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Erschienen in: Abdominal Radiology 5/2017

21.12.2016

Investigation of volumetric apparent diffusion coefficient histogram analysis for assessing complete response and clinical outcomes following pre-operative chemoradiation treatment for rectal carcinoma

verfasst von: Vijay Chidambaram, James D. Brierley, Bernard Cummings, Rajesh Bhayana, Ravi J. Menezes, Erin D. Kennedy, Richard Kirsch, Kartik S. Jhaveri

Erschienen in: Abdominal Radiology | Ausgabe 5/2017

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Abstract

Purpose

To investigate the relationship of pre-treatment volumetric apparent diffusion coefficient (ADC) histogram parameters with post-operative histopathologic treatment response and clinical outcomes following pre-operative chemoradiation treatment (CRT) in rectal cancer.

Materials and methods

In a Health Insurance Portability and Accountability Act compliant retrospective study, 78 rectal cancer patients treated with pre-operative CRT and rectal MRI were included. MR imaging analysis was performed using OncoTREAT (software tool). Multiple volumetric ADC histogram parameters (voxel distribution across ADC ranges, kurtosis, and skewness) were assessed. Correlation was made to post-operative pathological complete response, clinical, or radiological evidence of disease progression using the Mann–Whitney test.

Results

Post CRT, 8 patients showed pathologic complete response and 13 patients showed distant disease progression. Pre-treatment mean ADC was 1.2 × 10−3 mm2/s (range 0.3–1.99 × 10−3 mm2/s). Mean kurtosis measured was 0.56 (range −1 to 6; SD 1.36). Mean skewness was 0.3 (range −1 to 2; SD 0.69). Skewness had significant correlation (p value = 0.006) with disease progression. The mean rectal tumor volume was 24cc (range 1cc–134cc). Pre-treatment MRI tumor volume showed significant correlation (p value = 0.013) with pathologic complete response. Mean ADC and percentage voxels distribution against ADC ranges had no significant correlation with treatment response or disease outcomes.

Conclusion

Volumetric ADC histogram analysis of pre-CRT rectal cancer MRI appears promising for prediction of post-CRT complete response and disease progression.
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Metadaten
Titel
Investigation of volumetric apparent diffusion coefficient histogram analysis for assessing complete response and clinical outcomes following pre-operative chemoradiation treatment for rectal carcinoma
verfasst von
Vijay Chidambaram
James D. Brierley
Bernard Cummings
Rajesh Bhayana
Ravi J. Menezes
Erin D. Kennedy
Richard Kirsch
Kartik S. Jhaveri
Publikationsdatum
21.12.2016
Verlag
Springer US
Erschienen in
Abdominal Radiology / Ausgabe 5/2017
Print ISSN: 2366-004X
Elektronische ISSN: 2366-0058
DOI
https://doi.org/10.1007/s00261-016-1010-6

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