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Does diffusion-weighted imaging add diagnostic confidence in discriminating between benign and malignant solid focal
Rossano Girometti1, Matteo Del Pin2, Serena Pullini1
1Institute of Diagnostic Radiology, University of Udine, Azienda Ospedaliero-Universitaria, "S.Maria della Misericordia", via Colugna n. 50 - 33100 Udine, Italy.
Abstract:
We investigated whether diffusion-weighted Imaging (DWI) adds diagnostic confidence in assessing focal liver lesions (FLLs). By reviewing FLLs without and with DWI at 1.5 T, two radiologists scored the confidence in diagnosing benignancy/malignancy (confidence score), and DWI usefulness (usefulness score). We showed that adding DWI significantly decreased the confidence score of the most experienced radiologist and increased his confidence in false-negative diagnoses showing atypical features on conventional magnetic resonance imaging.
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