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MRI morphological features combined with apparent diffusion coefficient can predict brain invasion in meningioma

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机构: [1]Department of Radiology, The Fifth Affiliated Hospital of Zunyi Medical University, Zhuhai, China. [2]Department of Radiology, Affiliated Hospital of Qinghai University, Xining, China. [3]Department of Radiology, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China. [4]Department of Nursing, Zhuhai Campus of Zunyi Medical University, Zhuhai, China. [5]Shanghai United Imaging Research Institute of Intelligent Imaging, Shanghai, China. [6]Department of Radiology, The Second Hospital of Lanzhou University, Lanzhou, China.
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关键词: Apparent diffusion coefficient Meningioma Brain invasion Magnetic resonance images

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Accurately predicting meningioma brain invasion preoperatively helps to select the appropriate surgical approach and predict prognosis, but there are few imaging features that are sufficient for discriminating it alone. We investigate the joint MR imaging features and apparent diffusion coefficient (ADC) to predict the risk of brain invasion of meningiomas preoperatively.In this retrospective study, 143 patients (invasion group:51, non-invasion group: 92) diagnosed with meningioma by histopathology were included. The maximum (ADCmax), minimum (ADCmin) and mean (ADCmean) values of ADC and the mean ADC values of a comparative ROI in the normal appearing white matter (ADCNAWM) were calculated. Differences between clinical features, MRI morphological features, and all ADC values were assessed by Pearson's chi-square test and Kruskal-Wallis rank-sum test. Stepwise logistic regression analysis was used to select the optimal features and construct a prediction model. Furthermore, A nomogram was used to predict the risk of brain invasion, and a decision curve was used to verify the clinical utility of the nomogram.According to stepwise logistic regression analysis, we found that sex, maximum diameter, peritumoral edema and ADCmin were closely related to brain invasion in meningioma. The model of the above four variables has the optimal discriminative ability to predict brain invasion, with an AUC of 0.924 (95 % CI, 0.879-0.969) and a sensitivity of 92.2 % (95 % CI, 74.5%-98.0 %).Combining clinical features, MRI morphological characteristics and ADCmin, the model exhibits excellent discriminatory ability and high sensitivity, which can be used for predicting the risk of brain invasion of meningiomas.Copyright © 2025 Elsevier Ltd. All rights reserved.

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大类 | 2 区 医学
小类 | 1 区 生物学 1 区 数学与计算生物学 2 区 计算机:跨学科应用 2 区 工程:生物医学
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第一作者机构: [1]Department of Radiology, The Fifth Affiliated Hospital of Zunyi Medical University, Zhuhai, China.
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