Prediction of muscle invasion of bladder cancer: A comparison between DKI and conventional DWI.

Abstract:

OBJECTIVES:To prospectively compare the diagnostic efficacy of conventional diffusion-weighted imaging (DWI) and diffusion kurtosis imaging (DKI) in differentiating between muscle-invasive bladder cancer (MIBC) and non-muscle-invasive bladder cancer (NMIBC). METHODS:Multiple b value DWIs were performed using a 3-T magnetic resonance (MR) imaging unit in fifty-one patients with bladder cancer including MIBC and NMIBC confirmed by histopathological findings. DWI data were postprocessed using mono-exponential and DKI models to calculate the apparent diffusion coefficient (ADC), apparent diffusional kurtosis (Kapp), and kurtosis-corrected diffusion coefficient (Dapp). Receiver-operating characteristic (ROC) analysis was performed to compare the diagnostic efficacy of all diffusion parameters. RESULTS:All parameters differed significantly between MIBC and NIMBC including increased Kapp, decreased Dapp and ADC (all p < 0.001). Only the combination of Dapp and Kapp was significantly higher than ADC (p < 0.05), whilst Dapp and Kapp were not statistically different from ADC. CONCLUSIONS:Both conventional DWI and DKI models are beneficial in differentiating between MIBC and NMIBC, whilst the combination of Dapp and Kapp can produce a more robust value than conventional ADC value in evaluating aggressiveness of bladder cancer.

journal_name

Eur J Radiol

authors

Li Q,Cao B,Tan Q,Liu K,Jiang S,Zhou J

doi

10.1016/j.ejrad.2021.109522

subject

Has Abstract

pub_date

2021-01-06 00:00:00

pages

109522

eissn

0720-048X

issn

1872-7727

pii

S0720-048X(21)00002-4

journal_volume

136

pub_type

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