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MITK Diffusion ImagingMethods of Information in Medicine, 51
Objectives To evaluate IVIM DW-MRI for changes in IVIM- during steroid treatment and pancreatic cancer suggest that derived parameters during steroid treatment of autoimmune IVIM-diffusion MRI could serve as imaging biomarker during pancreatitis (AIP) and for the differentiation from pancreatic treatment in AIP-patients and as a helpful tool for differentia- cancer (PC). tion between PC and AIP. Methods Fifteen AIP-patients, 11 healthy patients and 20 PC- Key Points patients were examined with DWI-MRI using eight b-values � MRI is used for follow-up examinations during therapy in (50, 100, 150, 200, 300, 400, 600, 800). 12 AIP-patients AIP-patients underwent follow-up examinations during treatment. IVIM- � IVIM-DWI-MRI offers parameters which reflect perfusion parameters and ADC -values were tested for significant dif- and true diffusion ferences and an ROC analysis was performed. � IVIM-parameters are helpful for differentiation between AIP Results The perfusion fraction f was significantly lower in and pancreatic cancer patients with AIP at the time of diagnosis (10.5±4.3 %) than � IVIM-parameters could serve as an imaging biomarker dur- in patients without AIP (20.7±4.3 %). In AIP follow-up, f ing steroid treatment increased significantly to 17.1±7.0 % in the first and 21.0± . . . 4.1 % in the
European Radiology – Springer Journals
Published: Oct 8, 2015
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