Skip to content
MRI Liver

Colorectal liver metastasis DWI-DKI RAS (Naples)

Diffusion-Weighted MRI and Diffusion Kurtosis Imaging to Detect RAS Mutation in Colorectal Liver Metastasis

Liver MRI with multi-b-value diffusion of 52 patients with resected colorectal liver metastases, used to predict RAS mutation from diffusion, IVIM and kurtosis parameters. Only per-lesion parameter values are open; the images are not shared.

Overview

A retrospective single-centre cohort from the National Cancer Institute of Naples (IRCCS Fondazione G. Pascale). The study tested whether quantitative diffusion MRI of colorectal cancer metastases in the liver can tell lesions with a RAS mutation from wild-type ones before treatment. Diffusion was modelled three ways (mono-exponential ADC, intravoxel incoherent motion and diffusion kurtosis), and the per-lesion statistics were compared by ROC analysis and simple classifiers. The authors posted a spreadsheet of these per-lesion values on Zenodo under CC BY 4.0. The MR images themselves are not available.

Composition

52 patients (27 men, 25 women, mean age 59 years, range 36 to 80) with 106 liver metastases, all confirmed at pathology after hepatic resection between January 2018 and December 2019. 60 metastases carried a RAS mutation; at patient level 28 were mutated and 24 wild-type. The primary tumour was in the colon in 28 patients and in the rectum in 24. 20 patients had one metastasis and 32 had between 2 and 15. Of 66 eligible patients, 14 were excluded for missing or poor-quality MRI or missing contrast phases.

Acquisition

All scans came from one 1.5 T Siemens Magnetom Symphony. The liver protocol had T2-weighted TrueFISP and HASTE sequences, T1-weighted in- and opposed-phase imaging, fat-suppressed VIBE before and after the hepatobiliary agent Gd-EOB-DTPA (including a 20-minute hepatobiliary phase), and echo-planar DWI with eight b-values from 0 to 2000 s/mm2. Parameter maps were computed with a Siemens prototype diffusion toolbox.

Annotations

Two radiologists with at least 15 years of liver MRI experience drew a volume of interest around every lesion on the highest b-value image, blinded to RAS status. RAS status from histology is the label. The Zenodo spreadsheet gives the mean and standard deviation of seven diffusion parameters per lesion with that label.

Known limitations

  • Images and segmentations are not shared; only derived values are open.
  • Single centre and single scanner, small sample, no external validation set.
  • No inter- or intra-reader variability analysis of the segmentations.

Cohort

Aggregate numbers from the sources below. Bars are relative to the 52 subjects.

Sex

  • Female 25 48%
  • Male 27 52%

Table 1 in Granata et al. 2020, Cancers 12(9), 2420

Condition

Groups can overlap

  • Colorectal cancer 52 100%

Table 1 in Granata et al. 2020, Cancers 12(9), 2420

Field strength

  • 1.5 T 52 100%

Section 2.2 in Granata et al. 2020, Cancers 12(9), 2420

Age

mean 59, range 36 to 80

No age bins reported.

Section 2.1 in Granata et al. 2020, Cancers 12(9), 2420

Contrast / sequence

Groups can overlap

  • Diffusion-weighted 52 100%

Section 2.2 in Granata et al. 2020, Cancers 12(9), 2420

Scanner vendor

  • Siemens Healthineers 52 100%

Section 2.2 in Granata et al. 2020, Cancers 12(9), 2420

Country

  • Italy 52 100%

Section 2.1 in Granata et al. 2020, Cancers 12(9), 2420

License and access

Our reading of the license, not legal advice. Before you use the data, read the original license and confirm that your use is allowed. We take no responsibility for how you use a dataset. Full disclaimer

Access
Not shared

The data are not available outside the institution or study that holds them

The Zenodo record holds one spreadsheet of derived values: the mean and standard deviation of ADC, S0, DP, FP, DT, MD and MK inside each segmented lesion, with the RAS status. It is openly downloadable under CC BY 4.0. The paper has no data availability statement and no route to the MR images is published.

Access page

Different parts of the data carry different licenses. The summary on the right shows the most restrictive answer per rule.

For MR images and lesion segmentations.

No published license or data use terms

The data holder has published no license and no data use terms. Any use, sharing or commercial right has to be agreed with the data holder, and nothing can be assumed to be allowed. Default copyright and data protection law still apply.

Neither the Zenodo record nor the paper offers the images or states terms for them.

Original license text Checked 2026-10-08

What you can do

  • Commercial use Not stated
  • Not stated
  • Train ML models Not stated
  • Create derived data Not stated
  • Publish results Not stated

What you can share

  • Share the data Not stated
  • Share derived data Not stated
  • Share trained models Not stated

What you must do

  • Cite or credit Not stated
  • Share alike Not stated
  • Sign an agreement Not stated
  • Ethics approval Not stated
  • Manuscript review Not stated
  • Release code Not stated
  • Return results Not stated
  • Delete after use Not stated

Limits

  • No re-identification Not stated
  • Location limits Not stated
For Spreadsheet of DWI, IVIM and DKI parameter values with RAS status on Zenodo.

Creative Commons Attribution 4.0 International

Use, share and adapt the data for any purpose, including commercial use, as long as you credit the creators.

Original license text Version read: 4.0 Checked 2026-10-07

What you can do

  • Yes
  • Yes
  • Yes
  • Yes
  • Yes

What you can share

  • Yes
  • Yes
  • Yes

What you must do

  • Yes
  • Share alike No
  • No
  • No
  • Manuscript review No
  • Release code No
  • Return results No
  • Delete after use No

Limits

  • No
  • Location limits No

Citation

Granata V, Fusco R, Risi C, Ottaiano A, Avallone A, De Stefano A, Grimm R, Grassi R, Brunese L, Izzo F, Petrillo A. Diffusion-Weighted MRI and Diffusion Kurtosis Imaging to Detect RAS Mutation in Colorectal Liver Metastasis. Cancers 12(9), 2420 (2020). doi:10.3390/cancers12092420

Sources

Every number on this page comes from one of these documents. Each chart names the table or page it is taken from. The raw numbers are in stats.csv.