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Abstract #3987

Ultra-high b-value DWI in Rectal Cancer: Image Quality Assessment and Prediction of Lymph Node Metastasis Based on Radiomic Features

Guangwen Zhang1, Yongfei Hao1, and Jinsong Zhang1
1Xijing Hospital, Air Force Medical University, Xi’an, Shaanxi, China, China

Synopsis

Keywords: Cancer, Diffusion/other diffusion imaging techniques

Motivation: The potential benefits of ultra-high b-value DWI have not yet been elucidated for clinical values of rectal cancer.

Goal(s): To evaluate image quality and lymph node metastasis in rectal cancer on multi-b value diffusion-weighted imaging (DWIb1000, DWIb2000 and DWIb3000).

Approach: The image quality of three sets of DWI was measured by two radiologists independently. The radiomics model was trained on 70%, and tested on the remainder

Results: The DWIb2000 exhibited excellent lesion conspicuity and was able to determine the outcome of of lymph node metastasis rectal with a predictive value of 0.728

Impact: The DWIb2000 had great potential in improving detection of rectal cancer and was helpful to stratify the risk of lymph node metastasis of rectal cancer.

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