Assessment of Isocitrate Dehydrogenase 1 Genotype and Cell Proliferation in Gliomas Using Multiple Diffusion Magnetic Resonance Imaging

被引:6
作者
Xie, Yan [1 ]
Li, Shihui [1 ]
Shen, Nanxi [1 ]
Gan, Tongjia [1 ]
Zhang, Shun [1 ]
Liu, Weiyin Vivian [2 ]
Zhu, Wenzhen [1 ]
机构
[1] Huazhong Univ Sci & Technol, Tongji Hosp, Dept Radiol, Tongji Med Coll, Wuhan, Peoples R China
[2] Magnet Resonance Res, Gen Elect Hlthcare, Beijing, Peoples R China
基金
中国国家自然科学基金;
关键词
diffusion magnetic resonance imaging; glioma; isocitrate dehydrogenase; cell proliferation; multi-parameter magnetic resonance image; NEURITE ORIENTATION DISPERSION; INTRAVOXEL INCOHERENT MOTION; HIGH-GRADE GLIOMA; KURTOSIS; IDH; MUTATIONS; HETEROGENEITY; SURVIVAL;
D O I
10.3389/fnins.2021.783361
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Objectives: To compare the efficacy of parameters from multiple diffusion magnetic resonance imaging (dMRI) for prediction of isocitrate dehydrogenase 1 (IDH1) genotype and assessment of cell proliferation in gliomas.Methods: Ninety-one patients with glioma underwent diffusion weighted imaging (DWI), multi-b-value DWI, and diffusion kurtosis imaging (DKI)/neurite orientation dispersion and density imaging (NODDI) on 3.0T MRI. Each parameter was compared between IDH1-mutant and IDH1 wild-type groups by Mann-Whitney U test in lower-grade gliomas (LrGGs) and glioblastomas (GBMs), respectively. Further, performance of each parameter was compared for glioma grading under the same IDH1 genotype. Spearman correlation coefficient between Ki-67 labeling index (LI) and each parameter was calculated.Results: The diagnostic performance was better achieved with apparent diffusion coefficient (ADC), slow ADC (D), fast ADC (D*), perfusion fraction (f), distributed diffusion coefficient (DDC), heterogeneity index (alpha), mean diffusivity (MD), mean kurtosis (MK), and intracellular volume fraction (ICVF) for distinguishing IDH1 genotypes in LrGGs, with statistically insignificant AUC values from 0.750 to 0.817. In GBMs, no difference between the two groups was found. For IDH1-mutant group, all parameters, except for fractional anisotropy (FA) and D*, significantly discriminated LrGGs from GBMs (P < 0.05). However, for IDH1 wild-type group, only ADC statistically discriminated the two (P = 0.048). In addition, MK has maximal correlation coefficient (r = 0.567, P < 0.001) with Ki-67 LI.Conclusion: dMRI-derived parameters are promising biomarkers for predicting IDH1 genotype in LrGGs, and MK has shown great potential in assessing glioma cell proliferation.
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页数:10
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