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Apparent diffusion coefficient of vertebral haemangiomas allows differentiation from malignant focal deposits in whole-body diffusion-weighted MRI

Overview of attention for article published in European Radiology, November 2017
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Title
Apparent diffusion coefficient of vertebral haemangiomas allows differentiation from malignant focal deposits in whole-body diffusion-weighted MRI
Published in
European Radiology, November 2017
DOI 10.1007/s00330-017-5079-2
Pubmed ID
Authors

Jessica M. Winfield, Gabriele Poillucci, Matthew D. Blackledge, David J. Collins, Vallari Shah, Nina Tunariu, Martin F. Kaiser, Christina Messiou

Abstract

The aim of this study was to identify apparent diffusion coefficient (ADC) values for typical haemangiomas in the spine and to compare them with active malignant focal deposits. This was a retrospective single-institution study. Whole-body magnetic resonance imaging (MRI) scans of 106 successive patients with active multiple myeloma, metastatic prostate or breast cancer were analysed. ADC values of typical vertebral haemangiomas and malignant focal deposits were recorded. The ADC of haemangiomas (72 ROIs, median ADC 1,085×10(-6)mm(2)s(-1), interquartile range 927-1,295×10(-6)mm(2)s(-1)) was significantly higher than the ADC of malignant focal deposits (97 ROIs, median ADC 682×10(-6)mm(2)s(-1), interquartile range 583-781×10(-6)mm(2)s(-1)) with a p-value < 10(-6). Receiver operating characteristic (ROC) analysis produced an area under the curve of 0.93. An ADC threshold of 872×10(-6)mm(2)s(-1) separated haemangiomas from malignant focal deposits with a sensitivity of 84.7 % and specificity of 91.8 %. ADC values of classical vertebral haemangiomas are significantly higher than malignant focal deposits. The high ADC of vertebral haemangiomas allows them to be distinguished visually and quantitatively from active sites of disease, which show restricted diffusion. • Whole-body diffusion-weighted MRI is becoming widely used in myeloma and bone metastases. • ADC values of vertebral haemangiomas are significantly higher than malignant focal deposits. • High ADCs of haemangiomas allows them to be distinguished from active disease.

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Geographical breakdown

Country Count As %
Unknown 47 100%

Demographic breakdown

Readers by professional status Count As %
Other 8 17%
Student > Postgraduate 7 15%
Researcher 5 11%
Student > Doctoral Student 3 6%
Student > Master 3 6%
Other 8 17%
Unknown 13 28%
Readers by discipline Count As %
Medicine and Dentistry 22 47%
Engineering 2 4%
Neuroscience 2 4%
Physics and Astronomy 2 4%
Nursing and Health Professions 1 2%
Other 4 9%
Unknown 14 30%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 07 December 2017.
All research outputs
#17,920,654
of 23,008,860 outputs
Outputs from European Radiology
#2,839
of 4,169 outputs
Outputs of similar age
#233,197
of 326,002 outputs
Outputs of similar age from European Radiology
#42
of 66 outputs
Altmetric has tracked 23,008,860 research outputs across all sources so far. This one is in the 19th percentile – i.e., 19% of other outputs scored the same or lower than it.
So far Altmetric has tracked 4,169 research outputs from this source. They receive a mean Attention Score of 4.6. This one is in the 28th percentile – i.e., 28% of its peers scored the same or lower than it.
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We're also able to compare this research output to 66 others from the same source and published within six weeks on either side of this one. This one is in the 28th percentile – i.e., 28% of its contemporaries scored the same or lower than it.