Role of Diffusion Weighted Magnetic Resonance Imaging in Evaluation of Patients with Salivary Glands Tumors | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 2, Volume 74, Issue 1, January 2019, Page 10-16 PDF (601.97 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2019.22064 | ||||
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| Authors | ||||
Abdallah Mohammed AL-kheshen; Mohammed Salah EL-Feshawy; Mohammed Essmat Abd-ElGhani; Mahmoud Mohammed Abomosalam Ali 
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| Department of Radiodiagnosis, Faculty of Medicine, Al-Azhar University | ||||
| Abstract | ||||
| Background: The diffusion weighted imaging and ADC value give appreciable information about tumor cellularity with tissue contrast between the active and necrotic areas within the tumor. This would be valuable and could direct the beneficial site for interventional procedure and biopsy to be taken from the viable tumoral tissue especially in case with non-enhanced studies due to renal impairment. Objective: The aim of this study was to investigate the capacity of Diffusion MRI to predict the benign and malignant Salivary gland tumors, using ADC value and DWI. Patients and Methods: This study included 40 patients (24 male and 16 female). Sixteen patients had malignant lesions and twenty-four had benign ones. The DWI was obtained with b values including 0 and 800mm2/second. The Apparent Diffusion Coefficient (ADC) generated by measuring identical images at different b-values and represented as ADC map, from which the ADC value was calculated. Results: The absolute ADC value of lesions was significantly different between benign and malignant salivary gland tumors (p<0.001). The sensitivity of ADC in differentiating benign from malignant lesions in our study was 93.7% indicating a high true positive rate. Hence, if the average ADC is below 0.85 x 10 -3 mm2/sec, there is high probability that the mass will be malignant with high specificity of 95.8 %. Results revealed that the mean ADC value of benign and malignant salivary gland tumors were 1.33±0.46x 10-3 mm2/s and 0.65±0.21 x 10-3 mm2/s, respectively. The mean ADC value of benign was significantly higher than that of malignant lesions. Conclusion:Theuse of DWI and ADC values can provide better assessment of salivary gland tumors and predict the benign and malignant lesions. | ||||
| Keywords | ||||
| ADC; MRI; DWI; Malignant Salivary Gland Tumors | ||||
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