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Differentiation of Solid Liver Masses by Diffusion Weighted MRI as Benign and Malignant

Kassim AH , Areij Fawzi Mousa Alzubaidi1 , Kassim AH Taj-Aldean2

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Indian Journal of Forensic Medicine and Pathology 12(3 ):p 231-236, . | DOI: DOI: http://dx.doi.org/10.21088/ijfmp.0974.3383.12319.12
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Abstract

Background: Due to wide spread uses in clinical sitting of different image modalities for example as ultrasound (US), CT scan (CT), and magnetic resonance image (MRI), lead to discover of many hidden liver lesions in previously un able to diagnosed. Imaging is a critical decision making tool in the diagnosis of liver lesion, because it will discriminate in high degree between malignant and benign in a lot of cases. Material and Methods: A crosssectional study were enrolled 67 patients with solid liver lesion whose admitted to Al-Hilla teaching Hospital between November 2018 and June 2019 with suspicion of solid live r lesion by ultrasound image or CT scan. Results: Sixtyseven patients (85 lesion) were included in this study. These patients aged between 25–70 years with mean age 52 ± 11 years. Study included 36 men (53.7%) and 31 women (46.3%). Male to female ratio 1.1:1. ADC values of 85 solid liver lesions were included in the study, an average of 1.2 lesion/patient. ADC range were 0.42–2.78 (10–3 mm2 /s) and ADC mean 1.2 ± 0.51(10-3 mm2 /s). The mean ADC and range for benign lesion was 1.7 ± 0.11 (0.72–2.78) and for malignant lesion was 0.61 ± 0.09 (0.42–1.68). Which is statistically significant difference between these value (p = 0.001). Conclusion: We concludes that quantitative assessment of solid liver lesion by DWI had best result in differentiate from benign and malignant lesion. The benign liver lesions had high ADC value than malignant lesion.

Keywords: MRI; Malignant; Ultra sound (US); Solid liver.

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  • Kassim AH
    ,
  • Areij Fawzi Mousa Alzubaidi1
    ,
  • Kassim AH Taj-Aldean2
    ,
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DOI: DOI: http://dx.doi.org/10.21088/ijfmp.0974.3383.12319.12
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