Background Diffusion kurtosis imaging (DKI) has been applied for gastric adenocarcinoma. Correlations between its parameters and Ki-67 are unclear. Purpose To investigate the correlation between DKI and diffusion-weighted imaging (DWI) parameters with the Ki-67 index in gastric adenocarcinoma. Material and Methods A total of 54 patients with gastric adenocarcinoma were enrolled in the study and underwent DWI and DKI at 3.0-T MRI before surgery. Based on the settings of the regions of interest, the DWI and DKI parameters (including apparent diffusion coefficient [ADC], diffusion kurtosis [K], and diffusion coefficient [DK]) of each patient's gastric adenocarcinoma were measured and calculated. The participants were divided into two groups (low Ki-67 group and high Ki-67 groups). The intraclass correlation coefficient (ICC) and independent-sample t-test were used to compare differences in each parameter between two groups. Spearman's correlation coefficient was calculated to determine the correlation between Ki-67 and the parameters. Each parameter was compared using the area under the receiver operating characteristic curve. All parameters were included in the multivariate logistic regression analysis to explore the relationship between each parameter and high Ki-67 index. Results ADC and DK were negatively relevant with Ki-67 and K was positively relevant with Ki-67 in gastric adenocarcinoma. ADC, DK, and K had diagnostic efficiency in differentiating the low Ki-67 group from the high Ki-67 group. A higher K value independently predicted a high Ki-67 status. Conclusion DWI and DKI reflected the proliferative characteristics of gastric adenocarcinoma. K was the strongest independent factor for predicting high Ki-67 status.
Background: Reduced field-of-view diffusion-weighted imaging (rFOV-DWI) could be proved to quantitatively identify papillary thyroid carcinoma (PTC) and there is no literature regarding the use of T1 mapping to distinguish nodular goiter (NG) from PTC.
Background:Intravoxel incoherent motion imaging (IVIM) and DWI have been applied for gastric adenocarcinoma.Purpose: To investigate correlation between parameters of IVIM and DWI with Ki-67 in gastric adenocarcinoma.Materials and methods: A total of 64 gastric adenocarcinoma patients were enrolled into the research and received DWI and IVIM at 3.0T MRI before the surgery. Based on the setting of ROIs, the DWI and IVIM parameters (including ADC, ture diffusion coefficient (D), perfusion fraction (f) and pseudo-diffusion coefficient (D*)) of each patient's gastric adenocarcinoma were measured and calculated. According to expression of Ki-67, participated subjects were divided into two groups (low Ki-67 group and high Ki-67 group). The intraclass correlation coeffificient (ICC) was used to assess the consistency of each parameter measured by two radiologists. The independent-sample t-test was used to compare differences of each parameter between groups. Spearman correlation coefficient was calculated to reveal the correlation between Ki-67 with parameters. By using the area under the curve (AUC) of the receiver operating characteristic (ROC) curve, each parameter was compared. Results: The ADC, D and f values of high Ki-67 group were all lower than those of low Ki-67 group [(10.89±0.89) × 10−2 mm2/s vs. (14.65±0.46)× 10−2 mm2/s, (9.95±0.92) × 10−2 mm2/s vs. (12.48±0.83) × 10−2 mm2/s, (2.30±0.51) × 10−2 mm2/s vs. (3.75±0.85) × 10−2 mm2/s, all P < 0.05]. Except for D*, ADC, D and f were negatively correlated with the expression of Ki-67 (r = −0.725, −0.733, -0.666, all P < 0.05). The areas under the curve (AUC) of ADC, D and f were 0.901, 0.923 and 0.657 respectively (Table 5). The difference of AUC value between ADC and D was not statistically significant (AUCD = 0.923 vs. AUCADC= 0.901, Z=0.290, P=0.772). The difference of AUC value between ADC and f was statistically significant (AUCADC= 0.901 vs. AUCf= 0.657, Z=2.329, P=0.025). The difference of AUC value between D and f was statistically significant (AUCD= 0.923 vs. AUCf= 0.657, Z=2.124, P=0.034) (Table 6).Conclusions: DWI and IVIM can effectively reflect the proliferative characteristics of gastric adenocarcinoma. D and ADC have higher diagnostic efficiency than f.
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