Semi‐automated primary tumor volume measurements by dynamic contrast‐enhanced MRI in patients with head and neck cancer

Head and Neck - Tập 35 Số 4 - Trang 521-526 - 2013
Wouter L. Lodder1, Kenneth G. A. Gilhuijs2, Charlotte A.H. Lange3, Frank A. Pameijer4, Alfons J. M. Balm1,5, Michiel W. M. van den Brekel1,5
1Department of Head and Neck Oncology and Surgery, The Netherlands Cancer Institute—Antoni van Leeuwenhoek Hospital, Plesmanlaan 121, 1066 CX, Amsterdam, The Netherlands
2Department of Radiology, Image Sciences Institute, University Medical Centre Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands
3Department of Radiology, The Netherlands Cancer Institute—Antoni van Leeuwenhoek Hospital, Plesmanlaan 121, 1066 CX, Amsterdam, The Netherlands
4Department of Radiology, University Medical Centre Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands
5Department of Otorhinolaryngology, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands

Tóm tắt

AbstractBackground

Tumor volume is a significant prognostic factor in the treatment of malignant head and neck tumors. Unfortunately, it is not routinely measured because of the workload involved.

Methods

Twenty‐one patients, between 2009 and 2010, were studied. Dynamic contrast‐enhanced MRI (DCE‐MRI) at 3.0T was performed. A workstation previously developed for semi‐automated segmentation of breast cancers on DCE‐MRI was used to segment the head and neck cancers. The Pearson correlation analysis was used to assess the agreement between volumetric measurements and the manually derived gross tumor volume (GTV).

Results

In 90.5% of the patients (19 of 21) correlation could be made between DCE‐MRI and the manually derived GTV. The Pearson correlation coefficient between the automatically derived tumor volume at DCE‐MRI and the manually derived GTVs was R2 = 0.95 (p < .001).

Conclusion

Semi‐automated tumor volumes on DCE‐MRI were representative of those derived from the manually derived GTV (R2 = 0.95; p < .001). © 2012 Wiley Periodicals, Inc. Head Neck, 2013

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Tài liệu tham khảo

10.1002/cncr.20556

10.1002/hed.21459

10.1016/S0360-3016(00)01559-5

10.1002/(SICI)1097-0347(199803)20:2<159::AID-HED10>3.0.CO;2-H

10.1016/S0360-3016(99)00039-5

10.1016/S0360-3016(96)00626-8

10.1097/00005537-200210000-00006

10.1200/JCO.1997.15.6.2394

Edge SB, 2010, American Joint Committee of Cancer – AJCC Cancer Staging Manual

10.1080/02841860600815407

10.1016/S0730-725X(00)00167-3

10.1007/BF00181125

10.1097/01.rli.0000248849.99014.7e

10.1097/01.ftd.0000136399.78067.dd

10.2214/AJR.09.2817

10.1148/radiol.2253011582

Fischbein NJ, 2003, Assessment of metastatic cervical adenopathy using dynamic contrast‐enhanced MR imaging, AJNR Am J Neuroradiol, 24, 301

10.1016/S0360-3016(97)00465-3

10.1016/S0167-8140(98)00016-4

10.1093/jjco/hyl081

10.1007/s00066-003-1066-4

10.1007/s00432-005-0018-z