268122

Diffusion Weighted Magnetic Resonance Imaging in Characterization of Different Pancreatic Masses

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Last updated: 03 Jan 2025

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Abstract

Background: Diagnosis of variety of abdominal abnormalities could be easily done by diffusion-weighted magnetic resonance imaging (DWI) with apparent diffusion coefficient (ADC) quantification. Several studies have demonstrated that combining DWI with ADC measurement can aid in the detection and characterization of pancreatic masses. The objective of the current study is the evaluation of diffusion weighted imaging role as a non-invasive method in evaluation of pancreatic masses with histopathological correlation. Patients and methods: The study included 59 patients performed at Radiology Department of Mansoura University Hospital. The patients were between the ages of 30 and 71 years. This research was carried out using a 1.5 T Philips Ingenia MRI scanner. All patients underwent history taking and MRI with DWI. Results: Malignant lesions mean ADC was about 1.14 (SD 0.14) x 10-3 mm2/sec. Mean ADC of benign lesions was about 2.38 (SD 0.73) x 10-3 mm2/sec. With a cutoff point of 1.36 x 10-3 mm2/sec for differentiating malignant from benign lesions, the benign lesions' ADC value was statistically substantially higher than the malignant lesions', with 95.8% sensitivity, 90.9 % specificity, and 94.4% accuracy. Conclusion: Combining qualitative and quantitative examination of DWI and ADC results could assist to distinguish between malignant and benign pancreatic tumors. The evaluation of pancreatic masses can be aided by combining DWI with conventional imaging, which has been demonstrated to be an easy, non-invasive procedure.    

DOI

10.21608/ejhm.2022.268122

Keywords

diffusion weighted imaging, apparent diffusion coefficient, MRI, pancreatic masses

Authors

First Name

Islam Mahmoud

Last Name

Mahfouz

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Email

islammahmoud5262@gmail.com

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Orcid

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First Name

Dalia

Last Name

Bayoumi

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Orcid

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First Name

Salwa Mohamed

Last Name

Eteba

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-

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Volume

89

Article Issue

2

Related Issue

37472

Issue Date

2022-10-01

Receive Date

2022-11-02

Publish Date

2022-10-01

Page Start

6,231

Page End

6,238

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_268122.html

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https://ejhm.journals.ekb.eg/service?article_code=268122

Order

29

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Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Diffusion Weighted Magnetic Resonance Imaging in Characterization of Different Pancreatic Masses

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Article

Created At

22 Jan 2023