IVIM-DWI在胰腺癌和神经内分泌肿瘤诊断和鉴别中的应用价值

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Abstract Objective: To explore the optimal quantitative parameters obtained from IVIM-DWI for diagnosing and differentiating pancreatic cancer and neuroendocrine tumor. Methods: Subjects comprised 22 patients with pancreatic cancer and 17 patients with pancreatic neuroendocrine tumors, All the patients were confirmed by surgery. Pancreas multiple b value DWI was performed using GE Discovery MR750 3.0T scanner. Apparent diffusion coefficient(ADC), pure diffusion constant(D), pseudodiffusion coefficient(D*) and perfusion fraction(f) were calculated by using IVIM model. Parameters obtained from IVIM-DWI were tested by One-Way ANOVA. Results: ADC and f values of pancreatic cancer were lower than non-cancerous pancreatic tissue(0.803×10-3 mm2/s vs 0.974×10-3 mm2/s; 54.527% vs 64.486%, respectively). D of pancreatic cancer was higher than non-cancerous pancreatic tissue(0.659×10-3 mm2/s vs 0.535×10-3 mm2/s). D is superior to ADC and f for the differentiation between pancreatic cancer and non-cancerous pancreas. ADC, D and f values of pancreatic neuroendocrine tumor were higher than non-tumorous pancreatic tissue(0.933×10-3 mm2/s vs 0.753×10-3 mm2/s; 0.549×10-3 mm2/s vs 0.429×10-3 mm2/s; 67.275% vs 59.655%, respectively). ADC is superior to D and f for the differentiation between pancreatic neuroendocrine tumor and non-tumorous pancreas. ADC, D* and f values of pancreatic cancer were lower than pancreatic neuroendocrine tumor(0.803×10-3 mm2/s vs 0.933×10-3 mm2/s; 4.852×10-3 mm2/s vs 11.301×10-3 mm2/s; 54.527% vs 67.275%, respectively). D* is superior to ADC and f for the differentiation between pancreatic cancer and neuroendocrine tumor. D* value of pancreatic cancer was significantly lower than G2～3 grade pancreatic neuroendocrine tumor(4.852×10-3 mm2/s vs 11.937×10-3 mm2/s). Conclusion: Quantitative parameters ADC, D, D* and f obtained from IVIM-DWI can diagnose and differentiate pancreatic cancer, neuroendocrine tumor and non-cancerous pancreatic tissue. IVIM-DWI may be a promising and non-invasive tool for diagnosing and differentiating pancreatic carcinoma and neuroendocrine tumor.

Key words： Pancreatic neoplasms Carcinoma, neuroendocrine Diffusion magnetic resonance imaging

Received: 25 April 2016

PACS:	Ｒ735.9
	Ｒ445.2

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	Articles by authors
	MA Wan-ling
	ZHAO Wei-wei
	HUAN Yi
	WEI Meng-qi
	REN Jing
	YANG Yong
	ZHANG Jin-song
	PAN Qi
	ZHANG Guang-wen
	DONG Jun-qiang

Cite this article:

MA Wan-ling,ZHAO Wei-wei,HUAN Yi, et al. The application value of IVIM-DWI for diagnosing and differentiating pancreatic cancer and neuroendocrine tumor[J]. JOURNAL OF CHINA MEDICAL IMAGING, 2017, 28(1): 49-54.

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http://www.jccmi.com.cn/EN/ OR http://www.jccmi.com.cn/EN/Y2017/V28/I1/49

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