Multiparametric magnetic resonance imaging in differentiating benign and malignant sinonasal masses: A prospective study and literature review

Table 5 Comparison of diffusion-weighted imaging, intravoxel incoherent motion imaging, and diffusion kurtosis imaging in differentiating benign and malignant sinonasal masses between previous studies and the current study

Ref.	Number of lesions	Magnet strength and b-values	Cutoff value if given	Efficacy
Srinivasan et al[16]	33 sinonasal masses (B-17 and M-16)	3 T, b-values (0 and 800)	ADC-1.3 × 10-3 mm2/second	NA
Razek et al[23]	50 sinonasal masses (B-12 and M-38)	1.5 T, b-values (0, 500 and 1000)	ADC-1.53 × 10-3 mm2/second	Sn: 94.1%; Sp: 92%
Wang et al[17]	197 sinonasal masses (B-81 and M-116)	3 T, b-values (0, 700 and 1000)	ADCws (b value 0 and 1000)-1.37 × 10-3 mm2/second	Sn: 85.3%; Sp: 81.2%
El-Gerby et al[18]	24 sinonasal masses (B-17 and M-7)	1.5 T, b-values (500 and 1000)	ADC-1.2 × 10-3 mm2/second	Sn: 100%; Sp: 86.4%
Das et al[22]	28 sinonasal masses (B-10 and M- 18)	3 T, b-values (0, 500 and 1000)	ADC-1.79 × 10-3 mm2/second	Sn: 80%; Sp: 83.3%
Wang et al[19]	98 sinonasal masses (B-40 and M- 58)	3 T, b-values (0 and 1000)	ADC-0.852 × 10-3 mm2/second	Sn: 77.3%; Sp: 94.7%
Daga et al[20]	40 sinonasal masses (B-17 and M-23)	3 T, b-values (50 and 1000)	ADC-1.005 × 10-3 mm2/second	Accuracy: 92.5%
Xiao et al[30]	131 sinonasal masses (B-56 and M-75)	3 T, b-values (0 and 1000)	ADC-0.919 × 10-3mm2/second	Sn: 80%; Sp: 54.7%
		11 b-values for IVIM	Dt-0.715 × 10-3 mm2/second	Sn: 84.1%; Sp: 81.6%
			f (%) 16.99	Sn: 72.3%; Sp: 47.2%
Jiang et al[31]	73 sinonasal masses (B-42 and M-31)	3 T, 13 b-values	Dt-0.84 × 10-3 mm2/second	Sn: 74.16%; Sp: 73.81%
			f (%) 27.1	Sn: 61.27%; Sp: 90.50%
Jiang et al[26]	81 sinonasal masses (B-35 and M-46)	3 T, b-values (0 and 1000)	ADC-1.27 × 10-3 mm2/second	Sn: 69.6%; Sp: 77.1%
		13 b-values for DKI	Dapp-1.75 × 10-3 mm2/second	Sn: 82.6%; Sp: 77.1%
			Kapp: 0.63	Sn: 95.7%; Sp: 77.1%
Wang et al[21]	72 sinonasal masses (B-38 and M-34)	3 T, b-values (0, 1000)	ADC-1.01 × 10-3 mm2/second
Our study (2023)	30 sinonasal masses (B-12 and M-18)	3 T, b-values (0, 500 and 1000)	ADC-1.57 × 10-3 mm2/second	Sn: 88.89%; Sp: 83.33%
		9 b-values for IVIM/DKI	Dt-0.97 × 10-3 mm2/second	Sn: 77.78%; Sp: 50.0%
			Dapp-1.35 × 10-3 mm2/second	Sn: 66.67%; Sp: 66.67%
			Kapp: 0.63	Sn: 88.89%; Sp: 66.67%

ADC: Apparent diffusion coefficient; B: Benign; Dapp: Apparent diffusion coefficient derived from diffusion kurtosis imaging; DKI: Diffusion kurtosis imaging; Dt: True diffusion coefficient; IVIM: Intravoxel incoherent motion imaging; Kapp: Apparent kurtosis coefficient; M: Malignant; Sn: Sensitivity; Sp: Specificity.