The Role of Diffusion-Weighted Magnetic Resonance Imaging in the Differentiation of Head and Neck Masses

Journal of Clinical Medicine
Lutfi Kanmaz, Erdal Karavas

Abstract

The purpose of this study was to evaluate the value of diffusion-weighted MRI (DW-MRI) in differentiating benign and malignant head and neck masses by comparing their apparent diffusion coefficient (ADC) values. The study included 32 patients with a neck mass >1 cm in diameter who were examined with echo planar DW-MRI. Two different diffusion gradients (b values of b = 0 and b = 1000 s/mm²) were applied. DWI and ADC maps of 32 neck masses in 32 patients were obtained. Mean ADC values of benign and malignant neck lesions were measured and compared statistically. A total of 15 (46.9%) malignant masses and 17 (53.1%) benign masses were determined. Of all the neck masses, the ADC value of cystic masses was the highest and that of lymphomas was the lowest. The mean ADC values of benign and malignant neck masses were 1.57 × 10-3 mm²/s and 0.90 × 10-3 mm²/s, respectively. The difference between mean ADC values of benign and malignant neck masses was significant (p < 0.01). Diffusion-weighted MRI with ADC measurements can be useful in the differential diagnosis of neck masses.

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Citations

Aug 11, 2020·Cancer Imaging : the Official Publication of the International Cancer Imaging Society·Omar FreihatÁrpád Kovács
Dec 23, 2021·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·Yoshiaki OtaAshok Srinivasan

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Methods Mentioned

BETA
imaging technique
biopsy
dissection
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NCSS ( Number Cruncher Statistical System )

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