The evaluation of prostate lesions with IVIM DWI and MR perfusion parameters at 3T MRI      
Yazarlar (5)
Doç. Dr. Murat BEYHAN Tokat State Hospital, Türkiye
Recep Sade
Ataturk University, Faculty Of Medicine, Türkiye
Erdem Koc
Ankara Yildirim Beyazit University, Türkiye
Senol Adanur
Ataturk University, Faculty Of Medicine, Türkiye
Mecit Kantarci
Ataturk University, Faculty Of Medicine, Türkiye
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale
Dergi Adı Radiologia Medica
Dergi ISSN 0033-8362 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q4
Makale Dili İngilizce
Basım Tarihi 02-2019
Cilt No 124
Sayı 2
Sayfalar 87 / 93
DOI Numarası 10.1007/s11547-018-0930-3
Makale Linki http://link.springer.com/10.1007/s11547-018-0930-3
Özet
Purpose: The purpose of our study was to analyze the difference between IVIM DWI and perfusion parameters of malignant lesions and benign lesions–normal prostate tissue. Methods: This prospective study included 31 patients who had multiparametric prostate MRI with IVIM DWI due to elevated prostate-specific antigen level and clinical suspicion between February 2015 and September 2016. Results: For peripheral zone, the mean values of Ktrans, Kep, iAUC, χ2 and f were significantly higher in malignant lesions, and the mean values of Dt were significantly lower in malignant lesions (p 0.00, p 0.02, p 0.00, p 0.02 and p 0.00, respectively). For transitional zone, the mean values of Ktrans, Ve, iAUC, χ2 and f were significantly higher in malignant lesions, and the mean values of Dp and Dt were significantly lower in malignant lesions (p 0.00, p 0.00, p 0.00, p 0.00, p 0.00, p 0.02 and p 0.00, respectively). For whole prostate gland, the mean values of Ktrans, Kep, Ve, iAUC, χ2 and f were significantly higher in malignant lesions, and the mean values of Dp and Dt were significantly lower in malignant lesions (p 0.00, p 0.03, p 0.00, p 0.00, p 0.00, p 0.01, p 0.04 and p 0.00, respectively). Conclusions: Restricted diffusion–pseudodiffusion and increased perfusion parameters are important to differentiate prostate cancer from benign pathologies. It is also important to keep in mind that transitional zone and peripheral zone tumors may have different perfusion and diffusion parameters. Future studies are needed to confirm our findings.
Anahtar Kelimeler
IVIM | Magnetic resonance imaging | Perfusion | Prostate lesion