Abstract:
OBJECTIVE:To assess the appearance of Borrmann type 4 (BT-4) gastric cancer on diffusion-weighted magnetic resonance imaging (DWI) and to investigate the potential of qualitative and quantitative DW images analysis to differentiate BT-4 gastric cancer from poorly distended normal stomach wall. MATERIALS AND METHODS:DWI was performed on 23 patients with BT-4 gastric cancer and 23 healthy volunteers. The signal characteristics and correlated histopathological basis of the cancers on DWI were investigated. The contrast-to-noise ratios (CNR) of cancer were compared between DWI and T1WI/T2WI(.) The thickness and apparent diffusion coefficient (ADC) of cancer and normal stomach wall were compared. RESULTS:All of the gastric cancers displayed hyperintensity compared to the nearby normal gastric wall on DWI. A three-layer sandwich sign that demonstrated high signal intensity in the inner and outer layer, and low signal intensity in the intermediate layer was observed in 69.6% of cancers on DWI. The low signal intensity represents the muscularis propria through the comparison with pathology, and it is postulated that scattering distribution of the cancer cells in this layer causes less damage and subsequently less restriction of water movement, which causes the low signal intensity on DWI. The CNR obtained with DWI was higher than that with T1WI and T2WI (P<0.001). The mean ADC value of BT-4 gastric cancer was significantly lower than the poorly distended normal stomach wall (1.12 ± 0.23 × 10(-3)mm(2)/s vs. 1.9 3 ± 0.22 × 10(-3)mm(2)/s, P<0.01). CONCLUSION:DWI can highlight the signals of BT-4 gastric cancer which may present a characteristic three-layer sandwich sign, and ADC values are helpful in the discrimination of gastric cancer from poorly distended stomach wall.
journal_name
Eur J Radioljournal_title
European journal of radiologyauthors
Zhang XP,Tang L,Sun YS,Li ZY,Ji JF,Li XT,Liu YQ,Wu Qdoi
10.1016/j.ejrad.2011.10.021subject
Has Abstractpub_date
2012-10-01 00:00:00pages
2481-6issue
10eissn
0720-048Xissn
1872-7727pii
S0720-048X(11)00764-9journal_volume
81pub_type
杂志文章abstract:OBJECTIVE:Ultrasound (US) is the primary imaging modality in the investigation of pelvic pathology in women however it can be very inaccurate. MRI and CT provide a more detailed pelvic examination and hence we compared their accuracies with that of ultrasound to find out if these two modalities should be used more ofte...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2005.10.002
更新日期:2006-04-01 00:00:00
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journal_title:European journal of radiology
pub_type: 杂志文章,评审
doi:10.1016/j.ejrad.2008.03.004
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journal_title:European journal of radiology
pub_type: 杂志文章
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journal_title:European journal of radiology
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journal_title:European journal of radiology
pub_type: 杂志文章
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journal_title:European journal of radiology
pub_type: 临床试验,杂志文章
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abstract::Hepatic capsular retraction is a morphologic descriptor that refers to invagination or focal flattening of the typical smooth contour of the liver capsule. It is an uncommon finding that, when combined with other imaging features and clinical context, can help to refine the differential diagnosis in patients with live...
journal_title:European journal of radiology
pub_type: 杂志文章,评审
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journal_title:European journal of radiology
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journal_title:European journal of radiology
pub_type: 杂志文章,meta分析,多中心研究
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journal_title:European journal of radiology
pub_type: 杂志文章
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journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2009.10.008
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journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/s0720-048x(98)00088-6
更新日期:1999-07-01 00:00:00
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journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2009.09.008
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journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2015.01.021
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journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2015.01.017
更新日期:2015-05-01 00:00:00
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journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2020.109241
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journal_title:European journal of radiology
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:European journal of radiology
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更新日期:2015-10-01 00:00:00
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journal_title:European journal of radiology
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doi:
更新日期:1984-02-01 00:00:00
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journal_title:European journal of radiology
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doi:10.1016/j.ejrad.2010.07.020
更新日期:2011-10-01 00:00:00
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journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2005.12.016
更新日期:2006-06-01 00:00:00
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journal_title:European journal of radiology
pub_type: 杂志文章
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更新日期:2020-04-01 00:00:00
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journal_title:European journal of radiology
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doi:10.1016/j.ejrad.2004.05.009
更新日期:2005-05-01 00:00:00
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journal_title:European journal of radiology
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更新日期:2006-11-01 00:00:00
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journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2014.02.024
更新日期:2014-07-01 00:00:00
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journal_title:European journal of radiology
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doi:10.1016/j.ejrad.2009.03.053
更新日期:2010-06-01 00:00:00