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Abstract #2879

Potential Diagnostic Efficiency of Intravoxel Incoherent Motion-based Virtual Magnetic Resonance Elastography in Pulmonary Neoplasms

Shuo Zhang1, Yonghao Du1, Ting Liang1, Xuyin Zhang1, Yinxia Guo1, Jian Yang1, Xianjun Li1, and Gang Niu1
1Radiology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China

Synopsis

Keywords: IVIM, Cancer, Stiffness

Motivation: Exploring non-invasive techniques with the potential of replacing invasive pathological analysis of pulmonary neoplasms remains urgent.

Goal(s): To investigate the feasibility of IVIM-based vMRE to provide quantitative estimates of tissue stiffness in pulmonary neoplasms and to verify the diagnostic performance in distinguishing neoplasm property.

Approach: sADC and virtual stiffness values of neoplasm were extracted, and the diagnostic performance of vMRE in distinguishing benign and malignant and detailed pathological type were explored.

Results: Virtual stiffness values of malignant neoplasms were significantly higher than benign ones. Subsequent sub-type analyses showed adenocarcinoma and squamous cell carcinoma were mostly stiffer than non-specific benign neoplasms.

Impact: IVIM-based vMRE has good feasibility in reflecting stiffness of pulmonary neoplasms. Virtual stiffness and sADC values showed significant difference between malignant and benign lesions.The application of non-invasive vMRE is promising as a new method for clinical diagnosis.

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