Differential Diagnosis of Uterine Smooth Muscle Tumors using Diffusion-Weighted Imaging : Correlations with the Apparent Diffusion Coefficient and Cell Density

• 資料種別: 博士論文
• タイトル: Differential Diagnosis of Uterine Smooth Muscle Tumors using Diffusion-Weighted Imaging : Correlations with the Apparent Diffusion Coefficient and Cell Density
• 著者・編者: Tasaki, Akiko
• 出版事項: 新潟大学
• 出版年月日等: 2015-03-23
• 出版年（W3CDTF）: 2015-03-23
• 並列タイトル等: Differential Diagnosis of Uterine Smooth Muscle Tumors using Diffusion-Weighted Imaging : Correlations with the Apparent Diffusion Coefficient and Cell Density; 子宮平滑筋腫瘍におけるDWIの有用性 : ADCと細胞密度との相関について
• 授与機関名: 新潟大学
• 授与年月日: 2015-03-23
• 授与年月日（W3CDTF）: 2015-03-23
• 報告番号: 甲第3973号
• 学位: 博士（医学）
• 博論授与番号: 甲第3973号
• 本文の言語コード: eng
• 件名標目: Leiomyoma; Leiomyosarcoma; DWI/ADC; Correlation; Cell density
• 一般注記: Purpose: To investigate the utility of the apparent diffusion coefficient (ADC) in differentiating benign and malignant uterine smooth muscle tumors classified by signal intensity (SI) on T2-weighted imaging (T2WI), and diffusion-weighted imaging (DWI); and to determine the correlation between ADC and tumor cell density. Methods: This retrospective study reviewed 168 lesions in 134 cases with pathologically confirmed uterine smooth muscle tumors, including 6 leiomyosarcomas and 3 smooth muscle tumors of uncertain malignant potential (STUMPs), and preoperative magnetic resonance imaging examinations performed between October 2009 and November 2012. T2WI and DWI were also performed for each subject. Tumors were then classified according to SI on T2WI and DWI relative to myometrial SI. The correlation between ADC and tumor cell density was also determined. Results: In Group 1(high on both T2WI/DWI), mean ADC was significantly lower for leiomyosarcoma (0.91×10^<-3> mm^2/s) than for leiomyoma (1.30×10^<-3> mm^2/s; p<0.05), and mean cell density significantly higher for leiomyosarcoma (42.9%) than for leiomyoma (22.4%; p<0.05). A strong negative correlation was seen between ADC and tumor cell density in Group 1 (Spearman, R=−0.72; p<0.05). Conclusion: ADC may help to differentiate benign from malignant uterine smooth muscle tumors, particularly tumors with high SI on T2WI and DWI.; 学位の種類: 博士（医学）. 報告番号: 甲第3973号. 学位記番号: 新大院博（医）甲第619号. 学位授与年月日: 平成27年3月23日; Abdominal Imaging. Article first published online: 21 December 2014.; 新大院博（医）甲第619号; 元資料の権利情報 : The final publication is available at Springer via http://dx.doi.org/10.1007/s00261-014-0324-5; 開始ページ : 1; 終了ページ : 34
• DOI: info:doi/10.1007/s00261-014-0324-5; https://doi.org/info:doi/10.1007/s00261-014-0324-5
• 国立国会図書館永続的識別子: info:ndljp/pid/9577633; https://dl.ndl.go.jp/pid/9577633
• コレクション（共通）: 障害者向け資料
• コレクション（障害者向け資料：レベル1）: テキストデータ
• コレクション（個別）: 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文; https://dl.ndl.go.jp/collections/A00014
• 収集根拠: 博士論文（自動収集）
• 受理日（W3CDTF）: 2016-01-05T14:58:43+09:00
• 作成日（W3CDTF）: 2019-08-05
• 記録形式（IMT）: application/pdf
• オンライン閲覧公開範囲: 国立国会図書館内限定公開
• デジタル化資料送信: 図書館・個人送信対象外
• 遠隔複写可否（NDL）: 可
• 掲載誌（URI）: http://hdl.handle.net/10191/32257
• 連携機関・データベース: 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp