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Pancreatic neuroendocrine tumors: correlation between histogram analysis of apparent diffusion coefficient maps and tumor grade

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Resumo:Purpose: To explore the role of histogram analysis of apparent diffusion coefficient (ADC) MRI maps based on entire tumor volume data in determining pancreatic neuroendocrine tumor (PNT) grade. Methods and Materials: Retrospective evaluation of 22 patients with PNTs included low-grade (G1; n = 15), intermediate-grade (G2; n = 4), and high-grade (G3; n = 3) tumors. Regions of interest containing the lesion were drawn on every section of the ADC map containing the tumor and summated to obtain histograms for entire tumor volume. Calculated histographic parameters included mean ADC (mADC), 5th percentile ADC, 10th percentile ADC, 25th percentile ADC, 50th per- centile ADC, 75th percentile ADC (ADC75), 90th percentile ADC (ADC90) and 95th percentile ADC (ADC95), skewness and kurtosis. Histogram parameters were correlated with tumor grade by repeated measures analysis of variance with Tukey–Kramer post hoc comparisons. Results: The mADC, ADC75, ADC90, and ADC95 were significantly higher in G1 tumors (1283 ± 267; 1404 ± 300; 1495 ± 318; 1562 ± 347 9 10 -6 mm 2 /s) compared to G2 (892 ± 390; 952 ± 381; 1036 ± 384; 1072 ± 374 9 10 -6 mm 2 /s) and to G3 tumors (733 ± 225; 864 ± 284; 1008 ± 288; 1152 ± 192 9 10 - 6 mm 2 /s) (p value <0.05). Skewness and kurtosis were significantly different between G1 (0.041 ± 0.466; 2.802 ± 0.679) and G3 (1.01 ± 1.140; 5.963 ± 4.008) tumors (p value <0.05). Tumor volume (mL) was significantly higher on G3 (55 ± 15.7) compared to G1(1.9 ± 2.7) and G2 (4.5 ± 3.6) tumors (p value <0.05). In this small sample size, we did not detect statistically significant parameters between G2 (n = 4) and G3 (n = 3) tumors. Conclusions: Histographic analysis of ADC maps on the basis of the entire tumor volume can be useful in differentiating histologic grades of PNTs.
Autores principais:Pereira, JA
Outros Autores:Rosado, E; Bali, M; Metens, T; Chao, SL
Assunto:Neoplasias do pâncreas Diagnóstico diferencial Imagem de difusão por ressonância magnética Diffusion magnetic resonance imaging Pancreatic neoplasms
Ano:2015
País:Portugal
Tipo de documento:artigo
Tipo de acesso:acesso restrito
Instituição associada:Hospital Prof. Dr. Fernando Fonseca E.P.E.
Idioma:inglês
Origem:Repositório do Hospital Prof. Doutor Fernando Fonseca
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author Pereira, JA
author2 Rosado, E
Bali, M
Metens, T
Chao, SL
author2_role author
author
author
author
author_facet Pereira, JA
Rosado, E
Bali, M
Metens, T
Chao, SL
author_role author
contributor_name_str_mv Unidade Local de Saúde Amadora / Sintra
country_str PT
creators_json_txt [{\"Person.name\":\"Pereira, JA\"},{\"Person.name\":\"Rosado, E\"},{\"Person.name\":\"Bali, M\"},{\"Person.name\":\"Metens, T\"},{\"Person.name\":\"Chao, SL\"}]
datacite.contributors.contributor.contributorName.fl_str_mv Unidade Local de Saúde Amadora / Sintra
datacite.creators.creator.creatorName.fl_str_mv Pereira, JA
Rosado, E
Bali, M
Metens, T
Chao, SL
datacite.date.Accepted.fl_str_mv 2015-01-01T00:00:00Z
datacite.date.available.fl_str_mv 2015-11-24T16:54:01Z
