title: Effects of magnetic field strength and b value on the sensitivity and specificity of quantitative breast diffusion-weighted MRI.
abstract: BACKGROUND
  To evaluate the effect of b value or the magnetic field strength (B0) on the sensitivity and specificity of quantitative breast diffusion-weighted imaging (DWI).
  
  
  METHODS
  A total of 126 patients underwent clinical breast MRI that included pre-contrast DWI imaging using b values of both 1,000 and 1,500 s/mm2at either 1.5 T (n=86) or 3.0 T (n=40). Quantitative apparent diffusion coefficients (ADC) were measured and compared for 18 benign, 33 malignant lesions, and 126 normal breast tissues. Optimal ADCmean threshold for differentiating benign and malignant lesions was estimated and the effect of b values and B0 were examined using a generalized estimating equations (GEE) model.
  
  
  RESULTS
  The optimal ADCmean threshold was 1.235×10-3mm2/s for b value of 1,000 and 0.934×10-3mm2/s for b value of 1,500. Using these thresholds, the sensitivities and specificities were 96% and 89% (b value =1,000, B0 =1.5 T), 89% and 98% (b value =1,000, B0 =3.0 T), 88% and 96% (b value =1,500, B0 =1.5 T), and 67% and 100% (b value =1,500, B0 =3.0 T). No significant difference was found between different B0 (P=0.26) or b values (P=0.28).
  
  
  CONCLUSIONS
  Better sensitivity is achieved with DWI of b value =1,000 than with b value =1,500. However, b value and B0 do not significantly impact diagnostic performance of DWI when using appropriate thresholds.
authors.affiliation: Department of Radiology, University of California San Diego, San Diego, CA, USA.
authors.forename: Mohammad
authors.initials: M
authors.lastname: Eghtedari
authors.affiliation: Department of Imaging Physics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
authors.forename: Jingfei
authors.initials: J
authors.lastname: Ma
authors.affiliation: Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
authors.forename: Patricia
authors.initials: P
authors.lastname: Fox
authors.affiliation: Department of Diagnostic Radiology, Medical Park Hospital, Ankara, Turkey.
authors.forename: Inanc
authors.initials: I
authors.lastname: Guvenc
authors.affiliation: Department of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
authors.forename: Wei T
authors.initials: WT
authors.lastname: Yang
authors.affiliation: Department of Diagnostic Radiology, The University of Texas Southwestern Medical Center, Dallas, TX, USA.
authors.forename: Basak E
authors.initials: BE
authors.lastname: Dogan
keywords: Breast MRI; b value; benign and malignant lesions; diffusion-weighted imaging (DWI); magnetic field strength