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Abstract #0756

The intracellular component of VERDICT (Vascular, Extracellular, and Restricted Diffusion for Cytometry in Tumors) MRI distinguishes Gleason 4 pattern better than Apparent Diffusion Coefficient

Mrishta Brizmohun Appayya1, Edward W Johnston1, Arash Latifoltojar1, James O’Callaghan1, Elisenda Bonnet-Carne2, Hayley Pye3, Dominic Patel3, Susan Heavey3, Alistair Grey4, Sebastien Ourselin3, David Hawkes3, Caroline Moore4, Hayley Whitaker3, Alexander Freeman4, David Atkinson3, Daniel Alexander3, Eleftheria Panagiotaki3, and Shonit Punwani2

1Centre of Medical Imaging, UCL, London, United Kingdom, 2Centre for Medical Imaging, UCL, London, United Kingdom, 3UCL, London, United Kingdom, 4UCLH, London, United Kingdom

VERDICT (Vascular, Extracellular, and Restricted Diffusion for Cytometry in Tumours) MRI combines a diffusion-weighted MRI acquisition with a three-compartment mathematical model that describes signal from i) intracellular water (fIC), ii) water in extracellular-extravascular space (fEES) and iii) water in the microvasculature (fvasc). In contrast to VERDICT, clinical ADC is derived from a mono-exponential model. Upon comparison between VERDICT parameters and clinical ADC, we showed that fIC was better able to discriminate between Gleason ≥3+4 histology pattern and Gleason ≤3+3/benign histology. We also showed that image quality of VERDICT-MRI maps and clinical ADC was comparable.

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