Evaluation of liver hemangiomas using three different b values on diffusion MR

• Published in: European journal of radiology Vol. 75; no. 3; pp. 360 - 363
• Main Authors: Bozgeyik, Zulkif, Kocakoc, Ercan, Gul, Yeliz, Dagli, A. Ferda
• Format: Journal Article
• Language: English
• Published: Amsterdam Elsevier Ireland Ltd 01.09.2010; Elsevier
• Subjects: Biological and medical sciences; Diffusion Magnetic Resonance Imaging - methods; Diffusion-weighted MRI; DWI; Female; Gastroenterology. Liver. Pancreas. Abdomen; Hemangioma; Hemangioma - diagnosis; Humans; Image Enhancement - methods; Liver; Liver Neoplasms - diagnosis; Liver. Biliary tract. Portal circulation. Exocrine pancreas; Male; Medical sciences; Middle Aged; MRI; Radiology; Reproducibility of Results; Sensitivity and Specificity; Tumors; Hemangioma; MRI; Liver; Diffusion-weighted MRI; DWI; Human; Diffusion imaging; Cardiovascular disease; Hepatic disease; Nuclear magnetic resonance imaging; Differential diagnostic; Vascular disease; Angioma; Medical imagery; Digestive diseases; Diffusion coefficient
• ISSN: 0720-048X; 1872-7727
• DOI: 10.1016/j.ejrad.2009.04.065

Abstract Purpose To determine which diffusion-weighted MR technique (i.e., b -100, b -600, b -1000 s/mm2 ) is most useful in depicting liver hemangiomas. We also aimed to assess the effect of lesion size on apparent diffusion coefficient (ADC) values. Materials and methods Diffusion-weighed MR (DWMR) was performed for 61 hemangiomas in 32 patients. DWMR images were obtained before contrast administration using three different b values of 100, 600, and 1000 s/mm2 . ADCs were measured for each lesions and compared with normal liver parenchymal ADCs on different b values. Hemangiomas were subdivided according to lesion size (less than 3 cm and 3 cm or greater). Data were analyzed using SPSS software by analysis of variances (ANOVA) and post hoc values were tested using HSD Tukey test. Results There was no significant relation between lesion size and ADC values on different b values. Lower ADC values were obtained for higher b values in normal liver tissue and hemangiomas. Although there is significant difference between normal liver tissue and hemangiomas; this is more apparent on b -1000 images ( p = 0.022 on b -100, p = 0.003 on b -600, and p = 0.000 on b -1000 images). Variance analysis revealed hemangiomas had higher ADC values than normal liver tissue on b -1000 images. Conclusion Mean values for ADCs of hemangiomas were lower than ADCs of the normal liver except for b -1000 value. Higher b values are useful for the differentiation between normal liver tissue and hemangiomas. Lesion size does not affect ADC measurement on different b values.