datacite.date.embargoed.fl_str_mv 2015-11-24T16:54:01Z
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_16ec
datacite.subjects.subject.fl_str_mv Neoplasias do pâncreas
Diagnóstico diferencial
Imagem de difusão por ressonância magnética
Diffusion magnetic resonance imaging
Pancreatic neoplasms
datacite.titles.title.fl_str_mv Pancreatic neuroendocrine tumors: correlation between histogram analysis of apparent diffusion coefficient maps and tumor grade
dc.contributor.none.fl_str_mv Unidade Local de Saúde Amadora / Sintra
dc.creator.none.fl_str_mv Pereira, JA
Rosado, E
Bali, M
Metens, T
Chao, SL
dc.date.Accepted.fl_str_mv 2015-01-01T00:00:00Z
dc.date.available.fl_str_mv 2015-11-24T16:54:01Z
dc.date.embargoed.fl_str_mv 2015-11-24T16:54:01Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv http://hdl.handle.net/10400.10/1552
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv Springer
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_16ec
dc.subject.none.fl_str_mv Neoplasias do pâncreas
Diagnóstico diferencial
Imagem de difusão por ressonância magnética
Diffusion magnetic resonance imaging
Pancreatic neoplasms
dc.title.fl_str_mv Pancreatic neuroendocrine tumors: correlation between histogram analysis of apparent diffusion coefficient maps and tumor grade
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description Purpose: To explore the role of histogram analysis of apparent diffusion coefficient (ADC) MRI maps based on entire tumor volume data in determining pancreatic neuroendocrine tumor (PNT) grade. Methods and Materials: Retrospective evaluation of 22 patients with PNTs included low-grade (G1; n = 15), intermediate-grade (G2; n = 4), and high-grade (G3; n = 3) tumors. Regions of interest containing the lesion were drawn on every section of the ADC map containing the tumor and summated to obtain histograms for entire tumor volume. Calculated histographic parameters included mean ADC (mADC), 5th percentile ADC, 10th percentile ADC, 25th percentile ADC, 50th per- centile ADC, 75th percentile ADC (ADC75), 90th percentile ADC (ADC90) and 95th percentile ADC (ADC95), skewness and kurtosis. Histogram parameters were correlated with tumor grade by repeated measures analysis of variance with Tukey–Kramer post hoc comparisons. Results: The mADC, ADC75, ADC90, and ADC95 were significantly higher in G1 tumors (1283 ± 267; 1404 ± 300; 1495 ± 318; 1562 ± 347 9 10 -6 mm 2 /s) compared to G2 (892 ± 390; 952 ± 381; 1036 ± 384; 1072 ± 374 9 10 -6 mm 2 /s) and to G3 tumors (733 ± 225; 864 ± 284; 1008 ± 288; 1152 ± 192 9 10 - 6 mm 2 /s) (p value <0.05). Skewness and kurtosis were significantly different between G1 (0.041 ± 0.466; 2.802 ± 0.679) and G3 (1.01 ± 1.140; 5.963 ± 4.008) tumors (p value <0.05). Tumor volume (mL) was significantly higher on G3 (55 ± 15.7) compared to G1(1.9 ± 2.7) and G2 (4.5 ± 3.6) tumors (p value <0.05). In this small sample size, we did not detect statistically significant parameters between G2 (n = 4) and G3 (n = 3) tumors. Conclusions: Histographic analysis of ADC maps on the basis of the entire tumor volume can be useful in differentiating histologic grades of PNTs.
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institution Hospital Prof. Dr. Fernando Fonseca E.P.E.
instname_str Hospital Prof. Dr. Fernando Fonseca E.P.E.
