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Noninvasive Differentiation of Indolent from Aggressive Renal Neoplasms with MR Fingerprinting Combined with Diffusion/Perfusion MRI - PubMed

a day ago
  • #Noninvasive Imaging
  • #Renal Neoplasms
  • #MRI
  • Noninvasive differentiation of indolent from aggressive renal neoplasms using MR fingerprinting (MRF) combined with diffusion/perfusion MRI.
  • Study evaluates kidney MRF with diffusion-weighted imaging and arterial spin labeling (ASL) MRI for tumor characterization.
  • Participants with suspected renal cell carcinoma (RCC) were recruited, with histopathologic grading as the reference standard.
  • Tumors classified as indolent (low-grade/benign) or aggressive (high-grade/unclassified RCCs).
  • MRF-derived T2 showed significant difference between indolent (86 msec ± 22) and aggressive (61 msec ± 14) tumors (P = .005).
  • No significant differences observed in T1, ADC, or RBF between groups (P > .05).
  • T2 alone achieved an AUC of 0.83 for differentiation, while combined T1 and T2 improved AUC to 0.89.
  • Kidney MRF enables rapid (15 seconds per section), multiparametric quantitative imaging without contrast material.