Diffusion-Weighted Magnetic Resonance Imaging Findings of Kidneys with Obstructive Uropathy: Differentiation between Benign and Malignant Etiology

Purpose. In this study, we aimed to evaluate the capability of diffusion-weighted magnetic resonance imaging (DWI) in differentiation between benign and malignant etiology of obstructive uropathy. Materials and Methods. DWI was performed in 41 patients with hydronephrotic kidneys and 26 healthy volu...

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Main Authors: Tugce Ozlem Kalayci, Melda Apaydin, Fitnet Sönmezgöz, Sinan Çalık, Melike Bedel Koruyucu
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2014/980280
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author Tugce Ozlem Kalayci
Melda Apaydin
Fitnet Sönmezgöz
Sinan Çalık
Melike Bedel Koruyucu
author_facet Tugce Ozlem Kalayci
Melda Apaydin
Fitnet Sönmezgöz
Sinan Çalık
Melike Bedel Koruyucu
author_sort Tugce Ozlem Kalayci
collection DOAJ
description Purpose. In this study, we aimed to evaluate the capability of diffusion-weighted magnetic resonance imaging (DWI) in differentiation between benign and malignant etiology of obstructive uropathy. Materials and Methods. DWI was performed in 41 patients with hydronephrotic kidneys and 26 healthy volunteers. MR imaging was performed using a 1.5 T whole-body superconducting MR scanner. The signal intensities of the renal parenchyma on DWI and apparent diffusion coefficient (ADC) maps were noted. DWI was performed with the following diffusion gradient b values: 100, 600, and 1000 s/mm2. A large circular region of interest was placed in the corticomedullary junction of the kidneys. For statistical analysis, the independent-samples t test was used. Results. The mean renal ADC values for b100, b600, and b1000 in hydronephrosis patients with benign and malignant etiology and the healthy volunteers of the control group were analysed. ADC measurements of renal parenchyma in all hydronephrotic kidneys with benign and malignant etiology were found to be statistically low compared to those of normal kidneys P<0.05. Conclusions. There were significant differences in the ADC values of obstructed kidneys compared to those of normal kidneys. Obstructed kidneys with malignant etiology had lower ADC values for b1000 compared to obstructed kidneys with benign etiology, but these alterations were statistically insignificant.
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institution Kabale University
issn 2356-6140
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language English
publishDate 2014-01-01
publisher Wiley
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series The Scientific World Journal
spelling doaj-art-c5ebf9278dc044b9ba046abdb51079822025-02-03T01:20:50ZengWileyThe Scientific World Journal2356-61401537-744X2014-01-01201410.1155/2014/980280980280Diffusion-Weighted Magnetic Resonance Imaging Findings of Kidneys with Obstructive Uropathy: Differentiation between Benign and Malignant EtiologyTugce Ozlem Kalayci0Melda Apaydin1Fitnet Sönmezgöz2Sinan Çalık3Melike Bedel Koruyucu4Department of Radiology, Izmir Ataturk Training and Research Hospital, 35160 Izmir, TurkeyDepartment of Radiology, Izmir Ataturk Training and Research Hospital, 35160 Izmir, TurkeyDepartment of Radiology, Firat University Medical Faculty, 23100 Elazig, TurkeyDepartment of Statistic, Faculty of Science, Fırat University, 23100 Elazig, TurkeyDepartment of Radiology, Izmir Ataturk Training and Research Hospital, 35160 Izmir, TurkeyPurpose. In this study, we aimed to evaluate the capability of diffusion-weighted magnetic resonance imaging (DWI) in differentiation between benign and malignant etiology of obstructive uropathy. Materials and Methods. DWI was performed in 41 patients with hydronephrotic kidneys and 26 healthy volunteers. MR imaging was performed using a 1.5 T whole-body superconducting MR scanner. The signal intensities of the renal parenchyma on DWI and apparent diffusion coefficient (ADC) maps were noted. DWI was performed with the following diffusion gradient b values: 100, 600, and 1000 s/mm2. A large circular region of interest was placed in the corticomedullary junction of the kidneys. For statistical analysis, the independent-samples t test was used. Results. The mean renal ADC values for b100, b600, and b1000 in hydronephrosis patients with benign and malignant etiology and the healthy volunteers of the control group were analysed. ADC measurements of renal parenchyma in all hydronephrotic kidneys with benign and malignant etiology were found to be statistically low compared to those of normal kidneys P<0.05. Conclusions. There were significant differences in the ADC values of obstructed kidneys compared to those of normal kidneys. Obstructed kidneys with malignant etiology had lower ADC values for b1000 compared to obstructed kidneys with benign etiology, but these alterations were statistically insignificant.http://dx.doi.org/10.1155/2014/980280
spellingShingle Tugce Ozlem Kalayci
Melda Apaydin
Fitnet Sönmezgöz
Sinan Çalık
Melike Bedel Koruyucu
Diffusion-Weighted Magnetic Resonance Imaging Findings of Kidneys with Obstructive Uropathy: Differentiation between Benign and Malignant Etiology
The Scientific World Journal
title Diffusion-Weighted Magnetic Resonance Imaging Findings of Kidneys with Obstructive Uropathy: Differentiation between Benign and Malignant Etiology
title_full Diffusion-Weighted Magnetic Resonance Imaging Findings of Kidneys with Obstructive Uropathy: Differentiation between Benign and Malignant Etiology
title_fullStr Diffusion-Weighted Magnetic Resonance Imaging Findings of Kidneys with Obstructive Uropathy: Differentiation between Benign and Malignant Etiology
title_full_unstemmed Diffusion-Weighted Magnetic Resonance Imaging Findings of Kidneys with Obstructive Uropathy: Differentiation between Benign and Malignant Etiology
title_short Diffusion-Weighted Magnetic Resonance Imaging Findings of Kidneys with Obstructive Uropathy: Differentiation between Benign and Malignant Etiology
title_sort diffusion weighted magnetic resonance imaging findings of kidneys with obstructive uropathy differentiation between benign and malignant etiology
url http://dx.doi.org/10.1155/2014/980280
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