147676

Value of magnetic resonance imaging (MRI) and diffusion weighted imaging (DWI) in predicting grade of soft tissue sarcoma

Article

Last updated: 01 Jan 2025

Subjects

-

Tags

Radiodiagnosis

Abstract

Objectives: To identify the predictive values of MRI features and apparent diffusion coefficient (ADC) measurements that can be used to discriminate high-grade from low grade soft-tissue sarcoma (STS). Patients and methods: In this retrospective research, patients with different histologic grades of STS diagnosed between 2018 and 2020 who had undergone MRI examination and DWI before neo-adjuvant treatment or surgery were included. STS grades (grades 1–3) were recorded from the pathologic specimens and images were evaluated for tumour location, depth, size and characteristic MRI features discriminating low-grade lesions (grade 1 and 2) from high-grade ones (grades 3). Results: Fifty two patients; 29 (55.7%) men and 23 (44.3 %) women with STS, 24 patients with low-grade and 28 patients with high-grade were included. The commonest pathologic type was undifferentiated pleomorphic sarcoma (n = 14), with the majority of tumors 32/52 (61.5%) were in lower extremities. There were three main MRI findings related more to high grade STS: Presence of area compatible with necrosis, tumor margins < 50 % definition and peri-tumoral enhancement, in addition to the ADC mean which was significantly lower in high-grade (0.921±0.308) than in low-grades tumors (1.24±0.414); (p = 0.0006). Conclusion: Our research appraises the conventional MRI findings of tumor margin definitions, amount of necrosis, and peri-tumoral enhancement in addition to ADC measurements in grading of STS with significant reliability to offer predictive data and support clinical decision making.

DOI

10.21608/zumj.2021.57296.2076

Keywords

MRI, DWI, ADC, Sarcoma, Tumor grade

Authors

First Name

Mostafa

Last Name

Assy

MiddleName

Mohamad

Affiliation

Department od Radiodiagnosis, Zagazig University, Zagazig, Egypt

Email

mostafa83assy@gmail.com

City

Zagazig

Orcid

0000-0001-6221-6681

First Name

Mona

Last Name

Refaat

MiddleName

Mohammed

Affiliation

radiodiagnosis,faculty of medicine,zagazig university,egypt

Email

refaatmona96@gmail.com

City

zagazig

Orcid

-

First Name

ahmed

Last Name

salem

MiddleName

fekry

Affiliation

Department of Radiodiagnosis, Zagazig University, Zagazig, Egypt

Email

radahmedfsalem@gmail.com

City

Zagazig

Orcid

0000-0001-9470-2799

Volume

28

Article Issue

3

Related Issue

33718

Issue Date

2022-05-01

Receive Date

2021-01-16

Publish Date

2022-05-01

Page Start

389

Page End

400

Print ISSN

1110-1431

Online ISSN

2357-0717

Link

https://zumj.journals.ekb.eg/article_147676.html

Detail API

https://zumj.journals.ekb.eg/service?article_code=147676

Order

1

Type

Original Article

Type Code

273

Publication Type

Journal

Publication Title

Zagazig University Medical Journal

Publication Link

https://zumj.journals.ekb.eg/

MainTitle

Value of magnetic resonance imaging (MRI) and diffusion weighted imaging (DWI) in predicting grade of soft tissue sarcoma

Details

Type

Article

Created At

22 Jan 2023