Document Detail


Computed diffusion-weighted imaging of the prostate at 3 T: impact on image quality and tumour detection.
MedLine Citation:
PMID:  23756956     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVES: To investigate the impact of prostate computed diffusion-weighted imaging (DWI) on image quality and tumour detection. METHODS: Forty-nine patients underwent 3-T magnetic resonance imaging using a pelvic phased-array coil before prostatectomy, including DWI with b values of 50 and 1,000 s/mm(2). Computed DW images with b value 1,500 s/mm(2) were generated from the lower b-value images. Directly acquired b-1,500 DW images were obtained in 39 patients. Two radiologists independently assessed DWI for image quality measures and location of the dominant lesion. A third radiologist measured tumour-to-peripheral-zone (PZ) contrast. Pathological findings from prostatectomy served as the reference standard. RESULTS: Direct and computed b-1,500 DWI showed better suppression of benign prostate tissue than direct b-1,000 DWI for both readers (P ≤ 0.024). However, computed b-1,500 DWI showed less distortion and ghosting than direct b-1,000 and direct b-1,500 DWI for both readers (P ≤ 0.067). Direct and computed b-1,500 images showed better sensitivity and positive predictive value (PPV) for tumour detection than direct b-1,000 images for both readers (P ≤ 0.062), with no difference in sensitivity or PPV between direct and computed b-1,500 images (P ≥ 0.180). Tumour-to-PZ contrast was greater on computed b-1,500 than on either direct DWI set (P < 0.001). CONCLUSION: Computed DWI of the prostate using b value ≥1,000 s/mm(2) improves image quality and tumour detection compared with acquired standard b-value images. KEY POINTS : • Diffusion weighted MRI is increasingly used for diagnosing and assessing prostate carcinoma. • Prostate computed DWI can extrapolate high b-value images from lower b values. • Computed DWI provides greater suppression of benign tissue than lower b-value images. • Computed DWI provides less distortion and artefacts than images using same b value. • Computed DWI provides better diagnostic performance than lower b-value images.
Authors:
Andrew B Rosenkrantz; Hersh Chandarana; Nicole Hindman; Fang-Ming Deng; James S Babb; Samir S Taneja; Christian Geppert
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-6-12
Journal Detail:
Title:  European radiology     Volume:  -     ISSN:  1432-1084     ISO Abbreviation:  Eur Radiol     Publication Date:  2013 Jun 
Date Detail:
Created Date:  2013-6-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9114774     Medline TA:  Eur Radiol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Radiology, NYU Langone Medical Center, 550 First Avenue, New York, NY, 10016, USA, Andrew.Rosenkrantz@nyumc.org.
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