Diffusion-Weighted Imaging of the Parotid Gland: Can the Apparent Diffusion Coefficient Discriminate Between Normal and Abnormal Parotid Gland Tissues?
1Department of Diagnostic and Interventional Radiology, National Cancer Institute, Cairo University, Egypt
2Department of Diagnostic and Interventional Radiology, Al Kasr Al Ainy medical school, Cairo University, Egypt
J Clin Pract Res 2017; 39(3): 125-130 DOI: 10.5152/etd.2017.17033
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Abstract

Objective[|]This study attempted to investigate the importance of diffusion weighted (DW)-echo planar imaging (EPI) in the characterization of normal parotid glands to facilitate the early detection of abnormal changes.[¤]Materials and Methods[|]This study was conducted between July 2014 and January 2016. Seventy-three patients were assessed by conventional and diffusion weighted Magnetic Resonance Imaging (MRI). Diffusion weighted MRI was performed by a singleshot spin echo (SE) echo planar imaging (EPI) sequence using b-values of 0, 500, and 1000. The Apparent Diffusion Coefficient (ADC) was automatically generated on the operating console.[¤]Results[|]The mean apparent diffusion coefficients (ADCs) ±SD of the superficial lobes were 0.89×10-3±0.2×10-3 and 0.9×10-3±0.17×10-3 mm2/s in the right and left sides, respectively. The mean ADCs of the deep lobes were 1.02×10-3±0.27×10-3 and 0.97×10-3±0.27×10-3 mm2/s in the right and left sides, respectively. The mean ADCs of the deep lobes were 1.02×10-3±0.27×10-3 and 0.97×10-3±0.27×10-3 mm2/s in the right and left sides, respectively. The mean±SD ADC of a normal parotid gland was 1.12×10-3±0.12×10-3 mm2/s. The mean±SD ADCs of benign and malignant tumors were 1.16×10-3±0.31×10-3 mm2/s and 0.82×10-3 mm2/s, respectively.[¤]Conclusion[|]The evaluation of the morphological characteristics of the parotid glands along with the Diffusion-weighted imaging (DWI) signal and ADC measurement may be valuable for detecting early pathological changes.[¤]