ADC值与肺癌组织学类型及分化程度的相关性研究

BACKGROUND AND OBJECTIVE: The histologic type and grade of lung cancer are significant in assessing the biological behaviour, prognosis and therapeutic regimen. This study investigates the correlation of apparent diffusion coefficient (ADC) with histologic type and grade of lung cancer. METHODS: A total of 115 patients pathologically diagnosed with lung cancer were enrolled in this study. Magnetic resonance (MR)-DWI with a diffusion factor of 500 s/mm(2) was performed and the ADC values of lesions were measured. The ADC values among the different histologic types and grades were compared with the values obtained using t-test and one-way ANOVA. The correlation between ADC values and the histologic grades was further evaluated with Spearman correlation coefficient. RESULTS: With a b value of 500 s/mm(2), the ADC values significantly differed between small cell lung cancer (SCLC) and non-small cell lung cancer (NSCLC) (P=0.017). The ADC values of SCLC were significantly different from those of squamous cell carcinoma and adenocarcinoma (P=0.011, 0.001, respectively). A significant difference was observed in the ADC values among the different histologic grades of lung cancer (P=0.003), and the ADC value was correlated with the histologic grades (r(s)=-0.272, P=0.003). CONCLUSION: ADC value is significant for judgement of histologic type and grade of lung cancer before surgical operation: SCLC has a low ADC value, and ADC value is low for the tumor with poorly-differentiated grade.