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Abstract #0687

Computer-aided diagnosis of head and neck lesions from non-Gaussian diffusion MRI signal patterns

Mami Iima 1 , Akira Yamamoto 1 , Denis Le Bihan 2,3 , Shigeru Hirano 4 , Ichiro Tateya 4 , Morimasa Kitamura 4 , and Kaori Togashi 1

1 Department of Diagnostic Imaging and Nuclear Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Kyoto, Japan, 2 Human Brain Research Center, Graduate School of Medicine, Kyoto University, Kyoto, Kyoto, Japan, 3 Neurospin, CEA-Saclay Center, Gif-sur-Yvette Cedex, France, 4 Department of Otolaryngology, Head and Neck Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Kyoto, Japan

This prospective study included 46 patients suspected of head and neck tumors. They were scanned using a RS-EPI diffusion MRI sequence implemented on a 3T MRI scanner. Images were analyzed with a new approach algorithm which enables automatic classification of tumor types from a "signature index" (S-index) directly based on the non-Gaussian diffusion signal pattern obtained from 2 gkey b valuesh. This computer-assisted diagnostic algorithm allowed malignant and benign lesions to be differentiated with a high AUC (0.89). The lesion S-index histogram and 3D display also highlighted the importance of tumor heterogeneity.

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