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Application of the diffusion kurtosis model for the study of breast lesions

dc.contributor.authorNogueira, Luísa
dc.contributor.authorBrandão, Sofia
dc.contributor.authorMatos, Eduarda
dc.contributor.authorNunes, Rita Gouveia
dc.contributor.authorLoureiro, Joana
dc.contributor.authorRamos, Isabel
dc.contributor.authorFerreira, Hugo Alexandre
dc.date.accessioned2019-07-01T16:03:45Z
dc.date.available2019-07-01T16:03:45Z
dc.date.issued2014
dc.description.abstractObjectives To evaluate diffusion-weighted imaging (DWI) and diffusion kurtosis imaging (DKI) in the differentiation and characterisation of breast lesions. Methods Thirty-six women underwent breast magnetic resonance imaging (MRI) including a DWI sequence with multiple b-values (50–3,000 s/mm2). Mean values for apparent diffusion coefficient (ADC), mean diffusivity (MD) and mean kurtosis (MK) were calculated by lesion type and histological subtype. Differences and correlation between parameters were determined. Results Forty-four lesions were found. There were significant differences between benign and malignant lesions for all parameters (ADC, p = 0.017; MD, p = 0.028; MK, p = 0.017). ADC and MD were higher for benign (1.96 ± 0.41 × 10−3 and 2.17 ± 0.42 × 10−3 mm2/s, respectively) than for malignant lesions (1.33 ± 0.18 × 10−3 and 1.52 ± 0.50 × 10−3 mm2/s). MK was higher for malignant (0.61 ± 0.27) than benign lesions (0.37 ± 0.18). We found differences between invasive ductal carcinoma (IDC) and fibroadenoma (FA) for all parameters (ADC, MD and MK): p = 0.016, 0.022 and 0.016, respectively. FA and fibrocystic change (FC) showed differences only in MK (p = 0.016). Conclusions Diffusion in breast lesions follows a non-Gaussian distribution. MK enables differentiation and characterisation of breast lesions, providing new insights into microstructural complexity. To confirm these results, further investigation in a broader sample should be performed.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.1007/s00330-014-3146-5pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.22/14206
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringerpt_PT
dc.relationSFRH/BD/50027/2009pt_PT
dc.relationStrategic Project - UI 645 - 2011-2012
dc.relation.publisherversionhttps://link.springer.com/article/10.1007%2Fs00330-014-3146-5pt_PT
dc.subjectBreast Neoplasmspt_PT
dc.subjectDiagnosis, Differentialpt_PT
dc.subjectDiffusion Magnetic Resonance Imagingpt_PT
dc.subjectFemalept_PT
dc.subjectFollow-Up Studiespt_PT
dc.subjectImage Interpretation, Computer-Assistedpt_PT
dc.subjectMiddle Agedpt_PT
dc.subjectProspective Studiespt_PT
dc.subjectReproducibility of Resultspt_PT
dc.subjectAlgorithmspt_PT
dc.titleApplication of the diffusion kurtosis model for the study of breast lesionspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleStrategic Project - UI 645 - 2011-2012
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/PEst-OE%2FSAU%2FUI0645%2F2011/PT
oaire.citation.endPage1203pt_PT
oaire.citation.issue6pt_PT
oaire.citation.startPage1197pt_PT
oaire.citation.titleEuropean Radiologypt_PT
oaire.citation.volume24pt_PT
oaire.fundingStream6817 - DCRRNI ID
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isProjectOfPublication5b115a5c-07c5-4f80-af5e-d815e8d8d51c
relation.isProjectOfPublication.latestForDiscovery5b115a5c-07c5-4f80-af5e-d815e8d8d51c

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