Evidence map›Paper›PMID 39525143›Full record

ArticleCureus2024

The Role of Diffusion-Weighted MRI in Correlation with Contrast-Enhanced MRI and Histopathology in the Evaluation of Focal Liver Lesions.

Mahidhar Varigonda, Jyotsna Yarlagadda, Tarani Chetana Naga Sai, Sujata Patnaik, Sukanya Bhrugumalla, Surya Ramachandra Varma Gunturi

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Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

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5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Mahidhar VarigondaRadiology, Nizam's Institute of Medical Sciences, Hyderabad, IND.
Jyotsna YarlagaddaRadiology, Nizam's Institute of Medical Sciences, Hyderabad, IND.
Tarani Chetana Naga SaiRadiology, Nizam's Institute of Medical Sciences, Hyderabad, IND.
Sujata PatnaikRadiology, Nizam's Institute of Medical Sciences, Hyderabad, IND.
Sukanya BhrugumallaGastroenterology, Nizam's Institute of Medical Sciences, Hyderabad, IND.
Surya Ramachandra Varma GunturiSurgical Gastroenterology, Nizam's Institute of Medical Sciences, Hyderabad, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAccurate diagnosis of focal liver lesions is of utmost importance for the initiation of appropriate treatment. This study aims to assess the effectiveness of diffusion-weighted imaging (DWI) in diagnosing focal liver lesions, specifically focusing on differentiating between benign and malignant lesions, distinguishing metastases from primary liver tumors, and identifying various types of both benign and malignant lesions..

methodsThe study design is that of a prospective observational study done on 28 cases with focal liver lesions detected on ultrasound. DWI was done followed by contrast-enhanced MRI (CE-MRI). Identification of the lesion on DWI and apparent diffusion coefficient (ADC) map was made by using the CE-MRI images as a guide. The signal intensity of the lesion on DWI is determined as either diffusion restriction or no restriction. ADC measurements were made quantitatively over various regions of interest (ROIs) of the focal liver lesion. All the lesions were confirmed by histopathological examination (HPE) except few benign lesions like simple cysts and few hemangiomas, which were followed up by ultrasonography after six months.

resultsOur study included 28 patients with 44 focal liver lesions. Out of 28 patients in this study group (n=28), there were a total of 17 male and 11 female patients. The mean age of the sample population was 50.89±13.40 years. The lesions were more commonly seen is the age group of 41-60 years (57.14%). Out of 44 lesions (n), 24 (54.5%) lesions were benign , 20 (45.45%) were malignant. There were 17 hemangiomas (38.6%), 2 hematomas (4.5%), 2 simple cysts (4.5%), 1 hydatid cyst (2.27%), 2 hepatic adenomas (4.5%), 16 hepatocellular carcinoma (HCC) (36.36%), 3 cholangiocarcinoma (6.8%), and 1 hepatoblastoma (2.27%). DWI has 85% sensitivity and 84.7% specificity for the differentiation of benign from malignant lesions. The mean ADC value of benign lesions was 1.83x10

conclusionDWI is a valuable imaging technique in the evaluation of focal liver lesions. The ability to differentiate between benign and malignant liver lesions without the need for contrast is a significant benefit, particularly in challenging cases involving uncooperative patients or when contrast administration is contraindicated.

Indexed as

apparent diffusion coefficientbenign and malignant tumorscontrast enhanced magnetic resonance imagingdiffusion-weighted imagingfocal liver lesionshistopathologymetastasisprimary liver lesions

Identifiers

PMID39525143
PMCPMC11550781

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