PMID- 36401131 OWN - NLM STAT- MEDLINE DCOM- 20230208 LR - 20230516 IS - 2366-0058 (Electronic) VI - 48 IP - 2 DP - 2023 Feb TI - Whole-tumor ADC histogram analysis for differentiating endometriosis-related tumors: seromucinous borderline tumor, clear cell carcinoma and endometrioid carcinoma. PG - 724-732 LID - 10.1007/s00261-022-03742-8 [doi] AB - PURPOSE: To investigate the feasibility of whole-tumor apparent diffusion coefficient (ADC) histogram analysis for improving the differentiation of endometriosis-related tumors: seromucinous borderline tumor (SMBT), clear cell carcinoma (CCC) and endometrioid carcinoma (EC). METHODS: Clinical features, solid component ADC (ADC(SC)) and whole-tumor ADC histogram-derived parameters (volume, the ADC(mean), 10th, 50th and 90th percentile ADCs, inhomogeneity, skewness, kurtosis and entropy) were compared among 22 SMBTs, 42 CCCs and 21 ECs. Statistical analyses were performed using chi-square test, one-way ANOVA or Kruskal-Wallis test, and receiver operating characteristic curves. RESULTS: A significantly higher ADC(SC) and smaller volume were associated with SMBT than with CCC/EC. The ADC(mean) was significantly higher in CCC than in EC. The 10th percentile ADC was significantly lower in EC than in SMBT/CCC. The 50th and 90th percentile ADCs were significantly higher in CCC than in SMBT/EC. For differentiating SMBT from CCC, AUCs of the ADC(SC), volume, and 50th and 90th percentile ADCs were 0.97, 0.86, 0.72 and 0.81, respectively. For differentiating SMBT from EC, AUCs of the ADC(SC), volume and 10th percentile ADC were 0.97, 0.71 and 0.72, respectively. For differentiating CCC from EC, AUCs of the ADC(mean) and 10th, 50th and 90th percentile ADCs were 0.79, 0.72, 0.81 and 0.85, respectively. CONCLUSION: Whole-tumor ADC histogram analysis was valuable for differentiating endometriosis-related tumors, and the 90th percentile ADC was optimal in differentiating CCC from EC. CI - (c) 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature. FAU - Lu, Jing AU - Lu J AD - Department of Radiology, Jinshan Hospital, Fudan University, 1508 Longhang Road, Shanghai, 201508, People's Republic of China. FAU - Zhao, Shuhui AU - Zhao S AD - Department of Radiology, Jinshan Hospital, Fudan University, 1508 Longhang Road, Shanghai, 201508, People's Republic of China. AD - Department of Radiology, Xinhua Hospital, Medical College of Shanghai Jiao Tong University, Shanghai, 200092, People's Republic of China. FAU - Ma, Fenghua AU - Ma F AD - Department of Radiology, Jinshan Hospital, Fudan University, 1508 Longhang Road, Shanghai, 201508, People's Republic of China. AD - Department of Radiology, Obstetrics and Gynecology Hospital, Fudan University, 419 Fangxie Road, Shanghai, 200011, People's Republic of China. FAU - Li, Haiming AU - Li H AD - Department of Radiology, Jinshan Hospital, Fudan University, 1508 Longhang Road, Shanghai, 201508, People's Republic of China. AD - Department of Radiology, Shanghai Cancer Center, Fudan University, 270 Dongan Road, Shanghai, 200032, People's Republic of China. FAU - Li, Yong'ai AU - Li Y AD - Department of Radiology, Jinshan Hospital, Fudan University, 1508 Longhang Road, Shanghai, 201508, People's Republic of China. pingyaoaiai@163.com. FAU - Qiang, Jinwei AU - Qiang J AUID- ORCID: 0000-0002-6327-1401 AD - Department of Radiology, Jinshan Hospital, Fudan University, 1508 Longhang Road, Shanghai, 201508, People's Republic of China. dr.jinweiqiang@163.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20221119 PL - United States TA - Abdom Radiol (NY) JT - Abdominal radiology (New York) JID - 101674571 SB - IM MH - Female MH - Humans MH - *Carcinoma, Endometrioid/diagnostic imaging MH - *Endometriosis/diagnostic imaging MH - Diffusion Magnetic Resonance Imaging MH - ROC Curve MH - *Adenocarcinoma, Clear Cell/diagnostic imaging MH - Retrospective Studies OTO - NOTNLM OT - Apparent diffusion coefficient OT - Clear cell carcinoma OT - Endometrioid carcinoma OT - Histogram analysis OT - Magnetic resonance imaging OT - Seromucinous borderline tumor EDAT- 2022/11/19 06:00 MHDA- 2023/02/09 06:00 CRDT- 2022/11/18 23:59 PHST- 2022/09/26 00:00 [received] PHST- 2022/11/04 00:00 [accepted] PHST- 2022/11/03 00:00 [revised] PHST- 2022/11/19 06:00 [pubmed] PHST- 2023/02/09 06:00 [medline] PHST- 2022/11/18 23:59 [entrez] AID - 10.1007/s00261-022-03742-8 [pii] AID - 10.1007/s00261-022-03742-8 [doi] PST - ppublish SO - Abdom Radiol (NY). 2023 Feb;48(2):724-732. doi: 10.1007/s00261-022-03742-8. Epub 2022 Nov 19.