Share：
Share this content in WeChat
X
[Chinese][PDF]84878
• Experience Exchange •
Application of diffusion-weighted magnetic resonance imaging with different b-values in the puncture of lung space-occupying lesions
WANG Qianru  WANG Dayong  ZHAO Sen  LIU Shuangfeng  WANG Zhixue 

Cite this article as: Wang QR, Wang DR, Zhao S, et al. Application of diffusion-weighted magnetic resonance imaging with different b-values in the puncture of lung space-occupying lesions[J]. Chin J Magn Reson Imaging, 2021, 12(8): 75-78. DOI:10.12015/issn.1674-8034.2021.08.015.


[Abstract] Objective To explore the application value of multi-b value diffusion weighted imaging (DWI) in precise puncture of lung space-occupying lesions. Materials andMethods A total of 56 patients with lung space-occupying lesions were first diagnosed and clinically diagnosed as lung cancer in our hospital. With the patient's consent, all patients underwent 3.0 T MRI prior to the puncture. Analyzed the difference of ADC value of lung cancer active components and non-tumor components around tumor at different b-values, and used ROC curve to analyze the guiding efficiency of MRI multi-b-value DWI for precise puncture of lung occupying lesions.Results Under different b values of the four groups (b values are 300, 600, 900, 1200 s/mm2), the differences between the active components of lung cancer and the surrounding non-tumor subgroups were statistically significant (P＞0.05), and the ADC values of the active components of lung cancer were all lower than those of the surrounding non-tumor components. When b=900 s/mm2, ADC value had the highest differential diagnosis efficiency for lung cancer tumor active components and surrounding non-tumor components (obstructive chronic inflammation, atelectasis and fibroplasia), and the highest guidance efficiency for clinical precise puncture.Conclusions DWI has important application value in precise puncture of lung space-occupying lesions.
[Keywords] maenetic resonance imaging；diffusion weighted imaging；apparent dispersion coefficient；lung space occupying lesion；precise puncture

WANG Qianru   WANG Dayong   ZHAO Sen   LIU Shuangfeng   WANG Zhixue*  

Department of Imaging, the First Affiliated Hospital of Henan University, Kaifeng 475000, China

Wang ZX, E-mail: wangzhi@163.com

Conflicts of interest   None.

ACKNOWLEDGMENTS This work was part of Kaifeng Science and Technology Development Project (No. 1808013).
Received  2020-12-19
Accepted  2021-02-25
DOI: 10.12015/issn.1674-8034.2021.08.015
Cite this article as: Wang QR, Wang DR, Zhao S, et al. Application of diffusion-weighted magnetic resonance imaging with different b-values in the puncture of lung space-occupying lesions[J]. Chin J Magn Reson Imaging, 2021, 12(8): 75-78. DOI:10.12015/issn.1674-8034.2021.08.015.