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person_str_mv Pereira, JA
Rosado, E
Bali, M
Metens, T
Chao, SL
publishDate 2015
publisher.none.fl_str_mv Springer
reponame_str Repositório do Hospital Prof. Doutor Fernando Fonseca
repository_id_str urn:repositoryAcronym:rhff
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spelling engSpringerpt_PTPurpose: To explore the role of histogram analysis of apparent diffusion coefficient (ADC) MRI maps based on entire tumor volume data in determining pancreatic neuroendocrine tumor (PNT) grade. Methods and Materials: Retrospective evaluation of 22 patients with PNTs included low-grade (G1; n = 15), intermediate-grade (G2; n = 4), and high-grade (G3; n = 3) tumors. Regions of interest containing the lesion were drawn on every section of the ADC map containing the tumor and summated to obtain histograms for entire tumor volume. Calculated histographic parameters included mean ADC (mADC), 5th percentile ADC, 10th percentile ADC, 25th percentile ADC, 50th per- centile ADC, 75th percentile ADC (ADC75), 90th percentile ADC (ADC90) and 95th percentile ADC (ADC95), skewness and kurtosis. Histogram parameters were correlated with tumor grade by repeated measures analysis of variance with Tukey–Kramer post hoc comparisons. Results: The mADC, ADC75, ADC90, and ADC95 were significantly higher in G1 tumors (1283 ± 267; 1404 ± 300; 1495 ± 318; 1562 ± 347 9 10 -6 mm 2 /s) compared to G2 (892 ± 390; 952 ± 381; 1036 ± 384; 1072 ± 374 9 10 -6 mm 2 /s) and to G3 tumors (733 ± 225; 864 ± 284; 1008 ± 288; 1152 ± 192 9 10 - 6 mm 2 /s) (p value <0.05). Skewness and kurtosis were significantly different between G1 (0.041 ± 0.466; 2.802 ± 0.679) and G3 (1.01 ± 1.140; 5.963 ± 4.008) tumors (p value <0.05). Tumor volume (mL) was significantly higher on G3 (55 ± 15.7) compared to G1(1.9 ± 2.7) and G2 (4.5 ± 3.6) tumors (p value <0.05). In this small sample size, we did not detect statistically significant parameters between G2 (n = 4) and G3 (n = 3) tumors. Conclusions: Histographic analysis of ADC maps on the basis of the entire tumor volume can be useful in differentiating histologic grades of PNTs.application/pdfpt_PTPancreatic neuroendocrine tumors: correlation between histogram analysis of apparent diffusion coefficient maps and tumor gradePereira, JARosado, EBali, MMetens, TChao, SLHostingInstitutionOrganizationalUnidade Local de Saúde Amadora / Sintrae-mailmailto:repositorio@hff.min-saude.ptrepositorio@hff.min-saude.ptISSNIsPartOf1432-0509DOIIsPartOf10.1007/s00261-015-0524-72015-11-24T16:54:01Z20152015-01-01T00:00:00ZHandlehttp://hdl.handle.net/10400.10/1552http://purl.org/coar/access_right/c_16ecrestricted accessNeoplasias do pâncreasDiagnóstico diferencialImagem de difusão por ressonância magnéticaDiffusion magnetic resonance imagingPancreatic neoplasms2989702 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal articlehttp://purl.org/coar/access_right/c_16ecapplication/pdffulltexthttps://repositorio.hff.min-saude.pt/bitstreams/1a8a020f-2ddd-42e4-9ec9-0b9bf5bdcfb3/downloadAbdominal imaging4031223128New York
spellingShingle Pancreatic neuroendocrine tumors: correlation between histogram analysis of apparent diffusion coefficient maps and tumor grade
Pereira, JA
Neoplasias do pâncreas
Diagnóstico diferencial
Imagem de difusão por ressonância magnética
Diffusion magnetic resonance imaging
Pancreatic neoplasms
status SINGLETON
subject.fl_str_mv Neoplasias do pâncreas
Diagnóstico diferencial
Imagem de difusão por ressonância magnética
Diffusion magnetic resonance imaging
Pancreatic neoplasms
title Pancreatic neuroendocrine tumors: correlation between histogram analysis of apparent diffusion coefficient maps and tumor grade
title_full Pancreatic neuroendocrine tumors: correlation between histogram analysis of apparent diffusion coefficient maps and tumor grade
title_fullStr Pancreatic neuroendocrine tumors: correlation between histogram analysis of apparent diffusion coefficient maps and tumor grade
title_full_unstemmed Pancreatic neuroendocrine tumors: correlation between histogram analysis of apparent diffusion coefficient maps and tumor grade
title_short Pancreatic neuroendocrine tumors: correlation between histogram analysis of apparent diffusion coefficient maps and tumor grade
title_sort Pancreatic neuroendocrine tumors: correlation between histogram analysis of apparent diffusion coefficient maps and tumor grade
topic Neoplasias do pâncreas
Diagnóstico diferencial
Imagem de difusão por ressonância magnética
Diffusion magnetic resonance imaging
Pancreatic neoplasms
topic_facet Neoplasias do pâncreas
Diagnóstico diferencial
Imagem de difusão por ressonância magnética
Diffusion magnetic resonance imaging
Pancreatic neoplasms
url http://hdl.handle.net/10400.10/1552
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