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Abstract #3399

Robustness of Normalized ADC Values of Prostate Cancer Against Different Imaging Conditions and Calculation Methods

Harald Busse1, Josephin Otto1, Gregor Thrmer1, Nikita Garnov1, Lars-Christian Horn2, Martin Reiss-Zimmermann1, Thomas Kahn1, Michael Moche1

1Diagnostic and Interventional Radiology Department, Leipzig University Hospital, Leipzig, Saxony, Germany; 2Institute of Pathology, University of Leipzig, Leipzig, Saxony, Germany

Diffusion-weighted imaging has potential roles in the management of prostate cancer and apparent diffusion coefficients (ADC) could potentially distinguish aggressive from indolent carcinoma. Wider validation, however, will rely on robust quantitative diffusion parameters. This work demonstrates intraindividually that the additional use of an endorectal coil and different b-value data introduce highly significant differences in the absolute ADC values in both tumor and mirror healthy tissue regions. Differences in the ratio of tumor over healthy tissue ADC averages were not significant and make normalized ADC a more robust parameter for the quantification of diffusion abnormalities in the prostate.

Keywords

abnormalities absolute accurately acknowledged active additional aggressive analyses analyzed apparent appear applied approval assessment body calculation cancer cancerous cancers channel channels choice coefficient coil coils computed concepts conditions confirms consisted contrast currently define determine determined deviations devoted diagnostic diffusion disease distinguish efficacy equipment evaluating examination example field finding findings fitting function future generated grant greatly healthy highly horn hospital identical included indolent inspecting integrated intensity involved just landmarks least literature longer management marked matched materials matrix measure mirror molecular morphology mount nature nearest nearly nonlinear normalization normalized otherwise paired particular patient patients peripheral perpendicular phenomenon plots posterior potential predicting preoperative prostate protocols proven quantification quantitative radical radiology recurrence relied reported resolution respectively robust robustness roles scheduled score section selected senior sets shot significance simple slice spine squares step strength strongly studies success supplemental support surface surveillance table thresholds tissue transverse treatment trio tumor tumors underwent various vary water whether whole zone