机构:[1]Department of Radiology, Beijing Tongren Hospital, Capital Medical University, Beijing, China医技科室放射科首都医科大学附属北京同仁医院首都医科大学附属同仁医院[2]Department of Radiology, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
Purpose: To investigate the diagnostic performance of diffusion-weighted imaging (DWI), dynamic contrast-enhanced (DCE) magnetic resonance imaging (MRI), and the combination of both in the differential diagnosis of lymphoma and inflammation in the orbit. Materials and Methods: This retrospective study was approved by the Institutional Review Board and the informed consent requirement was waived. A total of 53 patients underwent preoperative 3T MRI. Parameters of DWI and DCE MRI were evaluated in these 30 patients with orbital lymphoma and 23 patients with orbital inflammation. The diagnostic performance was evaluated using receiver operating characteristic curve analysis. Results: Apparent diffusion coefficient (ADC) values and parameters derived from DCE MRI of orbital lymphoma and orbital inflammation differed significantly (ADC, T,, contrast index [CIL enhancement ratio [ER], and washout ratio [WR]: P 0.001, P=0.008, P < 0.001, P < 0.001, and P 0.005 for reviewer 1, respectively; P < 0.001, P=- 0.004, P < 0.001, P < 0.001, and P < 0.001 for reviewer 2, respectively). Sensitivity, specificity, and accuracy values of DWI were 76.67%, 100%, and 86.79% for reviewer 1; 70%, 95.65%, and 81.13% for reviewer 2, respectively. The combination of both were 90%, 86.96%, and 88.68% for reviewer 1; 93.33%, 78.26%, and 86.79% for reviewer 2, respectively. The combination of both was significantly superior to DWI for differentiation of orbital lymphoma from orbital inflammation (P=- 0.016 for reviewer 1; P=0.001 for reviewer 2). Conclusion: The combination of DWI and DCE MRI can improve diagnostic performance in differentiating lymphoma from inflammation in the orbit compared with DWI alone.
基金:
Beijing Excellent Talents Foundation;
contract grant number: 2010D003034000033; Contract
grant sponsor: Beijing Municipal Natural Science
Foundation; contract grant number: 7112030; Contract
grant sponsor: High levels of health technical personnel in
Beijing city; contract grant number: 2014-2-005.
第一作者机构:[1]Department of Radiology, Beijing Tongren Hospital, Capital Medical University, Beijing, China
通讯作者:
通讯机构:[1]Department of Radiology, Beijing Tongren Hospital, Capital Medical University, Beijing, China[*1]Department of Radiology, Beijing Tongren Hospital, Capital Medical University, Beijing, 100730, China
推荐引用方式(GB/T 7714):
Sun Bo,Song Liyuan,Wang Xinyan,et al.Lymphoma and Inflammation in the Orbit: Diagnostic Performance With Diffusion-Weighted Imaging and Dynamic Contrast-Enhanced MRI[J].JOURNAL OF MAGNETIC RESONANCE IMAGING.2017,45(5):1438-1445.doi:10.1002/jmri.25480.
APA:
Sun, Bo,Song, Liyuan,Wang, Xinyan,Li, Jing,Xian, Junfang...&Tan, Pan.(2017).Lymphoma and Inflammation in the Orbit: Diagnostic Performance With Diffusion-Weighted Imaging and Dynamic Contrast-Enhanced MRI.JOURNAL OF MAGNETIC RESONANCE IMAGING,45,(5)
MLA:
Sun, Bo,et al."Lymphoma and Inflammation in the Orbit: Diagnostic Performance With Diffusion-Weighted Imaging and Dynamic Contrast-Enhanced MRI".JOURNAL OF MAGNETIC RESONANCE IMAGING 45..5(2017):1438-1445