G1; n = 15), intermediate-grade (G2; n = 4), and high-grade (G3; n = 3) tumors. Regions of interest containing the lesion were drawn on every section of the ADC map containing the tumor and summated to obtain histograms for entire tumor volume. Calculated histographic parameters included mean ADC (mADC), 5th percentile ADC, 10th percentile ADC, 25th percentile ADC, 50th percentile ADC, 75th percentile ADC (ADC75), 90th percentile ADC (ADC90) and 95th percentile ADC (ADC95), skewness and kurtosis. Histogram parameters were correlated with tumor grade by repeated measures analysis of variance with Tukey-Kramer post hoc comparisons. RESULTS: The mADC, ADC75, ADC90, and ADC95 were significantly higher in G1 tumors (1283 ± 267; 1404 ± 300; 1495 ± 318; 1562 ± 347 × 10(-6) mm(2)/s) compared to G2 (892 ± 390; 952 ± 381; 1036 ± 384; 1072 ± 374 × 10(-6) mm(2)/s) and to G3 tumors (733 ± 225; 864 ± 284; 1008 ± 288; 1152 ± 192 × 10(-6) mm(2)/s) (p value <0.05). Skewness and kurtosis were significantly different between G1 (0.041 ± 0.466; 2.802 ± 0.679) and G3 (1.01 ± 1.140; 5.963 ± 4.008) tumors (p value <0.05). Tumor volume (mL) was significantly higher on G3 (55 ± 15.7) compared to G1 (1.9 ± 2.7) and G2 (4.5 ± 3.6) tumors (p value <0.05). In this small sample size, we did not detect statistically significant parameters between G2 (n = 4) and G3 (n = 3) tumors. CONCLUSIONS: Histographic analysis of ADC maps on the basis of the entire tumor volume can be useful in differentiating histologic grades of PNTs.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationAbdom Imaging. 2015 Oct;40(8):3122-8pt_PT
dc.identifier.doi10.1007/s00261-015-0524-7pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/2640
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringer Verlagpt_PT
dc.subjectAdultpt_PT
dc.subjectAgedpt_PT
dc.subjectCarcinoma, Neuroendocrinept_PT
dc.subjectFemalept_PT
dc.subjectHumanspt_PT
dc.subjectImage Interpretation, Computer-Assistedpt_PT
dc.subjectMalept_PT
dc.subjectMiddle Agedpt_PT
dc.subjectNeoplasm Gradingpt_PT
dc.subjectPancreaspt_PT
dc.subjectPancreatic Neoplasmspt_PT
dc.subjectReproducibility of Resultspt_PT
dc.subjectRetrospective Studiespt_PT
dc.subjectSensitivity and Specificitypt_PT
dc.subjectMagnetic Resonance Imagingpt_PT
dc.subjectCHLC IMApt_PT
dc.titlePancreatic Neuroendocrine Tumors: Correlation Between Histogram Analysis of Apparent Diffusion Coefficient Maps and Tumor Gradept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage3128pt_PT
oaire.citation.issue8pt_PT
oaire.citation.startPage3122pt_PT
oaire.citation.titleAbdominal Imagingpt_PT
oaire.citation.volume40pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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