OBJECTIVE
To evaluate the feasibility of using diffusion-weighted imaging (DWI) with an array spatial sensitivity encoding technique (ASSET) and apparent diffusion coefficient (ADC) map values with different b values to distinguish benign and malignant breast lesions.
MATERIALS AND METHODS
Fifty-six female patients with 60 histologically proven breast lesions and 20 healthy volunteers underwent MRI. A subset of normal volunteers (n = 7) and patients (n = 16) underwent both conventional DWI and ASSET-DWI, and the image quality between the two methods was compared. Finally, ASSET-DWI with b = 0, 600 s/mm2 and b = 0, 1000 s/mm2 were compared for their ability to distinguish benign and malignant breast lesions.
RESULTS
The ASSET-DWI method had less distortion, fewer artifacts, and a lower acquisition time than other methods. No significant difference (P > 0.05) was detected in ADC map values between ASSET-DWI and conventional DWI. For ASSET-DWI, the sensitivity of ADC values for malignant lesions with a threshold of less than 1.44 × 10−3 mm2/s (b = 600 s/mm2) and 1.18 × 10−3 mm2/s (b = 1000s/mm2) was 80% and 77.5% respectively. The specificity of both groups was 95%.
CONCLUSION
ASSET-DWI evaluation of breast tissue offers decreased distortion, susceptibility to artifacts, and acquisition time relative to other methods. The use of ASSET-DWI is feasible with b values ranging from 600 to 1000 s/mm2 and provides increased specificity compared to other techniques. Thus, the ADC value of a breast lesion can be used to further characterize malignant lesions from benign ones.