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European Radiology
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European Radiology
Article . 2017 . Peer-reviewed
License: Springer TDM
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Applying protein-based amide proton transfer MR imaging to distinguish solitary brain metastases from glioblastoma

Authors: Yongxing Du; Ling Ma; Huiling Lou; Shanshan Jiang; Shanshan Jiang; Xianlong Wang; Jianyuan Zhou; +8 Authors

Applying protein-based amide proton transfer MR imaging to distinguish solitary brain metastases from glioblastoma

Abstract

To determine the utility of amide proton transfer-weighted (APTw) MR imaging in distinguishing solitary brain metastases (SBMs) from glioblastomas (GBMs).Forty-five patients with SBMs and 43 patients with GBMs underwent conventional and APT-weighted sequences before clinical intervention. The APTw parameters and relative APTw (rAPTw) parameters in the tumour core and the peritumoral brain zone (PBZ) were obtained and compared between SBMs and GBMs. The receiver-operating characteristic (ROC) curve was used to assess the best parameter for distinguishing between the two groups.The APTwmax, APTwmin, APTwmean, rAPTwmax, rAPTwmin or rAPTwmean values in the tumour core were not significantly different between the SBM and GBM groups (P = 0.141, 0.361, 0.221, 0.305, 0.578 and 0.448, respectively). However, the APTwmax, APTwmin, APTwmean, rAPTwmax, rAPTwmin or rAPTwmean values in the PBZ were significantly lower in the SBM group than in the GBM group (P < 0.001). The APTwmin values had the highest area under the ROC curve 0.905 and accuracy 85.2% in discriminating between the two neoplasms.As a noninvasive imaging method, APT-weighted MR imaging can be used to distinguish SBMs from GBMs.• APTw values in the tumour core were not different between SBMs and GBMs. • APTw values in peritumoral brain zone were lower in SBMs than in GBMs. • The APTw min was the best parameter to distinguish SBMs from GBMs.

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Keywords

Adult, Male, Adolescent, Brain Neoplasms, Brain, Middle Aged, Amides, Magnetic Resonance Imaging, Diagnosis, Differential, Young Adult, ROC Curve, Image Interpretation, Computer-Assisted, Humans, Female, Protons, Glioblastoma, Aged

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    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 1%
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
68
Top 1%
Top 10%
Top 10%
bronze