Diffusion-weighted imaging findings of mucinous carcinoma arising in the ano-rectal region: comparison of apparent diffusion coefficient with that of tubular adenocarcinoma
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To determine the diffusion-weighted imaging (DWI) characteristics of ano-rectal mucinous carcinoma. Apparent diffusion coefficient (ADC) and DWI findings for mucinous and tubular adenocarcinomas were retrospectively compared.
Materials and methods
Eight-one consecutive surgically resected ano-rectal adenocarcinomas were evaluated. The patient group consisted of 15 mucinous and 66 tubular adenocarcinomas. The DWI signal intensity (SI) pattern of each tumor was visually classified into one of three groups. Differences in the proportions in each group were statistically compared for the two types of tumor. The ADCs of each tumor, calculated from two different b-factors (0 and 1500 s/mm2) were compared statistically.
Visual evaluation revealed ten mucinous carcinomas as predominantly hypointense lesions, and the remaining five as mixed SI lesions. Sixty-one of 66 tubular adenocarcinomas had hyperintensities; the remaining five had mixed SI. The different proportions in each group were statistically significant. The mean ADC for mucinous carcinomas was 1.49 ± 0.34 × 10−3 mm2/s whereas that for tubular adenocarcinomas was 0.80 ± 0.15 × 10−3 mm2/s. The difference between those figures was statistically significant.
In DWI, mucinous carcinomas had higher ADCs and lower SI than tubular adenocarcinomas. DWI and ADC measurements were useful for differentiating these two tumors.
KeywordsDWI ADC Mucinous carcinoma Tubular adenocarcinoma Ano-rectal region
This study was financially assisted by health and labor science research grants of the third term comprehensive research for cancer. The authors are grateful to our colleagues; Yoshito Kato, Narumi Akimoto, Tsunesato Akita, and Keiich Nomura for their contribution in image acquisition. We also appreciate Makoto Obara and Marc van Cauteren for their useful suggestion about our MR apparatus and software.
- 11.Nasu K, Kuroki Y, Tsukamoto T, Nakajima H, Mori K, Minami M. Diffusion-weighted imaging of surgically resected hepatocellular carcinoma: imaging characteristics and relationship among signal intensity, apparent diffusion coefficient, and histopathologic grade. AJR. 2009;193:438–44.PubMedCrossRefGoogle Scholar
- 19.Takenaka D, Ohno Y, Matsumoto K, Aoyama N, Onishi Y, Koyama H, et al. Detection of bone metastases in non-small cell lung cancer patients: comparison of whole-body diffusion-weighted imaging (DWI), whole-body MR imaging without and with DWI, whole-body FDG-PET/CT, and bone scintigraphy. JMRI. 2009;30:298–308.PubMedCrossRefGoogle Scholar