Journal
JOURNAL OF NEUROIMAGING
Volume 25, Issue 5, Pages 785-791Publisher
WILEY-BLACKWELL
DOI: 10.1111/jon.12199
Keywords
Apparent diffusion coefficient; cerebellar tumors; children; diffusion tensor imaging; magnetic resonance imaging
Funding
- National Center for Research Resources
- National Center for Advancing Translational Sciences (NCATS) of the National Institutes of Health [1UL1TR001079]
Ask authors/readers for more resources
BACKGROUNDApparent diffusion coefficient (ADC) values assist differentiating malignancy grades in pediatric cerebellar tumors. Previous studies reported the significance of ADC measurements within the solid, contrast-enhancing tumor component (SCT). These measurements take into account only a part of the tumor. In this study, we compared ADC measurements of the SCT versus entire tumor (ET). METHODSADC values were measured in the SCT and ET. Absolute tumor ADC values and cerebellar and thalamic ratios were compared across tumor grades. RESULTSThirty-two children with 16 low-grade and 16 high-grade tumors were included. The median age at presurgical MRI was 7.66 years (range .08-17.38 years). In the SCT, absolute ADC values, cerebellar ratio, and thalamic ratio were higher in low- versus high-grade tumors (P < .001). In the ET, absolute ADC values, cerebellar ratio, and thalamic ratio were also higher in low- versus high-grade tumors (P < .005). Cut-off absolute ADC values of .9 x 10(-3) mm/s(2) (sensitivity 94%, specificity 100%) and 1.5 x 10(-3) mm/s(2) (sensitivity 88%, specificity 75%) were calculated for measurement in the SCT and ET, respectively, to differentiate between tumors grades. CONCLUSIONA rigorous ADC measurement of the SCT has a higher sensitivity and specificity in predicting tumor grade compared to ADC measurement of the ET.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available