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Abstract #2896

Differential diagnosis of renal tumors using dual echo time diffusion weighted imaging (dual TE-DWI)

Akira Yamamoto1, Tsutomu Tamada1, Yu Ueda2, Atsushi Higaki1, Akihiko Kanki1, Koji Yoshida3, Hiroyasu Sanai3, Kazunori Moriya3, and Yoshiyuki Miyaji4
1Radiology, Kawasaki Medical School, Kurashiki, Japan, 2Philips Japan, Tokio, Japan, 3Kawasaki Medical School, Kurashiki, Japan, 4Urology, Kawasaki Medical School, Kurashiki, Japan

Synopsis

Keywords: Urogenital, Kidney

Motivation: In renal tumors, it is often difficult to differentiate between benign and malignant tumors, which could reduce unnecessary biopsies and surgeries.

Goal(s): To differentiate between angiomyolipoma (AML) and renal cell carcinoma (RCC).

Approach: Imaging with two types of diffusion-weighted images (DWI) with different Echo times (TE) and comparing T2 signals in AML and RCC at DWI (b=0) and DWI (b=1200).

Results: T2 signals at high diffusion restriction DWI (b=1200) were significantly lower in AML compared to RCC.

Impact: There is potential to preoperatively differentiate AML non-invasively, which previously due to the difficulty in differentiation, led to invasive diagnostic methods such as biopsies and unnecessary surgeries.

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Keywords