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ORIGINAL RESEARCH Role of Quantitative Intravoxel Incoherent Motion Parameters in the Preoperative Diagnosis of Nodal Metastasis in Patients With Rectal Carcinoma 1 1 1 2 Lin Qiu, MS, Xiao-Ling Liu, BS, Si-Run Liu, MS, Ze-Ping Weng, MS, 1 1 1 Xiao-Qiao Chen, BS, You-Zhen Feng, BS, Xiang-Ran Cai, MD, * and Chang-Yu Guo, MS * Purpose: To evaluate the diagnostic value of intravoxel incoherent motion imaging (IVIM) in differentiating metastatic and nonmetastatic lymph nodes in patients with rectal carcinoma. Materials and Methods: In all, 68 patients with histologically proven rectal carcinoma underwent an IVIM sequence (b 5 0, 25, 50, 75, 100, 150, 200, 400, 600, 800, 1000, 1200, 1500, and 2000 s/mm ) on a 3.0T MRI scanner. The IVIM parameters (D, D*, f, and apparent diffusion coefficient [ADC] values) in metastatic and nonmetastatic lymph nodes were measured and calculated. Receiver-operating characteristic (ROC) analyses were conducted to determine the optimal thresholds, the sensitivities, and specificities for differentiation. Results: Mean D, f, and ADC values of metastatic lymph nodes were significantly greater than those of the normal lymph nodes (P < 0.01), whereas the mean D* value of metastatic lymph node was statistically lower (P 5 0.03). The AUC,
Journal of Magnetic Resonance Imaging – Wiley
Published: Oct 1, 2016
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