scholarly journals Prognostic Relevance of 18F-FDG-PET/CT-Guided Target Volume Delineation in Loco-Regionally Advanced Nasopharyngeal Carcinomas: A Comparative Study

2021 ◽  
Vol 11 ◽  
Author(s):  
Ouying Yan ◽  
Hui Wang ◽  
Yaqian Han ◽  
Shengnan Fu ◽  
Yanzhu Chen ◽  
...  

IntroductionAn optimal approach to define tumor volume in locoregionally advanced nasopharyngeal carcinoma (NPC) using 18F-fluorodeoxyglucose positron emission tomography/computed tomography (FDG-PET/CT) remains unclear. This retrospective study aimed at comparing the outcomes and toxicities of different FDG-PET/CT-guided techniques for primary tumor volume delineation in locoregionally advanced NPC.MethodsFrom August 2015 to February 2018, 292 patients with stage III-IVB NPC received FDG-PET/CT-guided IMRT. Three PET/CT-based techniques were used to determine the gross tumor volume (GTV) as follows: visual criteria (group A; n = 98), a standard uptake value (SUV) threshold of 2.5 (group B; n = 95), and a threshold of 50% maximal intensity (group C, n = 99) combined with a dose-painting technique.ResultsIn groups A, B, and C, the 5-year LRFS rates were 89.4%, 90.0%, and 97.8%, respectively (p = 0.043). The 5-year DMFS rates were 75.1%, 76.0%, and 87.7%, respectively (p = 0.043). The 5-year DFS rates were 70.9%, 70.3%, and 82.2%, respectively (p = 0.048). The 5-year OS rates were 73.5%, 73.9%, and 84.9%, respectively (p = 0.038). Group C showed significantly higher 5-year LRFS, LRRFS, DMFS, DFS, and OS than those in groups A and B (p < 0.05). No statistically significant differences were observed between the three study groups in the cumulative incidences of grade 3-4 acute and late toxicities. Multivariate analyses showed that the PET/CT-guided technique for target volume delineation was an independent prognostic factor for 5-year LRFS, DFS, DMFS, and OS (p = 0.039, p = 0.030, p = 0.035 and p = 0.028, respectively), and was marginally significant in predicting LRRFS (p = 0.080).ConclusionsThe 50% SUVmax threshold regimen for GTV delineation with dose-painting appeared to be superior to the visual criteria or SUV2.5 threshold in locoregionally advanced NPC, and there was no increased toxicity.

2008 ◽  
Vol 70 (5) ◽  
pp. 1423-1426 ◽  
Author(s):  
Maria Chiara Bassi ◽  
Lucia Turri ◽  
Gianmauro Sacchetti ◽  
Gianfranco Loi ◽  
Barbara Cannillo ◽  
...  

2012 ◽  
Vol 188 (7) ◽  
pp. 592-598 ◽  
Author(s):  
R.A. Bundschuh ◽  
N. Andratschke ◽  
J. Dinges ◽  
M.N. Duma ◽  
S.T. Astner ◽  
...  

2011 ◽  
Vol 99 ◽  
pp. S355
Author(s):  
L. Vigna ◽  
L. Deantonio ◽  
R. Matheoud ◽  
G. Sacchetti ◽  
G. Loi ◽  
...  

2012 ◽  
Vol 7 (1) ◽  
Author(s):  
Hansjörg Vees ◽  
Nathalie Casanova ◽  
Thomas Zilli ◽  
Hestia Imperiano ◽  
Osman Ratib ◽  
...  

2011 ◽  
Vol 99 ◽  
pp. S432-S433
Author(s):  
R. Lazzari ◽  
A. Cecconi ◽  
V. Dell'Acqua ◽  
A. Vavassori ◽  
L.L. Travaini ◽  
...  

Author(s):  
Elizabeth E. Olanloye ◽  
Aarthi Ramlaul ◽  
Atara I. Ntekim ◽  
Segun S. Adeyemi

Abstract Aim: The aim of this systematic review was to synthesise and summarise evidence surrounding the clinical use of fluoro-2-deoxy-d-glucose positron emission tomography/computed tomography (FDG-PET/CT) and magnetic resonance imaging (MRI) for target volume delineation (TVD) in rectal cancer radiotherapy planning. Methods: PubMed, EMBASE, Cochrane library, CINAHL, Web of Science and Scopus databases and other sources were systematically queried using keywords and relevant synonyms. Eligible full-text studies were assessed for methodological quality using the QUADAS-2 tool. Results: Eight of the 1448 studies identified met the inclusion criteria. Findings showed that MRI significantly delineate larger tumour volumes (TVs) than FDG-PET/CT while diffusion-weighted magnetic resonance imaging (DW-MRI) defined smaller gross tumour volumes (GTVs) compared to T2 weighted-Magnetic Resonance Image. CT-based GTVs were found to be larger compared to FDG-PET/CT. FDG-PET/CT also identified new lesions in 15–17% patients and TVs extending outside the routinely used clinical standard CT TV in 29–83% patients. Between observers, delineated volumes were similar and consistent between MRI sequences, whereas interobserver agreement was significantly improved with FDG-PET/CT than CT. Conclusion: FDG-PET/CT and DW-MRI appear to delineate smaller rectal TVs and show improved interobserver variability. Overall, this study provides valuable insights into the amount of attention in the research literature that has been paid to imaging for TVD in rectal cancer.


2016 ◽  
Vol 32 ◽  
pp. 149
Author(s):  
M. du Toit ◽  
A. Potgieter ◽  
M. Heunis ◽  
R. Boellaard ◽  
J. Pruim

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