Evidence map›Paper›PMID 41013810›Full record

ArticleCancer imaging : the official publication of the International Cancer Imaging Society2025

Performance of simultaneous multislice diffusion-weighted imaging using monoexponential, intravoxel incoherent motion, and diffusion kurtosis models: assessment of microvascular invasion and histologic grade in hepatocellular carcinoma.

Yingyi Wu, Zheng Qu, Ting Yang, Shan Yao, Jie Chen, Xinye Bao, Ting Yin, Bin Song, Zheng Ye

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Article in Cancer imaging : the official publication of the International Cancer Imaging Society, 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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9 authors.

Yingyi Wu *Department of Radiology, West China Hospital, Sichuan University, No. 37 Guoxue Alley, Chengdu, 610041, China.
Zheng Qu *School of Allied Health Sciences, West China Hospital, West China School of Medicine, Sichuan University, Chengdu, China.
Ting YangDepartment of Radiology, West China Hospital, Sichuan University, No. 37 Guoxue Alley, Chengdu, 610041, China.
Shan YaoDepartment of Radiology, West China Hospital, Sichuan University, No. 37 Guoxue Alley, Chengdu, 610041, China.
Jie ChenDepartment of Radiology, West China Hospital, Sichuan University, No. 37 Guoxue Alley, Chengdu, 610041, China.
Xinye BaoDepartment of Radiology, West China Hospital, Sichuan University, No. 37 Guoxue Alley, Chengdu, 610041, China.
Ting YinMR Collaborations, Siemens Healthineers Ltd, Chengdu, China.
Bin SongDepartment of Radiology, West China Hospital, Sichuan University, No. 37 Guoxue Alley, Chengdu, 610041, China. songlab_radiology@163.com.
Zheng YeDepartment of Radiology, West China Hospital, Sichuan University, No. 37 Guoxue Alley, Chengdu, 610041, China. zheng_ye@scu.edu.cn.

Funding

China Postdoctoral Science Foundation 2023M732464Development Project of Hainan Provincial Clinical Medical Center and Post-doctoral Station Development Project of Sanya 23CZ009National Natural Science Foundation of China 82302161National Natural Science Foundation of China U22A20343Natural Science Foundation of Sichuan Province 2024NSFSC1798Postdoctor Research Fund of West China Hospital, Sichuan University 2024HXBH161
6 · The paper itself

Abstract

objectivesThis study aimed to evaluate the diagnostic performance of simultaneous multislice (SMS) acquisition combined with monoexponential, intravoxel incoherent motion (IVIM), and diffusion kurtosis imaging (DKI) models for predicting microvascular invasion (MVI) and histologic grade in hepatocellular carcinoma (HCC). MATERIALS AND

methodsA prospective study was conducted with 77 HCC patients. Diffusion-weighted imaging (DWI), IVIM, and DKI were performed on a 3T MRI using both SMS and conventional sequences. The values of diffusion parameters (ADC, D, D*, f, MD, and MK) were compared among SMS and conventional sequences, between MVI-positive and MVI-negative groups, and between high-grade and low-grade HCC groups. Receiver operating characteristic (ROC) curves were used to assess the diagnostic performance of diffusion parameters in predicting MVI and histologic grade. Inter-reader consistency was evaluated using intraclass correlation coefficients (ICC).

resultsAmong the 77 patients, 29.9% were MVI-positive and 35.1% had high-grade HCC. SMS reduced scanning time by up to 44.44%. Most diffusion parameters were similar between SMS and conventional sequences, except for slightly lower ADC and f in SMS. MVI-positive and high-grade HCC cases showed lower ADC, D, D*, and MD values and higher MK values. The ICC ranged from 0.702 to 0.879. SMS-MK demonstrated the highest diagnostic performance with an AUC of 0.92 for MVI and 0.86 for histologic grade.

conclusionsSMS acquisition, integrated with IVIM and DKI, is a feasible imaging method for preoperative evaluation of MVI and histologic grade in HCC, offering a faster alternative to conventional methods without compromising diagnostic performance.

Indexed as

Carcinoma, HepatocellularDiffusion Magnetic Resonance ImagingLiver NeoplasmsAdultAgedFemaleHumansMaleMicrovesselsMiddle AgedNeoplasm GradingNeoplasm InvasivenessProspective StudiesROC CurveDiffusion kurtosis imagingDiffusion-weighted imagingHepatocellular carcinomaHistologic gradeIntravoxel incoherent motionMicrovascular invasion

Identifiers

PMID41013810
PMCPMC12465415

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.