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Abstract #1947

Utilizing Synthetic MRI and Amide Proton Transfer-Weighted MRI to Distinguish Malignant from Benign Sinonasal Lesions

Ying Xiang1, Qiujuan Zhang1, Xin Chen1, HongHong Sun1, Xiaohui Li1, Xiaocheng Wei2, Jinman Zhong1, Bo Gao1, Wei Huang1, Wenbin Liang1, Haiqiao Sun1, and Quanxin Yang1
1Radiology, Second Affiliated Hospital of Xi’an Jiaotong University, Xi'an,Shaanxi, China, 2GE Healthcare, MR Research, Beijing, China

Synopsis

Keywords: Head & Neck/ENT, CEST & MT, Synthetic imaging, Sinonasal Lesions, APT

Motivation: Distinguishing between benign and malignant sinonasal lesions is crucial for determining the appropriate treatment regimen and predicting patient outcomes.

Goal(s): To evaluate the performance of synthetic MRI (SyMRI), combined with amide proton transfer (APT)-weighted MRI (APTw) in differentiating between malignant and benign sinonasal lesions.

Approach: Eighty patients with sinonasal lesions were underwent the SyMRI and ATPw scan and the quantitative parameters were analyzed.

Results: T1, T2, PD and APT values were significant between the benign and malignant groups. Combined SyMRI and APTw had the best diagnostic efficiency.

Impact: Combined the SyMRI with APTw would function as a quantitative and contrast-free approach, significantly enhancing the differentiation of benign and malignant sinonasal lesions. This method also helps overcome the limitations associated with the superficial nature of nasal endoscopic sampling.

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Keywords