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To investigate the utility of time-dependent DWI for differentiating between glioblastoma and brain metastasis, 65 patients with glioblastoma and 27 patients with brain metastasis were examined. ADC was not significantly different between the two tumor types neither at a short (7.1ms) nor at a long (44.5ms) diffusion time, whereas the ADC difference (ΔADCmean, ΔADC5, ΔADC95) and ADC change ratio (rADCmean, rADC5, rADC95) were significantly higher in brain metastasis than in glioblastoma. The ΔADCmean showed the best diagnostic performance. The ΔADCmean and rADCmean showed a significant negative correlation with ADC44.5msmean, but not with extracellular extravascular space volume fraction derived from DCE-MRI.
Kamimura et al. (Wed,) studied this question.
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