机构:[1]Guangzhou Univ Chinese Med, Affiliated Hosp 2, Dept Radiol, Guangzhou, Peoples R China大德路总院影像科大德路总院放射科广东省中医院[2]Guangzhou Univ Chinese Med, Affiliated Hosp 2, Dept Pathol, Guangzhou, Peoples R China大德路总院珠海院区病理科病理科大德路总院病理科广东省中医院[3]Guangzhou Univ Chinese Med, Sch Med Informat Engn, Guangzhou, Peoples R China
Objective: The aim of this study is to investigate the diagnostic ability of diffusion kurtosis imaging (DKI) -derived parameters combining with clinical data as risk factors for EMVI's involvement status in rectal adenocarcinoma. Materials and Methods: Preoperative MR examination including DKI and conventional diffusion-weighted imaging (DWI) was performed on 154 rectal adenocarcinoma patients enrolled in this respective study. K-mean, D-mean, and apparent diffusion coefficient (ADC) values were calculated. Clinical information, serum tumor markers, MR and pathological assessment of EMVI were recorded. The Shapiro-Wilk test, two-sample t-test, Mann-Whitney U test, Spearman's rank-order correlation, univariate and multivariate logistic regression analyses were used for statistical analysis. Receiver operating characteristic (ROC) curve analyses were performed to identify risk factors in EMVI involvement. Results: Of the 154 patients, pEMVI-positive rectal tumors had significantly higher K-mean values, lower ADC(mean) values compared to pEMVI-negative rectal tumors. K-mean values positively correlated with mrEMVI scores, whereas ADC(mean) values showed a negative correlation with mrEMVI scores. However, there was no significant correlation between the Dmean values and the mrEMVI scores. Univariate analysis demonstrated increased Kmean values, decreased ADCmean values, nodal involvement, an advanced tumor stage, and a G2 tumor grade were significantly related to the pEMVI of rectal adenocarcinoma. The multivariate analysis demonstrated that the Kmean values, lymph node involvement and an advanced tumor stage (T3) were independent risk factors for EMVI. Conclusion: The potential for diffusion kurtosis imaging as a biomarker for evaluating the EMVI of rectal cancer is feasible, especially given DKI's capability of detecting tumor heterogeneity noninvasively.
基金:
Administration of Traditional Chinese Medicine of Guangdong Province of China [20212080]
第一作者机构:[1]Guangzhou Univ Chinese Med, Affiliated Hosp 2, Dept Radiol, Guangzhou, Peoples R China
推荐引用方式(GB/T 7714):
Chen Weicui,Wei Qiurong,Huang Weikang,et al.Combining diffusion kurtosis imaging and clinical data for predicting the extramural venous invasion of rectal adenocarcinoma[J].EUROPEAN JOURNAL OF RADIOLOGY.2022,148:doi:10.1016/j.ejrad.2022.110155.
APA:
Chen, Weicui,Wei, Qiurong,Huang, Weikang,Chen, Jialiang,Hu, Shaowei...&Liu, Xian.(2022).Combining diffusion kurtosis imaging and clinical data for predicting the extramural venous invasion of rectal adenocarcinoma.EUROPEAN JOURNAL OF RADIOLOGY,148,
MLA:
Chen, Weicui,et al."Combining diffusion kurtosis imaging and clinical data for predicting the extramural venous invasion of rectal adenocarcinoma".EUROPEAN JOURNAL OF RADIOLOGY 148.(2022)