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Utility of histogram analysis of apparent diffusion coefficient maps obtained using 3.0T MRI for distinguishing uterine carcinosarcoma from endometrial carcinoma.
Takahashi, Masahiro; Kozawa, Eito; Tanisaka, Megumi; Hasegawa, Kousei; Yasuda, Masanori; Sakai, Fumikazu.
Affiliation
  • Takahashi M; Department of Diagnostic Radiology, Saitame Medical University International Medical Center, Saitama, Japan.
  • Kozawa E; Department of Diagnostic Radiology, Saitame Medical University International Medical Center, Saitama, Japan.
  • Tanisaka M; Department of Diagnostic Radiology, Saitame Medical University International Medical Center, Saitama, Japan.
  • Hasegawa K; Department of Gynecologic Oncology, Saitame Medical University International Medical Center, Saitama, Japan.
  • Yasuda M; Department of Pathological Diagnosis, Saitame Medical University International Medical Center, Saitama, Japan.
  • Sakai F; Department of Diagnostic Radiology, Saitame Medical University International Medical Center, Saitama, Japan.
J Magn Reson Imaging ; 43(6): 1301-7, 2016 06.
Article in En | MEDLINE | ID: mdl-26605502
ABSTRACT

PURPOSE:

We explored the role of histogram analysis of apparent diffusion coefficient (ADC) maps for discriminating uterine carcinosarcoma and endometrial carcinoma. MATERIALS AND

METHODS:

We retrospectively evaluated findings in 13 patients with uterine carcinosarcoma and 50 patients with endometrial carcinoma who underwent diffusion-weighted imaging (b = 0, 500, 1000 s/mm(2) ) at 3T with acquisition of corresponding ADC maps. We derived histogram data from regions of interest drawn on all slices of the ADC maps in which tumor was visualized, excluding areas of necrosis and hemorrhage in the tumor. We used the Mann-Whitney test to evaluate the capacity of histogram parameters (mean ADC value, 5th to 95th percentiles, skewness, kurtosis) to discriminate uterine carcinosarcoma and endometrial carcinoma and analyzed the receiver operating characteristic (ROC) curve to determine the optimum threshold value for each parameter and its corresponding sensitivity and specificity.

RESULTS:

Carcinosarcomas demonstrated significantly higher mean vales of ADC, 95th, 90th, 75th, 50th, 25th percentiles and kurtosis than endometrial carcinomas (P < 0.05). ROC curve analysis of the 75th percentile yielded the best area under the ROC curve (AUC; 0.904), sensitivity of 100%, and specificity of 78.0%, with a cutoff value of 1.034 × 10(-3) mm(2) /s.

CONCLUSION:

Histogram analysis of ADC maps might be helpful for discriminating uterine carcinosarcomas and endometrial carcinomas. J. Magn. Reson. Imaging 2016;431301-1307.
Subject(s)
Key words

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Magnetic Resonance Imaging / Image Interpretation, Computer-Assisted / Carcinosarcoma / Data Interpretation, Statistical / Endometrial Neoplasms Type of study: Diagnostic_studies / Prognostic_studies Limits: Adult / Aged / Female / Humans / Middle aged Language: En Journal: J Magn Reson Imaging Journal subject: DIAGNOSTICO POR IMAGEM Year: 2016 Type: Article Affiliation country: Japan

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Magnetic Resonance Imaging / Image Interpretation, Computer-Assisted / Carcinosarcoma / Data Interpretation, Statistical / Endometrial Neoplasms Type of study: Diagnostic_studies / Prognostic_studies Limits: Adult / Aged / Female / Humans / Middle aged Language: En Journal: J Magn Reson Imaging Journal subject: DIAGNOSTICO POR IMAGEM Year: 2016 Type: Article Affiliation country: Japan