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. 2007 Jan;29(1):70-3.

[Clinical significance of diffusion-weighted MRI with STIR-EPI in differential diagnosis of cervical lymph nodes]

[Article in Chinese]
Yun Zhang  1 , Bi-ling Liang, Li Gao, Jing-lian Zhong, Rui-xin Ye, Jun Shen
Affiliations
  • PMID: 17575700

[Clinical significance of diffusion-weighted MRI with STIR-EPI in differential diagnosis of cervical lymph nodes]

[Article in Chinese]
Yun Zhang et al. Zhonghua Zhong Liu Za Zhi. 2007 Jan.

Abstract

Objective: To evaluate the feasibility and efficacy of a new MRI imaging method--diffusion weighted imaging (DWI) with short TI version recovery-echo planar imaging (STIR-EPI) sequence in differentiating benign cervical lymph nodes from malignant ones. METHODS Twenty nasopharyngeal carcinoma patients and fourteen volunteers received both conventional MRI and DWI with STIR-EPI. Ability of detecting lymph nodes between conventional MRI and STIR-EPI-DWI was compared, and the difference of apparent diffusion coefficient (ADC) value between metastatic lymph node and normal lymph node was analyzed.

Results: DWI was more sensitive in detecting lymph node than conventional MRI. ADC value of metastatic lymph node (0. 766 +/- 0. 119) x 10 (-3) mm(2)/s was significantly lower than that of normal lymph node (0. 975 +/- 0. 179) x 10 - mm2/s (P < 0. 01).

Conclusion: As a new MRI imaging technique in detecting cervical lymph nodes, diffusion weighted imaging ( DWI) with short TI version recovery-echo planar imaging ( STIR-EPI) sequence is more reliable and sensitive than conventional MRI imaging, providing an alternative way to differentiate benign lymph nodes from malignant ones.

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