AI Article Synopsis
- - The study focused on distinguishing between solid gliomas and brain inflammation using diffusion-weighted imaging (DWI) metrics, which can be challenging in clinical settings.
- - Researchers analyzed MRI data from 57 patients, assessing various DWI models and metrics like non-Gaussianity, mean kurtosis, and intracellular volume fraction to evaluate their effectiveness in diagnosis.
- - The results indicated that the MAP model's non-Gaussianity metric had the highest diagnostic performance, followed closely by the DKI model's mean kurtosis, while the DTI model showed the least effectiveness.
Article Abstract
Background And Purpose: The differential diagnosis between solid glioma and brain inflammation is necessary but sometimes difficult. We assessed the effectiveness of multiple diffusion metrics of diffusion-weighted imaging (DWI) in differentiating solid glioma from brain inflammation and compared the diagnostic performance of different DWI models.
Materials And Methods: Participants diagnosed with either glioma or brain inflammation with a solid lesion on MRI were enrolled in this prospective study from May 2016 to April 2023. Diffusion-weighted imaging was performed using a spin-echo echo-planar imaging sequence with five b values (500, 1,000, 1,500, 2000, and 2,500 s/mm) in 30 directions for each b value, and one b value of 0 was included. The mean values of multiple diffusion metrics based on diffusion tensor imaging (DTI), diffusion kurtosis imaging (DKI), mean apparent propagator (MAP), and neurite orientation dispersion and density imaging (NODDI) in the abnormal signal area were calculated. Comparisons between glioma and inflammation were performed. The area under the curve (AUC) of the receiver operating characteristic curve (ROC) of diffusion metrics were calculated.
Results: 57 patients (39 patients with glioma and 18 patients with inflammation) were finally included. MAP model, with its metric non-Gaussianity (NG), shows the greatest diagnostic performance (AUC = 0.879) for differentiation of inflammation and glioma with atypical MRI manifestation. The AUC of DKI model, with its metric mean kurtosis (MK) are comparable to NG (AUC = 0.855), followed by NODDI model with intracellular volume fraction (ICVF) (AUC = 0.825). The lowest value was obtained in DTI with mean diffusivity (MD) (AUC = 0.758).
Conclusion: Multiple diffusion metrics can be used in differentiation of inflammation and solid glioma. Non-Gaussianity (NG) from mean apparent propagator (MAP) model shows the greatest diagnostic performance for differentiation of inflammation and glioma.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10861663 | PMC |
| http://dx.doi.org/10.3389/fnins.2023.1320296 | DOI Listing |
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