Abstract
Purpose
The purpose of the study is to determine short-term reproducibility of apparent diffusion coefficient (ADC) estimated from diffusion-weighted magnetic resonance (DW-MR) imaging of the prostate.
Methods
Fourteen patients with biopsy-proven prostate cancer were studied under an Institutional Review Board-approved protocol. Each patient underwent two, consecutive and identical DW-MR scans on a 3T system. ADC values were calculated from each scan and a deformable registration was performed to align corresponding images. The prostate and cancerous regions of interest (ROIs) were independently analyzed by two radiologists. The prostate volume was analyzed by sextant. Per-voxel absolute and relative percentage variations in ADC were compared between sextants. Per-voxel and per-ROI variations in ADC were calculated for cancerous ROIs.
Results
Per-voxel absolute difference in ADC in the prostate ranged from 0 to 1.60 × 10−3 mm2/s (per-voxel relative difference 0% to 200%, mean 10.5%). Variation in ADC was largest in the posterior apex (0% to 200%, mean 11.6%). Difference in ADC variation between sextants was not statistically significant. Cancer ROIs’ per-voxel variation in ADC ranged from 0.001 × 10−3 to 0.841 × 10−3 mm2/s (0% to 67.4%, mean 11.2%) and per-ROI variation ranged from 0 to 0.463 × 10−3 mm2/s (mean 0.122 × 10−3 mm2/s).
Conclusions
Variation in ADC within the human prostate is reasonably small, and is on the order of 10%.
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Acknowledgement
This work was supported in part by the National Institute of Biomedical Imaging and Bioengineering of the National Institutes of Health under grant number T32 EB002103.
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Sadinski, M., Medved, M., Karademir, I. et al. Short-term reproducibility of apparent diffusion coefficient estimated from diffusion-weighted MRI of the prostate. Abdom Imaging 40, 2523–2528 (2015). https://doi.org/10.1007/s00261-015-0396-x
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DOI: https://doi.org/10.1007/s00261-015-0396-x