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Correlation of standardized uptake value on fluorodeoxyglucose PET/CT with apparent diffusion coefficient#br# in patients with rectal adenocarcinoma |
GAO Jing-jing, LI Shao-dong, DAI Yue, XU Hui-ting, WANG Qi |
Department of Radiolgy, Affiliated Hospital of Xuzhou Medical University, Xuzhou Jiangsu 221002, China |
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Abstract Objective: The aim of this study was to assess the correlation of maximum standardized uptake values(SUVmax) and minimum apparent diffusion coefficient(ADCmin) with pathological grade respectively, and assess the quantitative relationship between SUVmax and DWI ADC values in rectal adenocarcinoma. Methods: Preoperative PET/CT and pelvic MRI imaging of thirty-five patients with rectal adenocarcinoma were retrospectively analysed. After measurement of SUVmax and ADCmin, correlation analysis was conducted. Results: The mean SUVmax were significantly different among groups classified by histologic differentiation grades. The differences of mean SUVmax among T-stage groups were not significant(P>0.05). Tukey’s post hoc test showed statistical differences of mean SUVmax between well and moderately differentiated groups, well and poorly differentiated groups(P<0.05). The ADCmin was significantly different when comparing groups classified by histologic differentiation grade and T stage. The mean ADCmin of different groups differed significantly with each other(P<0.05). In the T-stage groups, only the mean ADCmin of stage T4 tumor was significantly different from that of each the other three T stages(P<0.05). A significantly negative correlation was found between SUVmax and ADCmin(r=-0.540; P<0.05). Conclusion: SUVmax and ADCmin values can reflect pathologic features of rectal cancer. The significantly negative correlations between SUVmax and ADCmin suggest an association between tumor cellularity and metabolic activity in rectal adenocarcinoma.
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Received: 25 April 2016
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Cite this article: |
GAO Jing-jing,LI Shao-dong,DAI Yue, et al. Correlation of standardized uptake value on fluorodeoxyglucose PET/CT with apparent diffusion coefficient#br# in patients with rectal adenocarcinoma[J]. JOURNAL OF CHINA MEDICAL IMAGING, 2017, 28(1): 55-59.
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URL: |
http://www.jccmi.com.cn/EN/ OR http://www.jccmi.com.cn/EN/Y2017/V28/I1/55 |
[1]Siegel RL, Miller KD, Jemal A. Cancer Statistics[J]. CA Cancer J Clin, 2015, 65(1): 5-29.
[2]Grassetto G, Marzola MC, Minicozzi A, et al. 18F-FDG PET/CT in rectal carcinoma: where are we now?[J]. Clin Nucl Med, 2011, 36(10): 884-888.
[3]Grassetto G, Capirci C, Marzola MC, et al. Colorectal cancer: prognostic role of 18F-FDG-PET/CT[J]. Abdom Imaging, 2012, 37(4): 575-579.
[4]Song I, Kim SH, Lee SJ, et al. Value of diffusion-weighted imaging in the detection of viable tumour after neoadjuvant chemoradiation therapy in patients with locally advanced rectal cancer: comparison with T2 weighted and PET/CT imaging[J]. Br J Radiol, 2012, 85(1013): 577-586.
[5]Türkbey B, Aras ?魻, Karabulut N, et al. Diffusion-weighted MRI for detecting and monitoring cancer: a review of current applications in body imaging[J]. Diagn Interv Radiol, 2012, 18(1): 46-59.
[6]Koh DM, Collins DJ, Orton MR. Intravoxel incoherent motion in body diffusion-weighted MRI: reality and challenges[J]. AJR, 2011, 196(6): 1351-1361.
[7]Kim SH, Lee JM, Hong SH, et al. Locally advanced rectal cancer: added value of diffusion-weighted MR imaging in the evaluation of tumor response to neoadjuvant chemo- and radiation therapy[J]. Radiology, 2009, 253(1): 116-125.
[8]闫圆圆,黄勇,李文武,等. 食管鳞状细胞癌FDG PET/CT显像SUVmax与肿瘤增殖、侵袭和血管生成的关系[J]. 中华核医学与分子影像杂志,2012,32(1):36-38.
[9]穆殿斌,王绍平,杨文锋,等. 食管癌组织中葡萄糖转运蛋白1表达和Ki67抗原标记指数与PET/CT显示的18F-FDG摄取水平相关[J]. 中华肿瘤杂志,2007,29(1):30-33.
[10]Chen F, You XY, Yu CJ, et al. The influence of histopathological type and differentiation of cervical cancer to SUV[J]. Chin J Nucl Med Mol Imaging, 2012, 32(3): 223-224.
[11]张木根. FDG PET/CT显像SUV(max)与食管鳞癌病理分化的相关性研究[J]. 实用癌症杂志,2013,28(5):575-576.
[12]张文娟,蒋健,叶建军,等. 扩散加权成像ADC值与直肠癌预后因素的相关性研究[J]. 中国医学影像技术,2013,29(10):1665-1669.
[13]Lee EJ, terBrugge K, Mikulis D, et al. Diagnostic value of peritumoral minimum apparent diffusion coefficient for differentiation of glioblastoma multiforme from solitary metastatic lesions[J]. AJR, 2011, 196(1): 71-76.
[14]Shimofusa R, Fujimoto H, Akamata H, et al. Diffusion-weighted imaging of prostate cancer[J]. J Comput Assist Tomogr, 2005, 29(2): 149-153.
[15]Payne GS, Schmidt M, Morgan VA, et al. Evaluation of magnetic resonance diffusion and spectroscopy measurements as predictive biomarkers in stage 1 cervical cancer[J]. Gynecol Oncol, 2010, 116(2): 246-252.
[16]Herholz K, Pietrzyk U, Voges J, et al. Correlation of glucose consumption and tumor cell density in astrocytomas. A stereotactic PET study[J]. Neurosurgery, 1993, 79(6): 853-858.
[17]Gu J, Yamamoto H, Fukunaga H, et al. Correlation of GLUT-1 overexpression, tumor size, and depth of invasion with 18F-2-fluoro-2-deoxy-D-glucose uptake by positron emission tomography in colorectal cancer[J]. Dig Dis Sci, 2006, 51(12): 2198-2205.
[18]朱进,成志强,杨明利,等. 直肠腺癌MRI表观扩散系数值与分化程度相关性的初步研究[J]. 实用放射学杂志,2015,31(6):938-941.
[19]Cafagna D, Rubini G, Iuele F, et al. Whole-body MR-DWIBS vs[18F]-FDG-PET/CT in the study of malignant tumors: a retrospective study[J]. Radiol Med, 2012, 117(2): 293-311.
[20]Ho KC, Lin G, Wang JJ, et al. Correlation of apparent diffusion coefficients measured by 3T diffusion-weighted MRI and SUV from FDG PET/CT in primary cervical cancer[J]. Eur J Nucl Med Mol Imaging, 2009, 36(2): 200-208.
[21]Gu J, Khong PL, Wang S, et al. Quantitative assessment of diffusion-weighted MR imaging in patients with primary rectal cancer: correlation with FDG-PET/CT[J]. Mol Imaging Biol, 2011, 13(5): 1020-1028.
[22]李琼,张泉,孙浩然,等. 应用扩散加权成像双指数模型评价慢性肾脏病的初步研究[J]. 临床放射学杂志,2012,31(7):970-974. |
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