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Abstract #2875

A comparison of four non-Gaussian diffusion models combined with whole-tumor histogram analysis for evaluating cervical cancer

Lu Yang1, Xiaohui Duan1, Mengzhu Wang2, Haodong Qin3, Zhao Chen3, Huijun Hu1, Zhuoheng Yan1, and Xu Yan2
1Department of Radiology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, No. 107 Yanjiang Roa, GuangZhou, China, 2MR Research Collaboration, Siemens Healthineers Ltd., Beijing, China, 3MR Research Collaboration, Siemens Healthineers, Guangzhou, China

Synopsis

Keywords: DWI/DTI/DKI, Diffusion/other diffusion imaging techniques

Motivation: Non-Gaussian diffusion models can effectively characterize the microstructure of tissues.

Goal(s): To investigate the potential predictive value of multiple non-Gaussian diffusion models for assessing cervical cancer (CC).

Approach: Diffusion parameters derived from continuous-time random-walk (CTRW), diffusion-kurtosis imaging (DKI), fractional order calculus (FROC) and intravoxel incoherent motion (IVIM) were calculated. The most significant histogram features selected by univariate analysis and multivariate logistic regression were used to establish predictive models. The predictive performance was evaluated by receiver operating characteristic (ROC) analyses.

Results: The combination of multiple non-Gaussian diffusion models and whole-tumor histogram analysis could distinguish pathological types and differentiation degree in CC.

Impact: Predicting pathological types and differentiation degree of cervical cancer is crucial for appropriate treatment and prognosis. The use of multiple non-Gaussian diffusion models combined with whole-tumor histogram analysis offers a precise and non-invasive solution to this clinical issue.

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Keywords