Application of the apparent diffusion coefficient in magnetic resonance imaging in an assessment of the early response to treatment in Hodgkin's and non-Hodgkin's lymphoma : pilot study

2018
journal article
article
cris.lastimport.scopus2024-04-07T17:35:09Z
cris.lastimport.wos2024-04-09T23:39:32Z
dc.abstract.enPurpose: Lymphoproliferative neoplasms are the largest and most frequently diagnosed entities in the group of haematological malignancies. The aim of the study was to assess whether apparent diffusion coefficient (ADC) measured on the first day of the second cycle of chemotherapy could be a predictor of prognosis and of the final treatment's outcome. Material and methods: The study included 27 patients with diagnosed Hodgkin's and non-Hodgkin's lymphoma, who had magnetic resonance (MR) performed with diffusion weighted imaging/apparent diffusion coefficient (DWI/ADC) before and on the first day of the second cycle of chemotherapy. Imaging was performed using a 1.5 T MR scanner. ADC was measured in lymphoma infiltration in the area of the lowest signal in the ADC map and the highest signal on b 800 images in post-treatment study. After that, the corresponding area was determined in a pre-treatment study and an ADC value was measured. Results: The difference between ADC values in pre-treatment (ADC = 720 mm2/s) and post-treatment (ADC = 1059 mm2/s) studies was statistically significant (p < 0.001). Cutoff values for estimating response to treatment were established at the level of ADC 1080 mm2/s, and ADC to muscle ratio at 0.82 in post-treatment study. Patients with ADC > 752 mm2/s before treatment manifested lower probability of progression than patients with ADC < 752 mm2/s. Conclusions: ADC measurement's before treatment and on the first day of the second cycle of chemotherapy can be used as a prognostic marker in lymphoma therapy. ADC values lower than 1080 mm2/s and an increase of the ratio after the treatment can be considered as a marker of disease progression.pl
dc.contributor.authorPatyk, Mateuszpl
dc.contributor.authorKwiatkowski, Jacekpl
dc.contributor.authorPawluś, Aleksanderpl
dc.contributor.authorHołownia, Danielpl
dc.contributor.authorSzymańska, Kingapl
dc.contributor.authorMazur, Rafałpl
dc.contributor.authorSilicki, Jurandpl
dc.contributor.authorBadowski, Romanpl
dc.contributor.authorSokołowska-Dąbek, Dąbrówkapl
dc.contributor.authorKuliszkiewicz-Janus, Małgorzatapl
dc.contributor.authorZaleska-Dorobisz, Urszulapl
dc.date.accessioned2018-05-29T07:04:56Z
dc.date.available2018-05-29T07:04:56Z
dc.date.issued2018pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.additionalBibliogr. s. e214pl
dc.description.physicale210-e214pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume83pl
dc.identifier.doi10.5114/pjr.2018.76007pl
dc.identifier.eissn1899-0967pl
dc.identifier.issn1733-134Xpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/54619
dc.languageengpl
dc.language.containerengpl
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska*
dc.rights.licenceCC-BY-NC-ND
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/pl/legalcode*
dc.share.typeotwarte czasopismo
dc.subject.enlymphomapl
dc.subject.enHodgkin's lymphomapl
dc.subject.enmagnetic resonance imagingpl
dc.subject.endiffusion MRIpl
dc.subtypeArticlepl
dc.titleApplication of the apparent diffusion coefficient in magnetic resonance imaging in an assessment of the early response to treatment in Hodgkin's and non-Hodgkin's lymphoma : pilot studypl
dc.title.journalPolish Journal of Radiologypl
dc.typeJournalArticlepl
dspace.entity.typePublication
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