Differentiation between Hepatic Focal Lesions and Heterogenous Physiological Accumulations by Early Delayed Scanning in 18F-FDG PET/CT Examination
Purpose: We examined whether early delayed scanning is useful for differentiation of liver lesion and heterogenous physiological accumulation in positron emission tomography (PET) examination. Methods: The subjects of the study were 33 patients with colorectal cancer who underwent PET examination an...
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Veröffentlicht in: | Japanese Journal of Radiological Technology 2018, Vol.74(6), pp.556-562 |
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description | Purpose: We examined whether early delayed scanning is useful for differentiation of liver lesion and heterogenous physiological accumulation in positron emission tomography (PET) examination. Methods: The subjects of the study were 33 patients with colorectal cancer who underwent PET examination and were added early delayed scanning to distinguish between liver lesions and heterogenous physiological accumulation to conventional early images. We placed same regions of interest (ROI) in the tumor and hepatic parenchyma for early delayed and conventional early images. Then, we measured SUVmax of the ROIs and calculated tumor to liver parenchyma uptake ratio (TLR). In addition, change rates between early and early delayed images were calculated for the SUVmax and TLR. Results: The receiver operating characterstic (ROC) analysis result of SUVmax showed the highest SUVmax change rate, and the ROC analysis result of TLR showed the highest early delayed scanning. The SUVmax of the lesions did not change between early scan and early delayed scanning (p=0.98), but it decreased significantly in the normal group (p |
doi_str_mv | 10.6009/jjrt.2018_JSRT_74.6.556 |
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Methods: The subjects of the study were 33 patients with colorectal cancer who underwent PET examination and were added early delayed scanning to distinguish between liver lesions and heterogenous physiological accumulation to conventional early images. We placed same regions of interest (ROI) in the tumor and hepatic parenchyma for early delayed and conventional early images. Then, we measured SUVmax of the ROIs and calculated tumor to liver parenchyma uptake ratio (TLR). In addition, change rates between early and early delayed images were calculated for the SUVmax and TLR. Results: The receiver operating characterstic (ROC) analysis result of SUVmax showed the highest SUVmax change rate, and the ROC analysis result of TLR showed the highest early delayed scanning. The SUVmax of the lesions did not change between early scan and early delayed scanning (p=0.98), but it decreased significantly in the normal group (p<0.001). TLR of the lesion group was significantly increased (p<0.001) in early delayed images compared to early scan and TLR significantly decreased in the normal group (p<0.001). The AUC of the ROC curve showed the highest SUVmax change rate (0.99). Conclusion: Early delayed scanning could distinguish between liver lesions and heterogenous physiological accumulation in colon cancer patients.</description><identifier>ISSN: 0369-4305</identifier><identifier>EISSN: 1881-4883</identifier><identifier>DOI: 10.6009/jjrt.2018_JSRT_74.6.556</identifier><language>jpn</language><publisher>Kyoto: Japanese Society of Radiological Technology</publisher><subject>Accumulation ; Cancer ; Colon ; Colon cancer ; Colorectal carcinoma ; Differentiation ; dual-timepoint PET/CT ; early delayed scanning ; Emission analysis ; hepatic focal lesions ; Lesions ; Liver ; Mathematical analysis ; maximum standardized untake value(SUVmax) ; Medical imaging ; Parenchyma ; Physiology ; Positron emission ; Positron emission tomography ; positron emission tomography/computed tomography(PET/CT) ; Scanning ; Tomography ; Tumors</subject><ispartof>Japanese Journal of Radiological Technology, 2018, Vol.74(6), pp.556-562</ispartof><rights>2018 