To investigate the utility of computed 3T diffusion-weighted imaging (c-DWI) for the diagnosis of non-complicated hepatic cysts with a focus on the T2 shine-through effect.
Materials and methods
In 50 patients with non-complicated hepatic cysts we acquired one set of DWIs (b-value 0 and 1000 s/mm2) at 1.5T, and two sets at 3T (b-value 0 and 1000 s/mm2, TE 70 ms; b-value 0 and 600 s/mm2, TE 60 ms). We defined the original DWIs acquired with b = 1000 s/mm2 at 1.5T and 3T as “o-1.5T-1000” and “o-3T-1000”. c-DWIs were calculated with 3T DWI at b-values of 0 and 600 s/mm2. c-DWI with b = 1000 and 1500 s/mm2 were defined as “c-1000” and “c-1500”. Radiologists evaluated the signal intensity (SI) of the cysts using a 3-point score where 1 = not visible, 2 = discernible, and 3 = clearly visible. They calculated the contrast ratio (CR) between the cysts and the surrounding liver parenchyma on each DWIs and recorded the apparent diffusion coefficient (ADC) with a b-value = 0 and 1000 s/mm2 on 1.5T- and 3T DWIs.
Compared with o-1.5T-1000 DWI, the visual scores of all but the c-1500 DWIs were higher (p = 0.07 for c-1500- and p < 0.01 for the other DWIs). The CR at b = 1000 s/mm2 was higher on o-3T-1000- than on o-1.5T-1000- (p < 0.01) but not higher than on c-1500 DWIs (p = 0.96). The CR at b = 0 s/mm2 on 3T images with TE 70 ms was higher than on 1.5T images (p < 0.01). The ADC value was higher for 3T- than 1.5T images (p < 0.01).
Diffusion-weighted imaging; Field strength; Computed diffusion-weighted imaging; Non-complicated hepatic cysts; T2 shine-through effect
Citation: Yuko Nakamura, Toru Higaki, Yuji Akiyama, Wataru Fukumoto, Kenji Kajiwara, Yoko Kaichi, Yukiko Honda, Daisuke Komoto, Fuminari Tatsugami, Makoto Iida, Toshifumi Ohmoto, Shuji Date, Kazuo Awai Diffusion-weighted Mr Imaging Of Non-complicated Hepatic Cysts: Value Of 3t Computed Diffusion-weighted Imaging doi:10.1016/j.ejro.2016.07.001
Received: 27 June 2016, Revised: 30 June 2016, Accepted: 2 July 2016, Available online: 18 July 2016
Copyright: © 2016 The Author(s). Published by Elsevier Ltd. This is an open access article under the CCBY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Non-complicated hepatic cysts showed higher SI on o-3T-1000- than o-1.5T-1000 DWIs due to the T2-shine through effect. This high SI was suppressed on c-1500 DWIs.
This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
Conflict of interest