Intraobserver and interobserver variability in the calculation of apparent diffusion coefficient (ADC) from diffusion-weighted magnetic resonance imaging (DW-MRI) of breast tumours

PURPOSE: This study evaluated intraobserver and interobserver variability in the measurement of apparent diffusion coefficient (ADC) values in breast carcinomas.

MATERIALS AND METHODS: Twenty-eight patients with solid breast lesions >10 mm underwent conventional contrast-enhanced magnetic resonance imaging (MRI) and diffusion-weighted MRI (DW-MRI). Two observers (expert and trainee) segmented the lesion from the surrounding breast tissue on DW images with high b-value (1,000 s/mm(2)). This analysis was repeated by the expert reader after 6 months. Volumes were analysed to obtain mean, median and standard deviation (SD) of the ADC values. Interobserver and intraobserver variation was analysed using the Bland-Altman graph.

RESULTS: All lesions were breast carcinomas, with a mean ADC value of 1.07 × 10(-3) mm(2)/s. The mean of the differences was 0.012 × 10(-3) mm(2)/s, corresponding to an intraobserver variability of 1.1% (limits of agreement: -5%/+8%). The mean interobserver difference was 0.022 × 10(-3) mm(2)/s, corresponding to an interobserver variability of 2% (limits of agreement: -9%/+14%).

CONCLUSIONS: We found a low intraobserver and interobserver variability in calculating ADC in breast carcinomas, which supports its potential use in routine clinical practice.

Medienart:

E-Artikel

Erscheinungsjahr:

2011

Erschienen:

2011

Enthalten in:

Zur Gesamtaufnahme - volume:116

Enthalten in:

La Radiologia medica - 116(2011), 3 vom: 07. Apr., Seite 466-76

Sprache:

Englisch

Beteiligte Personen:

Petralia, G [VerfasserIn]
Bonello, L [VerfasserIn]
Summers, P [VerfasserIn]
Preda, L [VerfasserIn]
Malasevschi, A [VerfasserIn]
Raimondi, S [VerfasserIn]
Di Filippi, R [VerfasserIn]
Locatelli, M [VerfasserIn]
Curigliano, G [VerfasserIn]
Renne, G [VerfasserIn]
Bellomi, M [VerfasserIn]

Links:

Volltext

Themen:

Contrast Media
Journal Article

Anmerkungen:

Date Completed 26.07.2011

Date Revised 20.10.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s11547-011-0616-z

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM204969050