Japanese Society of Radiological Technology</rights><rights>Copyright Japan Science and Technology Agency 2018</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2331-d930e4939d61b2685ecfd4ebd0457190c31e6771d9ffdfd54c2790dcabb5471c3</citedby><cites>FETCH-LOGICAL-c2331-d930e4939d61b2685ecfd4ebd0457190c31e6771d9ffdfd54c2790dcabb5471c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4014,27914,27915,27916</link.rule.ids></links><search><creatorcontrib>Ushio, Ayaka</creatorcontrib><creatorcontrib>Takauchi, Komei</creatorcontrib><creatorcontrib>Kobayashi, Makoto</creatorcontrib><creatorcontrib>Abe, Nobukazu</creatorcontrib><creatorcontrib>Sumida, Hiroomi</creatorcontrib><creatorcontrib>Nagata, Yasushi</creatorcontrib><creatorcontrib>Awai, Kazuo</creatorcontrib><title>Differentiation between Hepatic Focal Lesions and Heterogenous Physiological Accumulations by Early Delayed Scanning in 18F-FDG PET/CT Examination</title><title>Japanese Journal of Radiological Technology</title><addtitle>Jpn. J. Radiol. Technol.</addtitle><description>Purpose: We examined whether early delayed scanning is useful for differentiation of liver lesion and heterogenous physiological accumulation in positron emission tomography (PET) examination. Methods: The subjects of the study were 33 patients with colorectal cancer who underwent PET examination and were added early delayed scanning to distinguish between liver lesions and heterogenous physiological accumulation to conventional early images. We placed same regions of interest (ROI) in the tumor and hepatic parenchyma for early delayed and conventional early images. Then, we measured SUVmax of the ROIs and calculated tumor to liver parenchyma uptake ratio (TLR). In addition, change rates between early and early delayed images were calculated for the SUVmax and TLR. Results: The receiver operating characterstic (ROC) analysis result of SUVmax showed the highest SUVmax change rate, and the ROC analysis result of TLR showed the highest early delayed scanning. The SUVmax of the lesions did not change between early scan and early delayed scanning (p=0.98), but it decreased significantly in the normal group (p<0.001). TLR of the lesion group was significantly increased (p<0.001) in early delayed images compared to early scan and TLR significantly decreased in the normal group (p<0.001). The AUC of the ROC curve showed the highest SUVmax change rate (0.99). Conclusion: Early delayed scanning could distinguish between liver lesions and heterogenous physiological accumulation in colon cancer patients.</description><subject>Accumulation</subject><subject>Cancer</subject><subject>Colon</subject><subject>Colon cancer</subject><subject>Colorectal carcinoma</subject><subject>Differentiation</subject><subject>dual-timepoint PET/CT</subject><subject>early delayed scanning</subject><subject>Emission analysis</subject><subject>hepatic focal lesions</subject><subject>Lesions</subject><subject>Liver</subject><subject>Mathematical analysis</subject><subject>maximum standardized untake value(SUVmax)</subject><subject>Medical imaging</subject><subject>Parenchyma</subject><subject>Physiology</subject><subject>Positron emission</subject><subject>Positron emission tomography</subject><subject>positron emission tomography/computed tomography(PET/CT)</subject><subject>Scanning</subject><subject>Tomography</subject><subject>Tumors</subject><issn>0369-4305</issn><issn>1881-4883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNplkdtqGzEQhkVoocbJM1TQm96so-MeLoMPSYNLQ-JcC60068ista60S7qv0SeubJcQ2hsJZr5vkOZH6DMls5yQ6nq3C_2MEVqq-6fHjSrELJ9JmV-gCS1Lmomy5B_QhPC8ygQn8hO6itHVJKmpRMQE_V64poEAvne6d53HNfSvAB7fwSEVDF51Rrd4DTE1I9bepk4PoduC74aIH17G1Gm7rTtiN8YM-6E9TYq4HvFSh3bEC2j1CBY_Ge2981vsPKblKlstbvHDcnM93-DlL713_iReoo-NbiNc_b2n6Hm13MzvsvWP22_zm3VmGOc0sxUnICpe2ZzWLC8lmMYKqC0RsqAVMZxCXhTUVk1jGyuFYUVFrNF1LUVBDZ-ir-e5h9D9HCD2au-igbbVHtLXFCOyKPO0KJrQL_-gu24IPr1OMcbKQrIqbXqKijNlQhdjgEYdgtvrMCpK1DEudYxLvY9L5SrFlczvZ3MXe72FN0-HFEELZ-9Ep-N__40zLzoo8PwPDzWnNA</recordid><startdate>2018</startdate><enddate>2018</enddate><creator>Ushio, Ayaka</creator><creator>Takauchi, Komei</creator><creator>Kobayashi, Makoto</creator><creator>Abe, Nobukazu</creator><creator>Sumida, Hiroomi</creator><creator>Nagata, Yasushi</creator><creator>Awai, Kazuo</creator><general>Japanese