prikaz prve stranice dokumenta Introduction of a breast apparent diffusion coefficient category system (ADC-B) derived from a large multicenter MRI database
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Introduction of a breast apparent diffusion coefficient category system (ADC-B) derived from a large multicenter MRI database
European Radiology, 33 (2023), 8; 5400-5410. https://doi.org/10.1007/s00330-023-09675-0
Bickel, Hubert; Clauser, Paola; Pinker, Katja; Helbich, Thomas; Biondić, Iva; Brkljačić, Boris; Dietzel, Matthias; Ivanac, Gordana; Krug, Barbara; Moschetta, Marco; Neuhaus, Victor; Preidler, Klaus; Baltzer, Pascal

Citirajte ovaj rad

Bickel, H., Clauser, P., Pinker, K., Helbich, T., Biondić, I., Brkljačić, B. ... Baltzer, P. (2023). Introduction of a breast apparent diffusion coefficient category system (ADC-B) derived from a large multicenter MRI database. European Radiology, 33. (8), 5400-5410. doi: 10.1007/s00330-023-09675-0

Bickel, Hubert, et al. "Introduction of a breast apparent diffusion coefficient category system (ADC-B) derived from a large multicenter MRI database." European Radiology, vol. 33, br. 8, 2023, str. 5400-5410. https://doi.org/10.1007/s00330-023-09675-0

Bickel, Hubert, Paola Clauser, Katja Pinker, Thomas Helbich, Iva Biondić, Boris Brkljačić, Matthias Dietzel, et al. "Introduction of a breast apparent diffusion coefficient category system (ADC-B) derived from a large multicenter MRI database." European Radiology 33, br. 8 (2023): 5400-5410. https://doi.org/10.1007/s00330-023-09675-0

Bickel, H., et al. (2023) 'Introduction of a breast apparent diffusion coefficient category system (ADC-B) derived from a large multicenter MRI database', European Radiology, 33(8), str. 5400-5410. doi: 10.1007/s00330-023-09675-0

Bickel H, Clauser P, Pinker K, Helbich T, Biondić I, Brkljačić B, i sur.. Introduction of a breast apparent diffusion coefficient category system (ADC-B) derived from a large multicenter MRI database. European Radiology [Internet]. 08.2023. [pristupljeno 16.04.2024.];33(8):5400-5410. doi: 10.1007/s00330-023-09675-0

H. Bickel, et al., "Introduction of a breast apparent diffusion coefficient category system (ADC-B) derived from a large multicenter MRI database", European Radiology, vol. 33, br. 8, str. 5400-5410, Kolovoz 2023. [Online]. Dostupno na: https://urn.nsk.hr/urn:nbn:hr:105:543722. [Citirano: 16.04.2024.]

Za citiranje koristite ovu mrežnu adresu: https://urn.nsk.hr/urn:nbn:hr:105:543722
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Podaci o radu
Naslov (engleski)Introduction of a breast apparent diffusion coefficient category system (ADC-B) derived from a large multicenter MRI database
AutorHubert Bickel
AutorPaola Clauser
AutorKatja Pinker
AutorThomas Helbich
AutorIva Biondić
AutorBoris Brkljačić
AutorMatthias Dietzel
AutorGordana Ivanac
AutorBarbara Krug
AutorMarco Moschetta
AutorVictor Neuhaus
AutorKlaus Preidler
AutorPascal Baltzer
Autorova ustanovaSveučilište u Zagrebu
Medicinski fakultet
(KATEDRA ZA RADIOLOGIJU)
Znanstveno / umjetničko
područje, polje i grana		BIOMEDICINA I ZDRAVSTVO
Kliničke medicinske znanosti
Radiologija
Sažetak (engleski)
Objectives: To develop an intuitive and generally applicable system for the reporting, assessment, and documentation of ADC to complement standard BI-RADS criteria. Methods: This was a multicentric, retrospective analysis of 11 independently conducted institutional review board-approved studies from seven institutions performed between 2007 and 2019. Breast Apparent Diffusion coefficient (ADC-B) categories comprised ADC-B0 (ADC non-diagnostic), ADC-B1 (no enhancing lesion), and ADC-B2-5. The latter was defined by plotting ADC versus cumulative malignancy rates. Statistics comprised ANOVA with post hoc testing and ROC analysis. p values ≤ 0.05 were considered statistically significant. Results: A total of 1625 patients (age: 55.9 years (± 13.8)) with 1736 pathologically verified breast lesions were included. The mean ADC (× 10-3 mm2/s) differed significantly between benign (1.45, SD .40) and malignant lesions (.95, SD .39), and between invasive (.92, SD .22) and in situ carcinomas (1.18, SD .30) (p < .001). The following ADC-B categories were identified: ADC-B0-ADC cannot be assessed; ADC-B1-no contrast-enhancing lesion; ADC-B2-ADC ≥ 1.9 (cumulative malignancy rate < 0.1%); ADC-B3-ADC 1.5 to < 1.9 (0.1-1.7%); ADC-B4-ADC 1.0 to < 1.5 (10-24.5%); and ADC-B5-ADC < 1.0 (> 24.5%). At the latter threshold, a positive predictive value of 95.8% (95% CI 0.94-0.97) for invasive versus non-invasive breast carcinomas was reached. Conclusions: The breast apparent diffusion coefficient system (ADC-B) provides a simple and widely applicable categorization scheme for assessment, documentation, and reporting of apparent diffusion coefficient values in contrast-enhancing breast lesions on MRI. Clinical relevance statement: The ADC-B system, based on diverse MRI examinations, is clinically relevant for stratifying breast cancer risk via apparent diffusion coefficient measurements, and complements BI-RADS for improved clinical decision-making and patient outcomes
Ključne riječi (engleski)
Jezikengleski
Vrsta publikacijeZnanstveni rad - Izvorni znanstveni rad
Status objaveObjavljen
Vrsta recenzijeRecenziran
Verzija publikacijeObjavljena verzija rada (izdavačev PDF)
Naslov časopisaEuropean Radiology
Brojčani podacivol. 33, br. 8, str. 5400-5410
e-ISSN1432-1084
DOIhttps://doi.org/10.1007/s00330-023-09675-0
URN:NBNurn:nbn:hr:105:543722
Datum objave publikacije2023-08
URL dokumentahttps://link.springer.com/10.1007/s00330-023-09675-0
Vrsta resursaTekst
Prava pristupaOtvoreni pristup
Uvjeti korištenjaIkona licence Imenovanje 4.0 međunarodna (CC BY 4.0)
Datum i vrijeme pohrane2023-11-03 09:39:06