ArticleEuropean radiology experimental2025
Comparison of four MRI diffusion models to differentiate benign from metastatic retropharyngeal lymph nodes.
Article in European radiology experimental, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundConventional magnetic resonance diffusion-weighted imaging (DWI) and morphological features have limitations in distinguishing benign from metastatic retropharyngeal lymph nodes (RLNs). We aimed to compare the value of continuous-time random walk (CTRW), fractional-order calculus (FROC), stretched-exponential model (SEM), and conventional DWI, in combination with morphological features, for differentiating between the two groups.
methodsFifty-nine patients with 68 RLNs (23 benign and 45 metastatic) were enrolled. All patients underwent DWI with 12 b-values. Diffusion data were reconstructed using conventional DWI, SEM, FROC, and CTRW models, yielding nine parameters: apparent diffusion coefficient (ADC), distributed diffusion coefficient (DDC)
resultsSignificant differences in diffusion parameters were found between benign and metastatic RLNs, except for α
conclusionβ RELEVANCE STATEMENT: This study demonstrates that β KEY POINTS: Non-Gaussian diffusion metrics outperformed conventional DWI. β
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