Zhonghua yi xue za zhi · 2016
[Preliminary study on intravoxel incoherent motion (IVIM) imaging in laryngeal and hypopharyngeal squamous cell carcinoma].
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Guo W, Luo D H, Lin M, Li L, Zhao Y F, Yang L, Zhou C W
Аннотация
OBJECTIVE: To evaluate the diagnostic performance of bi-exponential modeling of intravoxel incoherent motion (IVIM) imaging for laryngeal and hypopharyngeal carcinoma.
METHODS: A total of 32 patients with pathologically proven laryngeal and hypopharyngeal squamous cell carcinoma were included in this study from November 2014 to August 2015.All patients underwent IVIM-DWI by using twelve b values (0, 10, 20, 30, 50, 70, 100, 150, 200, 400, 800 and 1 000 s/mm(2)). Using the IVIM approach, D, D(*) and f values were extracted using a bi-exponential fit.These quantitative parameters of primary carcinoma and normal pharyngeal tissue were compared.Statistical methods were used to assess differences between the tumor and normal pharyngeal tissue.
RESULTS: There were no significant differences of D (P=0.903) and f (P=0.223) values observed among laryngeal carcinoma and hypopharyngeal carcinoma, and D(*) value was significantly different among the two groups (P=0.028). The values of D, D(*,) and f for primary carcinoma were (0.84±0.22)×10(-3) mm(2)/s, (65.71±19.66)×10(-3) mm(2)/s, and 45%±14%, respectively; for normal pharyngeal tissue were (1.48±1.04)×10(-3) mm(2)/s, (37.85±14.04)×10(-3) mm(2)/s, and 36%±12%, respectively (P=0.001, 0.000, and 0.006, respectively). Setting D value 0.949×10(-3) mm(2)/s was threshold to distinguish abnormal and normal tissues, the sensitivity, specificity and accuracy were 91.2%, 88.2% and 92.5%, respectively.There was no statistically significant difference of D and f values(both P>0.05)in different pathological grades of primary carcinoma, and there was statistically significant difference in D(*) values found among the different pathological grades of primary carcinoma (P=0.001). There were statistically significant differences in D(*) values between the well differentiated group and the other two group (both P<0.05), and there was no statistically significant difference between the moderately differentiated group and poorly differentiated group (P>0.05).
CONCLUSION: IVIM parameters can reflect the difference between laryngeal and hypopharyngeal carcinoma and normal pharyngeal tissue, and the D value has the best diagnostic performance.D(*) value in different pathological grades of laryngeal and hypopharyngeal squamous cell carcinoma is distinct, and it could reflect the pathological grade of tumor to some extent.
METHODS: A total of 32 patients with pathologically proven laryngeal and hypopharyngeal squamous cell carcinoma were included in this study from November 2014 to August 2015.All patients underwent IVIM-DWI by using twelve b values (0, 10, 20, 30, 50, 70, 100, 150, 200, 400, 800 and 1 000 s/mm(2)). Using the IVIM approach, D, D(*) and f values were extracted using a bi-exponential fit.These quantitative parameters of primary carcinoma and normal pharyngeal tissue were compared.Statistical methods were used to assess differences between the tumor and normal pharyngeal tissue.
RESULTS: There were no significant differences of D (P=0.903) and f (P=0.223) values observed among laryngeal carcinoma and hypopharyngeal carcinoma, and D(*) value was significantly different among the two groups (P=0.028). The values of D, D(*,) and f for primary carcinoma were (0.84±0.22)×10(-3) mm(2)/s, (65.71±19.66)×10(-3) mm(2)/s, and 45%±14%, respectively; for normal pharyngeal tissue were (1.48±1.04)×10(-3) mm(2)/s, (37.85±14.04)×10(-3) mm(2)/s, and 36%±12%, respectively (P=0.001, 0.000, and 0.006, respectively). Setting D value 0.949×10(-3) mm(2)/s was threshold to distinguish abnormal and normal tissues, the sensitivity, specificity and accuracy were 91.2%, 88.2% and 92.5%, respectively.There was no statistically significant difference of D and f values(both P>0.05)in different pathological grades of primary carcinoma, and there was statistically significant difference in D(*) values found among the different pathological grades of primary carcinoma (P=0.001). There were statistically significant differences in D(*) values between the well differentiated group and the other two group (both P<0.05), and there was no statistically significant difference between the moderately differentiated group and poorly differentiated group (P>0.05).
CONCLUSION: IVIM parameters can reflect the difference between laryngeal and hypopharyngeal carcinoma and normal pharyngeal tissue, and the D value has the best diagnostic performance.D(*) value in different pathological grades of laryngeal and hypopharyngeal squamous cell carcinoma is distinct, and it could reflect the pathological grade of tumor to some extent.