Magnetic Resonance Imaging of Peritoneal Carcinomatosis: Evaluation of High b-Value Computed Diffusion-Weighted Imaging Article Swipe
Maxime Ablefoni
,
Jakob Leonhardi
,
Constantin Ehrengut
,
Matthias Mehdorn
,
Robert Sucher
,
Ines Gockel
,
Timm Denecke
,
Hans‐Jonas Meyer
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.3390/curroncol29070364
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.3390/curroncol29070364
Over the last few years, diffusion-weighted imaging (DWI) has become increasingly relevant in the diagnostic assessment of peritoneal carcinomatosis. The aim of this study was to investigate the benefits of high-b DWI (c-DWI) compared to standard DWI in patients with peritoneal carcinomatosis. A cohort of 40 patients with peritoneal carcinomatosis were included in this retrospective study. DWI was performed with b-values of 50, 400, and 800 or 1000 s/mm² on a 1.5-T magnetic resonance imaging (MRI) scanner. C-DWI was calculated using a mono-exponential model with high b-values of 1000, 2000, 3000, 4000, and 5000 s/mm². All c-DWI images with high b-values were compared in terms of volume, detectability of peritoneal lesions, and image quality with the DWI sequence acquired with a b-value of 800 or 1000 s/mm² by two readers. In the group with a b-value of 800 s/mm², there was no statistically significant difference in terms of lesion volume. In the second group with a b-value of 1000 s/mm², peritoneal carcinomatosis lesions were statistically significantly larger than in the c-DWI with a- high b-value of 2000 s/mm² (median 7 cm³, range 1–26 cm³vs. median 6 cm³, range 1–83 cm³, p < 0.05). In both groups, there was a marked decrease in the detectability of peritoneal lesions starting at b = 2000 s/mm². In addition, image quality decreased noticeably from c-DWI at b = 3000 s/mm². In both groups, all images with high b-values at b = 4000 s/mm² and 5000 s/mm² were not diagnostically valuable due to poor image quality. The c-DWI technique offers good diagnostic performance without additional scanning time. High c-DWI b-values up to b = 1000 s/mm² provide comparable detectability of peritoneal carcinomatosis compared to standard DWI. Higher b-values over 1500 s/mm² result in lower image quality, which might lead to misdiagnosis.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/curroncol29070364
- https://www.mdpi.com/1718-7729/29/7/364/pdf?version=1657088386
- OA Status
- gold
- Cited By
- 5
- References
- 29
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4283731233
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4283731233Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3390/curroncol29070364Digital Object Identifier
- Title
-
Magnetic Resonance Imaging of Peritoneal Carcinomatosis: Evaluation of High b-Value Computed Diffusion-Weighted ImagingWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-06-29Full publication date if available
- Authors
-
Maxime Ablefoni, Jakob Leonhardi, Constantin Ehrengut, Matthias Mehdorn, Robert Sucher, Ines Gockel, Timm Denecke, Hans‐Jonas MeyerList of authors in order
- Landing page
-
https://doi.org/10.3390/curroncol29070364Publisher landing page
- PDF URL
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https://www.mdpi.com/1718-7729/29/7/364/pdf?version=1657088386Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://www.mdpi.com/1718-7729/29/7/364/pdf?version=1657088386Direct OA link when available
- Concepts
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Medicine, Peritoneal carcinomatosis, Magnetic resonance imaging, Nuclear medicine, Diffusion MRI, Effective diffusion coefficient, Radiology, Lesion, Cancer, Pathology, Internal medicine, Colorectal cancerTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
5Total citation count in OpenAlex
- Citations by year (recent)
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2025: 3, 2024: 1, 2023: 1Per-year citation counts (last 5 years)
- References (count)
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29Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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