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Comparison of conventional diffusion-weighted imaging, diffusion kurtosis imaging and intravoxel incoherent motion in characterization of sonographically indeterminate adnexal masses

Purpose To evaluate the role of conventional diffusion weighted imaging, diffusion kurtosis imaging (DKI), and intravoxel incoherent motion (IVIM) in distinguishing benign from malignant adnexal masses. Methods 38 patients with 45 adnexal masses were enrolled in this prospective study and assessed w...

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Bibliographic Details
Published in:Abdominal imaging 2024-05, Vol.49 (5), p.1512-1521
Main Authors: Kaur, Gurkawal, Manchanda, Smita, Sharma, Raju, Vyas, Surabhi, Kandasamy, Devasenathipathy, Hari, Smriti, Bhatla, Neerja, Mathur, Sandeep R.
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Language:English
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Summary:Purpose To evaluate the role of conventional diffusion weighted imaging, diffusion kurtosis imaging (DKI), and intravoxel incoherent motion (IVIM) in distinguishing benign from malignant adnexal masses. Methods 38 patients with 45 adnexal masses were enrolled in this prospective study and assessed with multiparametric MRI, including the IVIM-DKI sequence, on a 3 T MRI system. The mean apparent diffusion coefficient (ADC) from conventional DWI, the apparent diffusion coefficient derived from DKI (D app ), the apparent kurtosis coefficient (K app ), true diffusion coefficient (D t ), perfusion fraction (f) and pseudo-diffusion coefficient (D p ) were measured. Results The mean ADC, D app , and D t were significantly higher in benign adnexal masses than in malignant adnexal masses (p 
ISSN:2366-0058
2366-004X
2366-0058
DOI:10.1007/s00261-024-04292-x