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01.02.2014 | Original Article

Apparent diffusion coefficient is a prognostic factor of head and neck squamous cell carcinoma treated with radiotherapy

verfasst von: Masamitsu Hatakenaka, Katsumasa Nakamura, Hidetake Yabuuchi, Yoshiyuki Shioyama, Yoshio Matsuo, Takeshi Kamitani, Masato Yonezawa, Takashi Yoshiura, Torahiko Nakashima, Mitsuru Mori, Hiroshi Honda

Erschienen in: Japanese Journal of Radiology | Ausgabe 2/2014

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Abstract

Purpose

To evaluate the correlation between apparent diffusion coefficient (ADC) and prognosis in head and neck squamous cell carcinoma (HNSCC) treated with radiotherapy.

Materials and methods

We retrospectively studied 41 patients (38 male and 3 female, ages 37–85 years) diagnosed with HNSCC (14 oropharynx, 22 hypopharynx, 4 larynx, 1 oral cavity) and treated with radiotherapy, with radiation dose to gross tumor volume over 60 Gy. The association between age, gender, performance status, tumor location, T stage, N stage, stage, dose, overall treatment time, treatment method, adjuvant therapy, or ADC and prognosis was analyzed using a Cox proportional hazard test.

Results

ADC calculated with b-values of 300, 500, 750, and 1,000 s/mm² (ADC 300–1,000) alone showed a significant correlation with all of the analyses (p = 0.022 for local control, p = 0.0109 for regional control, p = 0.0041 for disease-free survival, and p = 0.0014 for overall survival). ADC calculated with b-values of 0, 100, and 200 s/mm² (ADC 0–200) showed a significant correlation with overall survival (p = 0.0012). N stage showed a significant correlation with regional control (p = 0.0241). Performance status showed significant association with local control (p = 0.0459), disease-free survival (p = 0.023), and overall survival (p = 0.0151), respectively.

Conclusion

ADC is an independent predictor of prognosis in HNSCC treated with radiotherapy.

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Titel: Apparent diffusion coefficient is a prognostic factor of head and neck squamous cell carcinoma treated with radiotherapy
verfasst von: Masamitsu Hatakenaka
Katsumasa Nakamura
Hidetake Yabuuchi
Yoshiyuki Shioyama
Yoshio Matsuo
Takeshi Kamitani
Masato Yonezawa
Takashi Yoshiura
Torahiko Nakashima
Mitsuru Mori
Hiroshi Honda
Publikationsdatum: 01.02.2014
Verlag: Springer Japan
Erschienen in: Japanese Journal of Radiology / Ausgabe 2/2014
Print ISSN: 1867-1071
Elektronische ISSN: 1867-108X
DOI: https://doi.org/10.1007/s11604-013-0272-y

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Apparent diffusion coefficient is a prognostic factor of head and neck squamous cell carcinoma treated with radiotherapy

Abstract

Purpose

Materials and methods

Results

Conclusion

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Abstract

Purpose

Materials and methods

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