A literature review of the association between diffusion-weighted MRI derived apparent diffusion coefficient and tumour aggressiveness in pelvic cancer

作者：Bollineni V R; Kramer G; Liu Y; Melidis C; deSouzac N M^*

来源：Cancer Treatment Reviews, 2015, 41(6): 496-502.

DOI：10.1016/j.ctrv.2015.03.010

• Diffusion-weighted MRI
• Apparent diffusion coefficient
• Prostate cancer
• Bladder cancer
• Rectal cancer
• Ovarian cancer
• Cervical cancer
• Endometrial cancer and tumour aggressiveness

Diffusion-weighted magnetic resonance imaging (DW-MRI) is used extensively to improve tumour detection and localization because it offers excellent soft tissue contrast between malignant and non-malignant tissues. It also provides a quantitative biomarker; the apparent diffusion coefficient (ADC) can be derived from DW-MRI sequences using multiple diffusion weightings. ADC reflects the tumour microenvironment, e.g. cell membrane integrity and cellularity and has potential for reporting on tumour aggressiveness. This review focuses on the use of the DW-MRI derived imaging biomarker ADC to reflect tumour aggressiveness and its potential impact in managing pelvic cancer patients. The clinical studies which evaluate the role of ADC in pelvic turnouts (prostate, bladder, rectal, ovary, cervix and uterus) are summarized and the evidence linking ADC values with tumour aggressiveness is evaluated.

• 出版日期2015-6