PMID- 35748200 OWN - NLM STAT- MEDLINE DCOM- 20220627 LR - 20221108 IS - 1305-3612 (Electronic) IS - 1305-3825 (Print) IS - 1305-3825 (Linking) VI - 28 IP - 3 DP - 2022 May TI - MR quantitative 3D shape analysis helps to distinguish mucinous cystic neoplasm from serous oligocystic adenoma. PG - 193-199 LID - 10.5152/dir.2022.20738 [doi] AB - PURPOSE We aimed to assess the performance of quantitative 3D shape analysis in the differential diagno- sis of pancreatic serous oligocystic adenoma (SOA) and mucinous cystic neoplasm (MCN). METHODS Four hundred thirty-two patients diagnosed with serous cystic neoplasms (SCNs) or MCNs were retrospectively reviewed from August 2014 to July 2019 and finally 87 patients with MCNs (n = 45) and SOAs (n = 42) were included. Clinical data and magnetic resonance morphologic fea- tures with 3D shape analysis of lesions (shape sphericity, compacity, and volume) were recorded and compared between MCNs and SOAs according to the pathology. Univariable and multivari- able regression analyses were used to identify independent impact factors for differentiating MCN from SOA. RESULTS The age of MCN patients was younger than SOAs (43.02 +/- 10.83 years vs. 52.78 +/- 12.31 years; OR = 0.275; 95% CI: 0.098-0.768; P = .014). MCN has a higher female/male ratio than SOA (43/2 vs. 27/15; OR = 40.418; 95% CI: 2.704-604.171; P = .007) and was more often located in the distal of pancreas (OR = 31.403; 95% CI: 2.985-330.342; P = .004). Shape_Sphericity derived from 3D shape analysis was a significant independent factor in the multivariable analysis and the value of MCN was closer to 1 than SOA (OR = 35.153; 95% CI: 5.301-237.585; P < .001). Area under the receiver operating characteristic curve (AUC) of Shape_Sphericity was 0.923 (optimal cutoff value was 0.964876). CONCLUSION Shape_Sphericity in combination with age, sex, and location could help to distinguish MCN from SOA. FAU - Zhu, Shuo AU - Zhu S AD - Department of Radiology, Zhongshan Hospital, Fudan University, and Shanghai Institute of Medical Imaging, Shanghai, China. FAU - Wang, Wen-Tao AU - Wang WT AD - Department of Radiology, Zhongshan Hospital, Fudan University, and Shanghai Institute of Medical Imaging, Shanghai, China. FAU - Wu, Wen-Chuan AU - Wu WC AD - Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai, China. FAU - Lou, Wen-Hui AU - Lou WH AD - Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai, China. FAU - Zeng, Meng-Su AU - Zeng MS AD - Department of Radiology, Zhongshan Hospital, Fudan University, and Shanghai Institute of Medical Imaging, Shanghai, China. FAU - Rao, Sheng-Xiang AU - Rao SX AD - Department of Radiology, Zhongshan Hospital, Fudan University, and Shanghai Institute of Medical Imaging, Shanghai, China. LA - eng PT - Journal Article PL - Turkey TA - Diagn Interv Radiol JT - Diagnostic and interventional radiology (Ankara, Turkey) JID - 101241152 SB - IM MH - *Adenoma/diagnostic imaging MH - Adult MH - Female MH - Humans MH - Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Pancreas/pathology MH - *Pancreatic Neoplasms/diagnostic imaging/pathology MH - Retrospective Studies PMC - PMC9634914 COIS- Conflict of interest disclosure The authors declared no conflicts of interest. EDAT- 2022/06/25 06:00 MHDA- 2022/06/28 06:00 PMCR- 2022/05/01 CRDT- 2022/06/24 04:42 PHST- 2022/06/24 04:42 [entrez] PHST- 2022/06/25 06:00 [pubmed] PHST- 2022/06/28 06:00 [medline] PHST- 2022/05/01 00:00 [pmc-release] AID - dir-28-3-193 [pii] AID - 10.5152/dir.2022.20738 [doi] PST - ppublish SO - Diagn Interv Radiol. 2022 May;28(3):193-199. doi: 10.5152/dir.2022.20738.