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A pilot study for texture analysis of 18F-FDG and 18F-FLT-PET/CT to predict tumor recurrence of patients with colorectal cancer who received surgery

Overview of attention for article published in European Journal of Nuclear Medicine and Molecular Imaging, August 2017
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Title
A pilot study for texture analysis of 18F-FDG and 18F-FLT-PET/CT to predict tumor recurrence of patients with colorectal cancer who received surgery
Published in
European Journal of Nuclear Medicine and Molecular Imaging, August 2017
DOI 10.1007/s00259-017-3787-0
Pubmed ID
Authors

Masatoyo Nakajo, Yoriko Kajiya, Atsushi Tani, Megumi Jinguji, Masayuki Nakajo, Masaki Kitazono, Takashi Yoshiura

Abstract

This retrospective study was done to examine whether the heterogeneity in primary tumor F-18-fluorodeoxyglucose ((18)F-FDG) and (18)F-3'-fluoro-3'-deoxythymidine ((18)F-FLT) distribution can predict prognosis of patients with colorectal cancer who received surgery. The enrolled 32 patients with colorectal cancer underwent both (18)F-FDG- and (18)F-FLT-PET/CT studies before surgery. Clinicopathological factors, stage, SUVmax, SUVmean, metabolic tumor volume (SUV ≥ 2.5), total lesion glycolysis, total lesion proliferation and seven texture heterogeneity parameters (coefficient of variation, local parameters: entropy, homogeneity, and dissimilarity; and regional parameters: intensity variability [IV], size-zone variability [SZV], and zone percentage [ZP]) were obtained. Progression free survival (PFS) was calculated by the Kaplan-Meier method. Prognostic significance was assessed by Cox proportional hazards analysis. Eight patients had eventually come to progression, and 24 patients were alive without progression during clinical follow-up [mean follow-up PFS; 55.9 months (range, 1-72)]. High stage (p = 0.004), high (18)F-FDG-IV (p = 0.015), high (18)F-FDG-SZV (p = 0.013) and high (18)F-FLT-entropy (p = 0.015) were significant in predicting poor 5-year PFS. Other parameters did not predict the disease outcome. At bivariate analysis, disease event hazards ratios for (18)F-FDG-IV and (18)F-FDG-SZV remained significant when adjusted for stage and (18)F-FLT-entropy ((18)F-FDG-IV; p = 0.004 [adjusted for stage], 0.007 [adjusted for (18)F-FLT-entropy]; (18)F-FDG-SZV; p = 0.028 [adjusted for stage], 0.040 [adjusted for (18)F-FLT-entropy]). (18)F-FDG PET heterogeneity parameters, IV and SZV, have a potential to be strong prognostic factors to predict PFS of patients with surgically resected colorectal cancer and are more useful than (18)F-FLT-PET/CT heterogeneity parameters.

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Geographical breakdown

Country Count As %
Unknown 26 100%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 3 12%
Other 3 12%
Student > Master 3 12%
Student > Doctoral Student 2 8%
Researcher 2 8%
Other 5 19%
Unknown 8 31%
Readers by discipline Count As %
Medicine and Dentistry 16 62%
Computer Science 1 4%
Physics and Astronomy 1 4%
Engineering 1 4%
Unknown 7 27%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 06 August 2017.
All research outputs
#21,153,429
of 23,806,312 outputs
Outputs from European Journal of Nuclear Medicine and Molecular Imaging
#2,610
of 3,083 outputs
Outputs of similar age
#278,800
of 318,758 outputs
Outputs of similar age from European Journal of Nuclear Medicine and Molecular Imaging
#32
of 44 outputs
Altmetric has tracked 23,806,312 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 3,083 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.1. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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We're also able to compare this research output to 44 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.