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ArticleFrontiers in ophthalmology2025

Quantitative evaluation of fibrosis in idiopathic orbital inflammatory pseudotumor by IVIM-DWI.

Jian Pu, Xing Xu, Peng Wang, Wei Su, Juwei Shao, Yinhua Yang, Mingqin Li, Jianbo Li

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Article in Frontiers in ophthalmology, 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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5 · Who and what money

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8 authors.

Jian PuDepartment of Radiology, Affiliated Hospital of Yunnan University, Kunming, China.
Xing XuDepartment of Radiology, Affiliated Hospital of Yunnan University, Kunming, China.
Peng WangDepartment of Radiology, Affiliated Hospital of Yunnan University, Kunming, China.
Wei SuDepartment of Radiology, Affiliated Hospital of Yunnan University, Kunming, China.
Juwei ShaoDepartment of Radiology, Affiliated Hospital of Yunnan University, Kunming, China.
Yinhua YangDepartment of Radiology, 920 Hospital of the joint service support force of the Chinese people's Liberation Army, Kunming, China.
Mingqin LiSchool of Clinical Medicine, Dali University, Dali, China.
Jianbo LiDepartment of Radiology, Affiliated Hospital of Yunnan University, Kunming, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To quantitatively evaluate the degree of fibrosis in Idiopathic Orbital Inflammatory Pseudotumor (IOIP) using Intravoxel Incoherent Motion Diffusion-Weighted Imaging (IVIM-DWI). Methods: Twenty eight patients (32 eyes) with idiopathic orbital inflammatory pseudotumor were pathologically diagnosed in the Affiliated Hospital of Yunnan University from August 2019 to August 2024. Routine orbital MRI plain scan and ivim-dwi scan were completed before surgery, and the true diffusion coefficient (d), pseudo diffusion coefficient (d*) and perfusion fraction (f) were obtained. According to the proportion of chronic inflammatory cells and fibrous tissue components in postoperative histopathological sections, it was defined that fibrous cells accounted for less than 10% of the total number of cells as negative (-), and > 10% as positive (+), of which 10%%25% were +, 25%%50% were + +, 50%%75% were + + +, and > 75% were + + +. Taking the proportion of fibrocytes in histopathological sections as the standard of fibrosis degree, the correlation between ivim-dwi parameters and the proportion of fibrocytes in pathological sections was analyzed. Data were analyzed by SPSS 19.0 statistical software package, and P < 0.05 was considered statistically significant. Results: Among 28 cases (32 eyes) with idiopathic orbital inflammatory pseudotumor, there was no statistical difference between gender, age and the degree of IOIP fibrosis (P > 0.05). There was a statistically significant difference between the proportion of IOIP fiber composition and the D value and F value in IVIM-DWI parameters (P < 0.05), and the sensitivity of F value was higher than D value in the comparison of the two parameters combined with ROC curve analysis; There was no statistical difference between the D * value and the degree of fibrosis (P > 0.05). Conclusion: The D value and F value of IVIM-DWI showed a correlation with the proportion of IOIP fiber components, and the sensitivity of F value was higher than D value. Ivim-dwi examination parameters can be used as quantitative and objective indicators to evaluate the degree of fibrosis of lesions before IOIP.

Indexed as

fibrosisincoherent motion in voxelsinflammatory pseudotumormagnetic resonance imagingorbital cavitypathology

Identifiers

PMID40492150
PMCPMC12146152

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