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Value of Magnetic Resonance Imaging (MRI) and Diffusion Weighted Imaging (DWI) in Predicting Grade of Soft Tissue Sarcoma
Faculty
Medicine
Year:
2021
Type of Publication:
ZU Hosted
Pages:
Authors:
Ahmed Fekry Farag Salim
Staff Zu Site
Abstract In Staff Site
Journal:
Zagazig University Medical Journal Zagazig University Medical Journal
Volume:
Keywords :
Value , Magnetic Resonance Imaging (MRI) , Diffusion
Abstract:
Objectives: To identify the predictive values of MRI features and apparent diffusion coefficient (ADC) measurements that can be used to discriminate high-grade from low grade soft-tissue sarcoma (STS). Patients and methods: In this retrospective research, patients with different histologic grades of STS diagnosed between 2018 and 2020 who had undergone MRI examination and DWI before neo-adjuvant treatment or surgery were included. STS grades (grades 1–3) were recorded from the pathologic specimens and images were evaluated for tumour location, depth, size and characteristic MRI features discriminating low-grade lesions (grade 1 and 2) from high-grade ones (grades 3). Results: Fifty two patients; 29 (55.7%) men and 23 (44.3 %) women with STS, 24 patients with low-grade and 28 patients with high-grade were included. The commonest pathologic type was undifferentiated pleomorphic sarcoma (n = 14), with the majority of tumors 32/52 (61.5%) were in lower extremities. There were three main MRI findings related more to high grade STS: Presence of area compatible with necrosis, tumor margins < 50 % definition and peri-tumoral enhancement, in addition to the ADC mean which was significantly lower in high-grade (0.921±0.308) than in low-grades tumors (1.24±0.414); (p = 0.0006). Conclusion: Our research appraises the conventional MRI findings of tumor margin definitions, amount of necrosis, and peri-tumoral enhancement in addition to ADC measurements in grading of STS with significant reliability to offer predictive data and support clinical decision making. Keywords: MRI, DWI, ADC, Sarcoma, Tumor grade.
Author Related Publications
Ahmed Fekry Farag Salim, "Role of Apparent Diffusion Coefficient in Evaluation of Rectal Cancer Aggressiveness", Zagazig University Medical Journal, 2020
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Department Related Publications
Hossameldeen Mansour Abdelrahman Abdelrahman, "THE ROLE OF DIFFUSION-WEIGHTED MAGNETIC RESONANCE IMAGING IN T STAGING AND GRADING OF URINARY BLADDER CANCER.", مجلة الجمعية المصرية للأشعة والطب النووى, 2015
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Mohamed Hamed Mohammed Abu Warda, "التصوير بالرنين المغناطيسي الأنتشارى و معامل الأنتشار فى تقييم الكتل داخل النقى في النخاع الشوكي.", Egyptian Journal of Radiology and Nuclear Medicine (2016) 47, 1575–1584., 2016
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Mohamed Hamed Mohammed Abu Warda, "التفريق بين كسور الفقرات الانضغاطية لهشاشة العظام الحادة و كسور الفقرات الانضغاطية الخبيثة بالتصوير بالرنين المغناطيسي التقليدي والتصوير بالرنين المغناطيسي الانتشارى", The Egyptian Journal of Radiology and Nuclear Medicine, 2017
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Mohamed Hamed Mohammed Abu Warda, "قيمة التصوير بالأشعة المقطعية متعددة الشرائح كفحص غير نافذ فى تشخيص العيوب الخلقية للقلب و الأوعية الدموية عند الأطفال.", The Egyptian Journal of Radiology and Nuclear Medicine, 2017
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Hossameldeen Mansour Abdelrahman Abdelrahman, "DIFFERENTIATION OF ACUTE OSTEOPOROTIC FROM MALIGNANT VERTEBRAL COMPRESSION FRACTURES WITH CONVENTIONAL MRI AND DIFFUSION MR IMAGING", مجلة الجمعية المصرية للأشعة والطب النووى, 2017
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