1
Siegel RL, Miller KD, Jemal A. Cancer statistics, 2017[J]. CA, 2017, 67(1): 7-30. DOI: 10.3322/caac.21387.
2
Jiao ZY, Hu CH, Du F, et al. Value of dynamic contrast-enhanced MRI combined with multiple b-value DWI for differentitatiion of benign and malignant lung lesions[J]. J Clin Radiol, 2019, 38(2): 239-243. DOI: 10.13437/j.cnki.jcr.2019.02.013.
3
Kishimoto K, Tajima S, Maeda I, et al. Endometrial cancer: correlation of apparent diffusion coefficient (ADC) with tumor cellularity and tumor grade[J]. Acta Radiol, 2016, 57(8): 1021-1028. DOI: 10.1177/0284185115612249.
4
Ono T, KISHIMOTO K, TAJIMA S, et al. Apparent diffusion coefficient (ADC) values of serous, endometrioid, and clear cell carcinoma of the ovary: pathological correlation[J]. Acta Radiol, 2020, 61(7): 992-1000. DOI: 10.1177/0284185119883392.
5
Franke M, Baeßler B, Vechtel J, et al. Magnetic resonance T2 mapping and diffusion-weighted imaging for early detection of cystogenesis and response to therapy in a mouse model of polycystic kidney disease[J]. Kidney Int, 2017, 92(6): 1544-1554. DOI: 10.1016/j.kint.2017.05.024.
6
Pinker K, Moy L, Sutton EJ, et al. Diffusion-weighted imaging with apparent diffusion coefficient mapping for breast cancer detection as a stand-alone parameter: Comparison with dynamic contrast-enhanced and multiparametric magnetic resonance imaging[J]. Invest Radiol, 2018, 53(10): 587-595. DOI: 10.1097/RLI.0000000000000465.
7
Yang H, Lv P, Zhang R, et al. Detection of mural inflammation with low b-value diffusion-weighted imaging in patients with active takayasu arteritis[J]. Eur Radiol, 2021 Feb 10. DOI: 10.1007/s00330-021-07725-z.
8
ÇaKır Ç, Gençhellaç H, Temizöz O, et al. Diffusion weighted magnetic resonance imaging for the characterization of solitary pulmonary lesions[J]. Balkan Med J, 2015, 32(4): 403-409. DOI: 10.5152/balkanmedj.2015.15663.
9
Hochhegger B, Zanon M, Altmayer S, et al. Advances in imaging and automated quantification of malignant pulmonary diseases: A state-of-the-art review[J]. Lung, 2018, 196(6): 633-642. DOI: 10.1007/s00408-018-0156-0.
10
Parsian S, Giannakopoulos NV, Rahbar H, et al. Diffusion-weighted imaging reflects variable cellularity and stromal density present in breast fibroadenomas[J]. Clin Imaging, 2016, 40(5): 1047-1054. DOI: 10.1016/j.clinimag.2016.06.002.
11
Surov A, Meyer HJ, Wienke A. Can apparent diffusion coefficient (ADC) distinguish breast cancer from benign breast findings? A meta-analysis based on 13 847 lesions[J]. BMC Cancer, 2019, 19(1): 955. DOI: 10.1186/s12885-019-6201-4.
12
Yang RM, Luo LP, Li L, et al. Differentiation of central lung cancer from atelectasis using diffusion weighted MR imaging [J]. J Clin Radiol, 2013, 32(6): 817-821. DOI: 10.13437/j.cnki.jcr.2013.06.038.
13
Schonewolf CA, Verma V, Post CM, et al. Outcomes of invasive mediastinal nodal staging versus positron emission tomography staging alone for early-stage non-small cell lung cancer treated with stereotactic body radiation therapy[J]. Lung Cancer, 2018, 117: 53-59. DOI: 10.1016/j.lungcan.2017.07.005.
14
Li FQ, Huang XY, Qian HF. The evaluation of MR-DWI and ADC value on the initial curative effect of radiotherapy for lung cancer[J]. J Med Imaging, 2013, 23(5): 702-706.
15
Tang S. The accuracy of CT diagnosis of central lung cancer and the significance of MRI supplementary diagnosis[J]. Modern Med Imaging, 2019, 28(5): 1047-1048.
16
Kirchner J, Sawicki LM, Nensa F, et al. Prospective comparison of 18F-FDG PET/MRI and 18F-FDG PET/CT for thoracic staging of non-small cell lung cancer [J]. Eur J Nucl Med Mol Imaging, 2019, 46(2): 437-445. DOI: 10.1007/s00259-018-4109-x.
17
Sim AJ, Kaza E, Singer L, et al. A review of the role of MRI in diagnosis and treatment of early stage lung cancer[J]. Clin Transl Radiat Oncol, 2020, 24: 16-22. DOI: 10.1016/j.ctro.2020.06.002.
18
Chen TY, Wu TC, Tsui YK, et al. Diffusion-weighted magnetic resonance imaging and apparent diffusion coefficient mapping for diagnosing infectious spondylodiscitis: a preliminary study[J]. J Neuroimaging, 2015, 25(3): 482-487. DOI: 10.1111/jon.12145.
19
Dunn DP, Kelsey NR, Lee KS, et al. Non-oncologic applications of diffusion-weighted imaging (DWI) in the genitourinary system[J]. Abdominal Imaging, 2015, 40(6): 1645-1654. DOI: 10.1007/s00261-015-0471-3.
20
Doskaliyev A, Yamasaki F, Ohtaki M, et al. Lymphomas and glioblastomas: differences in the apparent diffusion coefficient evaluated with high b-value diffusion-weighted magnetic resonance imaging at 3 T[J]. Eur J Radiol, 2012, 81(2): 339-344. DOI: 10.1016/j.ejrad.2010.11.005.
21
Hao Y, Pan C, Chen W, et al. Differentiation between malignant and benign thyroid nodules and stratification of papillary thyroid cancer with aggressive histological features: Whole-lesion diffusion-weighted imaging histogram analysis[J]. J Magn Reason Imaging, 2016, 44(6): 1546-1555. DOI: 10.1002/jmri.25290.
22
Ye J, Xiao Q, Sam, et al. Differentiation of central prostate gland carcinoma and benign proliferative nodules by ultrahigh B value diffusivity weighted imaging[J]. J Clin Radiol, 2015, 34(6): 999-943. DOI: 10.13437/j.cnki.jcr.2015.06.021.
23
Caraiani CN, Marian D, Militaru C, et al. The role of the diffusion sequence in magnetic resonance imaging for the differential diagnosis between hepatocellular carcinoma and benign liver lesions[J]. Clujul Med (1957), 2016, 89(2): 241-249. DOI: 10.15386/cjmed-567.
24
Liu H, Liu Y, Yu T, et al. Usefulness of diffusion-weighted MR imaging in the evaluation of pulmonary lesions[J]. Eur Radiol, 2010, 20(4): 807-815. DOI: 10.1007/s00330-009-1629-6.
25
Zhong L, Sun LL. Investigation of the appropriate b-value in DWI using 1.5 T MR scanner for the differential diagnosis of benign and malignant lung lesions [J]. J Clin Radiol, 2015, 30(2): 141-144. DOI: 10.13609/j.cnki.1000-0313.2015.02.011.
26
Sun MH. DWI value in differential diagnosis pf benign and malignant pulmonary lesions[D]. Hefei: Anhui Med Univ, 2016.
27
Wang P, Zhai ZH, Tang GC, et al. Effect of different b-values in tumor and peritumoral edema on diffusion weighted imaging[J]. J Clin Radiol, 2015, 30(3): 224-227. DOI: 10.13609/j.cnki.1000-0313.2015.03.004.

PREV Value of MRI and cerebrospinal fluid examination in evaluating the curative effect of intracranial tuberculosis
NEXT One case report of hypertrophic cardiomyopathy misdiagnosed as angiosarcoma
  


LINK


Tel & Fax: +8610-67113815    E-mail: editor@cjmri.cn