Discrimination of benign, atypical, and malignant peripheral nerve sheath tumors in neurofibromatosis type 1 using diffusion-weighted MRI.
Neurooncol Adv
; 6(1): vdae021, 2024.
Article
en En
| MEDLINE
| ID: mdl-38468867
ABSTRACT
Background:
Neurofibromatosis type 1 (NF1) is associated with the development of benign (BPNST) and malignant (MPNST) peripheral nerve sheath tumors. Recently described atypical neurofibromas (ANF) are considered pre-malignant precursor lesions to MPNSTs. Previous studies indicate that diffusion-weighted magnetic resonance imaging (DW-MRI) can reliably discriminate MPNSTs from BPNSTs. We therefore investigated the diagnostic accuracy of DW-MRI for the discrimination of benign, atypical, and malignant peripheral nerve sheath tumors.Methods:
In this prospective explorative single-center phase II diagnostic study, 44 NF1 patients (23 male; 30.1â ±â 11.8 years) underwent DW-MRI (b-values 0-800 s/mm²) at 3T. Two radiologists independently assessed mean and minimum apparent diffusion coefficients (ADCmean/min) in areas of largest tumor diameters and ADCdark in areas of lowest signal intensity by manual contouring of the tumor margins of 60 BPNSTs, 13 ANFs, and 21 MPNSTs. Follow-up of ≥â 24 months (BPNSTs) or histopathological evaluation (ANFsâ +â MPNSTs) served as diagnostic reference standard. Diagnostic ADC-based cut-off values for discrimination of the three tumor groups were chosen to yield the highest possible specificity while maintaining a clinically acceptable sensitivity.Results:
ADC values of pre-malignant ANFs clustered between BPNSTs and MPNSTs. Best BPNST vs. ANFâ +â MPNST discrimination was obtained using ADCdark at a cut-off value of 1.6â ×â 10-3 mm2/s (85.3% sensitivity, 93.3% specificity), corresponding to an AUC of 94.3% (95% confidence interval 85.2-98.0). Regarding BPNSTâ +â ANF vs. MPNST, best discrimination was obtained using an ADCdark cut-off value of 1.4â ×â 10-3 mm2/s (83.3% sensitivity, 94.5% specificity).Conclusions:
DW-MRI using ADCdark allows specific and noninvasive discrimination of benign, atypical, and malignant nerve sheath tumors in NF1.
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MEDLINE
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En
Año:
2024
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Article