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弥散加权成像在肝脏局灶性病变诊断中的临床研究。

Clinical Study of Diffusion-Weighted Imaging in the Diagnosis of Liver Focal Lesion.

机构信息

Tongde hospital of Zhejiang province, Zhejiang, 310012, Hangzhou, China.

出版信息

J Med Syst. 2019 Jan 16;43(3):43. doi: 10.1007/s10916-019-1164-1.

DOI:10.1007/s10916-019-1164-1
PMID:30649629
Abstract

Apparent diffusion coefficient (ADC), derived from diffusion-weighted magnetic resonance images (DW-MRI), measures the motion of water molecules in vivo and can be used to quantify tumor response so as to determine the best therapy approach. In this paper, our goal was to determine whether the DW-MRI can be used for qualitative and quantitative liver cancer analysis, where an automated method will be proposed for improving the accuracy of liver segmentation in DW-MRI to increase the ability of diagnosis of disease. We firstly analyzed the research status of liver cancer diagnosis, especially on the issues of liver image segmentation technology in MRI. Then, the imaging mechanism and image features of the DW-MRI were analyzed, and the initial DW-MRI slice was segmented by graph-cut algorithm. Finally, our obtained result from the liver DW-MRI image is quantitatively and qualitatively analyzed. Experimental results show that DW-MRI has a great advantage in the diagnosis, the DWI images of benign lesion group was lower than that of malignant lesion, thus DW-MRI is segmented by graph-cut algorithm can provide important additional information regarding differential diagnosis of specific liver cancer to some extend.

摘要

表观扩散系数(ADC)来源于扩散加权磁共振成像(DW-MRI),可测量体内水分子的运动,用于量化肿瘤反应,从而确定最佳治疗方法。本文旨在确定 DW-MRI 是否可用于定性和定量肝癌分析,提出一种自动方法以提高 DW-MRI 中肝脏分割的准确性,从而提高疾病诊断能力。我们首先分析了肝癌诊断的研究现状,特别是 MRI 中肝脏图像分割技术的问题。然后,分析了 DW-MRI 的成像机制和图像特征,并用图割算法对初始 DW-MRI 切片进行分割。最后,对肝脏 DW-MRI 图像进行了定量和定性分析。实验结果表明,DW-MRI 在诊断方面具有很大的优势,良性病变组的 DWI 图像低于恶性病变组,因此,通过图割算法对 DW-MRI 进行分割在一定程度上可以为特定肝癌的鉴别诊断提供重要的附加信息。

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本文引用的文献

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Effectivity of combined diffusion-weighted imaging and contrast-enhanced MRI in malignant and benign breast lesions.联合扩散加权成像与对比增强磁共振成像在乳腺良恶性病变中的有效性
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Diffusion weighted imaging in patients with rectal cancer: Comparison between Gaussian and non-Gaussian models.直肠癌患者的扩散加权成像:高斯模型与非高斯模型的比较
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Can Diffusion-Weighted Imaging and Related Apparent Diffusion Coefficient be a Prognostic Value in Women With Breast Cancer?
扩散加权成像及相关表观扩散系数能否作为乳腺癌女性患者的预后指标?
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Prospective and retrospective motion correction in diffusion magnetic resonance imaging of the human brain.人脑弥散磁共振成像的前瞻性和回顾性运动校正。
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Distortion correction of high b-valued and high angular resolution diffusion images using iterative simulated images.使用迭代模拟图像校正高 b 值和高角分辨率扩散图像的扭曲。
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