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

Applying protein-based amide proton transfer MR imaging to distinguish solitary brain metastases from glioblastoma
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.
- Johns Hopkins Medicine United States
- Southern Medical University China (People's Republic of)
- Guangzhou First People's Hospital China (People's Republic of)
- Shantou University China (People's Republic of)
- Southern Medical University China (People's Republic of)
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
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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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).68 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% influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).Top 10% impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.Top 10%
