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Abstract #4126

Metastatic Hepatic Neuroendocrine Tumors: Correlation of Quantitative Diffusion and Dynamic Contrast Enhanced MRI with Tumor Grade

Cecilia Besa 1 , Stephen Ward 2 , Yong Cui 3 , Guido Jajamovich 4 , Michelle Kim 5 , and Bachir Taouli 6

1 Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, United States, 2 Pathology, Icahn School of Medicine at Mount Sinai, NY, United States, 3 Radiology, Peking University Cancer Hospital & Beijing Cancer Hospital, Beijing, China, 4 Icahn School of Medicine at Mount Sinai, NY, United States, 5 Surgery, Icahn School of Medicine at Mount Sinai, NY, United States, 6 Icahn School of Medicine at Mount Sinai, New York, NY, United States

Synopsis: The purpose of this study was to evaluate the value of quantitative diffusion weighted imaging (DWI) and dynamic contrast enhanced (CE) MRI in predicting histopathologic characteristics of liver metastatic neuroendocrine tumors (NET). We found that neuroendocrine carcinoma (G3) liver metastases had significantly lower ADC values and higher arterial enhancement rate (ER) than Grade 1 and 2 NETs. In addition, significant negative correlation was observed between ADC and ER and mitotic count and Ki-67% labeling index. DWI with ADC quantification and CE-MRI may be useful for predicting tumor grade in metastatic hepatic NET.

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