Infiltrative patterns of glioblastoma: identification of tumor progress using apparent diffusion coefficient histograms
Purpose To investigate whether apparent diffusion coefficient (ADC) histogram analysis can differentiate between patients presenting T2-progress and patients presenting stable T2-signal in glioblastoma. Materials and Methods Fourteen patients presenting an isolated T2-progress and a matched control...
Gespeichert in:
| Hauptverfasser: | , , , , , , , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
2014
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| In: |
Journal of magnetic resonance imaging
Year: 2013, Jahrgang: 39, Heft: 5, Pages: 1096-1103 |
| ISSN: | 1522-2586 |
| DOI: | 10.1002/jmri.24258 |
| Online-Zugang: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1002/jmri.24258 Verlag, lizenzpflichtig, Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1002/jmri.24258 
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| Verfasserangaben: | Kira Lutz MD, Benedikt Wiestler MD, Markus Graf MSc, Philipp Bäumer MD, Ralf Floca PhD, Heinz-Peter Schlemmer MD, PhD, Sabine Heiland PhD, Wolfgang Wick MD, Martin Bendszus MD, and Alexander Radbruch MD, JD |
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| 245 | 1 | 0 | |a Infiltrative patterns of glioblastoma |b identification of tumor progress using apparent diffusion coefficient histograms |c Kira Lutz MD, Benedikt Wiestler MD, Markus Graf MSc, Philipp Bäumer MD, Ralf Floca PhD, Heinz-Peter Schlemmer MD, PhD, Sabine Heiland PhD, Wolfgang Wick MD, Martin Bendszus MD, and Alexander Radbruch MD, JD |
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| 520 | |a Purpose To investigate whether apparent diffusion coefficient (ADC) histogram analysis can differentiate between patients presenting T2-progress and patients presenting stable T2-signal in glioblastoma. Materials and Methods Fourteen patients presenting an isolated T2-progress and a matched control group exhibiting stable disease were included. Relative ADC value distribution within tumoral and peritumoral FLAIR hyperintensities were evaluated using ADC-histogram analysis. Severity and frequency of ADC shift between baseline, T2-progress, and subsequent T1-progress were analyzed using the Wilcoxon test. Results The shift of ADC histograms either to higher or to lower values in case of T2-progress was significantly more severe than in the control group (P value 0.05). Furthermore, a significant shift toward lower ADC values (P value 0.02) was detected when comparing ADC histograms of patients with T2-progress and subsequent T1-progress. Conclusion The basis for the observed ADC shift in isolated T2-progress may be time dependent: Initially, formation of peritumoral edema may cause an increase of ADC values that is followed by tumor cells infiltrating the surrounding tissue, causing a subsequent decrease of ADC values. The shift toward lower ADC values in case of subsequent T1-progress confirms this hypothesis and provides further evidence for T2-progress being an intermediate step between stable disease (SD) and T1-progress. J. Magn. Reson. Imaging 2014;39:1096-1103. © 2013 Wiley Periodicals, Inc. | ||
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