Diagnostic contribution of diffusion-weighted imaging in liver hemangiomas

Recep İsmail Akın, Mehmet Atalar, Nisa Bozbiyik, B. Şeker, Gökhan Yılmaz
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Abstract

Objective: To evaluate the contribution of diffusion-weighted imaging (DWI) and measure apparent diffusion coefficient values (ADC) in hepatic hemangiomas. Material and Methods: Seventy patients with liver hemangiomas were evaluated with DWI with a b value of 800 s/mm2. ADC map was created and ADC values were measured for 70 liver masses and normal liver tissue following DWI. ADC measurements of 70 normal liver parenchyma and mean ADC values of 80 hemangiomas are performed. Results: Eighty hemangiomas of 70 patients (50 female and 20 male) were evaluated. The mean age of the patients was 49.61±10.96 years. Hemangiomas were most frequently demonstrated at segment 7 (%28.8), segment 6 (%21.3), and least demonstrated at segment 5 (%5). While the mean ADC measurements of normal livers were 1.06±0.11 x 10-3 mm2/sn, the mean ADC values of hemangiomas were measured as 1.70±0.29 x 10-3 mm2/sn. Conclusion: DWI and the ADC measurements seem to be useful for the diagnosis of liver hemangiomas. DWI should be routinely added to conventional magnetic resonance imaging sequences.
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弥散加权成像对肝血管瘤的诊断作用
目的评估肝血管瘤中弥散加权成像(DWI)的贡献并测量表观弥散系数值(ADC)。材料与方法:用 b 值为 800 s/mm2 的 DWI 对 70 名肝血管瘤患者进行评估。绘制 ADC 图,并在 DWI 之后测量 70 个肝脏肿块和正常肝脏组织的 ADC 值。对 70 个正常肝实质的 ADC 值和 80 个肝血管瘤的平均 ADC 值进行了测量。结果显示对 70 名患者(50 名女性和 20 名男性)的 80 个血管瘤进行了评估。患者的平均年龄为(49.61±10.96)岁。血管瘤最常出现在第 7 节段(28.8%)和第 6 节段(21.3%),最少出现在第 5 节段(5%)。正常肝脏的平均 ADC 测量值为 1.06±0.11 x 10-3 mm2/sn,而血管瘤的平均 ADC 测量值为 1.70±0.29 x 10-3 mm2/sn。结论DWI 和 ADC 测量值似乎有助于肝血管瘤的诊断。常规磁共振成像序列中应加入 DWI。
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