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ZENODO
Article . 2025
License: CC BY
Data sources: ZENODO
ZENODO
Article . 2025
License: CC BY
Data sources: Datacite
ZENODO
Article . 2025
License: CC BY
Data sources: Datacite
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Beyond Biopsy: A Synergistic Approach To Brain Tumor Characterization Using Diffusion-Weighted Mri And Proton Mr Spectroscopy

Authors: Dr. Bhumika Luniwal;

Beyond Biopsy: A Synergistic Approach To Brain Tumor Characterization Using Diffusion-Weighted Mri And Proton Mr Spectroscopy

Abstract

Background: Non-invasive differentiation of benign and malignant brain tumors remains a significant clinical challenge. Conventional MRI, while sensitive, often lacks histopathological specificity. This study evaluates the synergistic diagnostic performance of advanced MRI techniques - Diffusion-Weighted Imaging (DWI) and Magnetic Resonance Spectroscopy (MRS) - in characterizing brain tumors, using histopathology as the gold standard. Material and Method: This prospective observational study included 50 patients with suspected brain lesions. All patients underwent 3T MRI, including multi-sequence conventional imaging, axial DWI (b-values 0 and 1000 s/mm2) for Apparent Diffusion Coefficient (ADC) mapping, and multi-voxel MRS (TE 35/144 ms). Key metabolite ratios (Cho/Cr, Cho/NAA, NAA/Cr) and ADC values were calculated from tumoral and peritumoral regions. These imaging findings were directly correlated with post-surgical histopathological diagnoses. Result: Histopathology identified 35 malignant (70%) and 15 benign (30%) lesions. Malignant tumors demonstrated significantly lower mean ADC values and higher Choline (Cho) to Creatine (Cr) ratios. Receiver Operating Characteristic (ROC) analysis identified the Cho/Cr ratio as the most robust biomarker, yielding an Area Under the Curve (AUC) of 0.932 with a sensitivity of 94.3% and specificity of 86.7% at a cut-off of 1.72. The tumoral ADC value was also a strong differentiator (AUC 0.898), with a cut-off of 0.85 providing 94% sensitivity and 75% specificity. The combined use of DWI and MRS demonstrated a diagnostic accuracy of 86.0%, a sensitivity of 91.4%, and a specificity of 73.3%. Conclusion: The integration of DWI and MRS provides a reliable and accurate non-invasive method for differentiating malignant and benign brain tumors. The Cho/Cr ratio, in particular, serves as a powerful and specific biomarker for malignancy. This synergistic approach enhances diagnostic confidence, aids in pre-surgical planning, and can help guide targeted biopsies.

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
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Green