Comparison of monopolar and bipolar diffusion weighted imaging sequences for detection of small hepatic metastases.

نویسندگان

  • Akihiro Furuta
  • Hiroyoshi Isoda
  • Rikiya Yamashita
  • Tsuyoshi Ohno
  • Seiya Kawahara
  • Hironori Shimizu
  • Toshiya Shibata
  • Kaori Togashi
چکیده

OBJECTIVE To compare monopolar (MP) and bipolar (BP) diffusion weighted imaging (DWI) in detecting small liver metastases. MATERIALS AND METHODS Eighty-eight patients underwent 3-T MRI. The signal-to-noise ratios (SNR) of the liver parenchyma and lesions, the lesion-to-liver contrast-to-noise ratios (CNR), and the detection sensitivities were compared. The lesion distortion was scored (LDS) from 4 (no distortion) to 1 (excessive distortion), dichotomised as no-distortion and distortion, and the association between detected lesions for each reader in the MP or BP DWI group and the dichotomised lesion distortion degree was assessed. RESULT Forty-six hepatic metastases were confirmed. The CNR with BP images showed significantly higher values than with MP (P=0.017). The detection sensitivities of the three readers were higher in the BP sequence than in MP, and one reader detected significantly more hepatic lesions with BP images (P=0.04). LDS was significantly improved with BP sequence (P=0.002). In the no-distortion group, excluding the MP DWI assessments of one reader, detection sensitivities were significantly higher than in the distortion group (P<0.001 and P=0.002, respectively). CONCLUSION Reduced lesion distortion improves the detection of small liver metastases, and BP is more sensitive in detecting small liver metastases than MP DWI.

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عنوان ژورنال:
  • European journal of radiology

دوره 83 9  شماره 

صفحات  -

تاریخ انتشار 2014