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Equivalent cross-relaxation rate imaging positively correlates with pathological grade and cell density of adipocytic tumors.
[dedifferentiated liposarcoma]
Equivalent
cross-relaxation
rate
imaging
(
ECRI
)
is
an
MRI
technique
used
to
evaluate
qualitative
changes
in
protein-water
interactions
.
We
aimed
to
prospectively
evaluate
the
utility
of
ECRI
for
classification
of
adipocytic
tumors
.
I
nstitutional
Review
Board
approval
was
obtained
and
all
patients
provided
informed
consent
.
Study
participants
included
40
patients
with
adipocytic
tumors
who
were
diagnosed
with
lipomas
(
n
=
22
)
,
atypical
lipomatous
tissue
/
well-differentiated
liposarcoma
(
ALT
/
WDL
;
n
=
9
)
,
myxoid
/
round
cell
liposarcoma
(
MyL
;
n
=
6
)
,
and
dedifferentiated
liposarcoma
(
DDL
;
n
=
3
)
,
and
20
control
patients
for
whom
subcutaneous
fat
in
the
buttock
or
thigh
was
analyzed
.
Mean
ECR
values
of
lipomas
,
ALT
/
WDL
,
and
subcutaneous
fat
were
low
,
and
those
of
MyL
and
DDL
were
high
.
Mean
ECR
values
of
MyL
and
DDL
were
significantly
higher
than
those
of
ALT
/
WDL
.
The
cut-off
value
was
5
.
1
%
.
There
was
a
positive
correlation
between
ECR
value
,
pathological
grade
,
and
cell
density
in
adipocytic
tumors
.
T
he
ECR
value
positively
correlates
with
pathological
grade
and
cell
density
of
adipocytic
tumors
.
Our
findings
suggest
that
ECRI
is
a
useful
method
for
preoperative
evaluation
of
adipocytic
tumors
.
Diseases
Validation
Diseases presenting
"lipomas"
symptom
cowden syndrome
dedifferentiated liposarcoma
focal myositis
liposarcoma
pleomorphic liposarcoma
proteus syndrome
well-differentiated liposarcoma
This symptom has already been validated