Diffusion-weighted imaging with background body signal suppression (DWIBS) distinguishes benign lesions from malignant pulmonary solitary lesions.

Abstract:

:This study aimed to determine applicable value of DWIBS in diagnosis of solitary pulmonary lesions. This study involved 32 solitary lung disease patients. T1W1, T2W1, T2WI-SPAIR were examined using MRI scanner and analyzed with View-forum 6.0 workstation. Imaging characteristics of pulmonary solitary lesions on DWIBS and ADC when b=300, 500 and 800 s/mm2 were observed. Signal-to-noise ratio (SNR), contrast-noise-ratio (CNR) and ADC value of lesions under different b-values were measured. Image quality in different b-values was compared by analyzing SNR and CNR. ADC values of benign and malignant lesions in different b-value groups were tested using t-test. ROC curve was used to evaluate diagnostic efficacy of ADC value, and obtain diagnostic threshold. The results indicated that SNR and CNR value of 300 and 500 s/mm2 group was significantly higher compared to 800 s/mm2 group (P<0.05). When b-value was assigned as 500 s/mm2, DWIBS demonstrated better and ideal images. ADC value of malignant lesions in different b-values was significantly lower compared to benign lesions (P<0.05), suggesting ADC value is a feasible approach for distinguishing benign from malignant lesions. AUC value of b=500 s/mm2 was significantly higher compared to b=300 and b=800 s/mm2 group (P<0.05). When b-value was assigned as 500 s/mm2, the best ADC threshold value was 1.435×10-3 mm2/s, with high sensitivity, specificity and accuracy of 80.0%, 83.3% and 84.4%, respectively. In conclusion, quantitative analysis of DWIBS examination and ADC value was helpful for qualitative diagnosis of pulmonary solitary lesions, and demonstrated potential to distinguish benign and malignant pulmonary solitary lesions.

journal_name

Am J Transl Res

authors

Zhao C,Deng D,Ye W,Long L,Lu Y,Wei Y

subject

Has Abstract

pub_date

2021-01-15 00:00:00

pages

88-101

issue

1

issn

1943-8141

journal_volume

13

pub_type

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