Society of Radiological Technology</general><general>Japan Science and Technology Agency</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>7SC</scope><scope>7U5</scope><scope>8FD</scope><scope>FR3</scope><scope>JQ2</scope><scope>L7M</scope><scope>L~C</scope><scope>L~D</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>2018</creationdate><title>Differentiation between Hepatic Focal Lesions and Heterogenous Physiological Accumulations by Early Delayed Scanning in 18F-FDG PET/CT Examination</title><author>Ushio, Ayaka ; Takauchi, Komei ; Kobayashi, Makoto ; Abe, Nobukazu ; Sumida, Hiroomi ; Nagata, Yasushi ; Awai, Kazuo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2331-d930e4939d61b2685ecfd4ebd0457190c31e6771d9ffdfd54c2790dcabb5471c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>jpn</language><creationdate>2018</creationdate><topic>Accumulation</topic><topic>Cancer</topic><topic>Colon</topic><topic>Colon cancer</topic><topic>Colorectal carcinoma</topic><topic>Differentiation</topic><topic>dual-timepoint PET/CT</topic><topic>early delayed scanning</topic><topic>Emission analysis</topic><topic>hepatic focal lesions</topic><topic>Lesions</topic><topic>Liver</topic><topic>Mathematical analysis</topic><topic>maximum standardized untake value(SUVmax)</topic><topic>Medical imaging</topic><topic>Parenchyma</topic><topic>Physiology</topic><topic>Positron emission</topic><topic>Positron emission tomography</topic><topic>positron emission tomography/computed tomography(PET/CT)</topic><topic>Scanning</topic><topic>Tomography</topic><topic>Tumors</topic><toplevel>online_resources</toplevel><creatorcontrib>Ushio, Ayaka</creatorcontrib><creatorcontrib>Takauchi, Komei</creatorcontrib><creatorcontrib>Kobayashi, Makoto</creatorcontrib><creatorcontrib>Abe, Nobukazu</creatorcontrib><creatorcontrib>Sumida, Hiroomi</creatorcontrib><creatorcontrib>Nagata, Yasushi</creatorcontrib><creatorcontrib>Awai, Kazuo</creatorcontrib><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Computer and Information Systems Abstracts</collection><collection>Solid State and Superconductivity Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Computer Science Collection</collection><collection>Advanced Technologies Database with Aerospace</collection><collection>Computer and Information Systems Abstracts Academic</collection><collection>Computer and Information Systems Abstracts Professional</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Japanese Journal of Radiological Technology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ushio, Ayaka</au><au>Takauchi, Komei</au><au>Kobayashi, Makoto</au><au>Abe, Nobukazu</au><au>Sumida, Hiroomi</au><au>Nagata, Yasushi</au><au>Awai, Kazuo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Differentiation between Hepatic Focal Lesions and Heterogenous Physiological Accumulations by Early Delayed Scanning in 18F-FDG PET/CT Examination</atitle><jtitle>Japanese Journal of Radiological Technology</jtitle><addtitle>Jpn. J. Radiol. Technol.</addtitle><date>2018</date><risdate>2018</risdate><volume>74</volume><issue>6</issue><spage>556</spage><epage>562</epage><pages>556-562</pages><issn>0369-4305</issn><eissn>1881-4883</eissn><abstract>Purpose: We examined whether early delayed scanning is useful for differentiation of liver lesion and heterogenous physiological accumulation in positron emission tomography (PET) examination. Methods: The subjects of the study were 33 patients with colorectal cancer who underwent PET examination and were added early delayed scanning to distinguish between liver lesions and heterogenous physiological accumulation to conventional early images. We placed same regions of interest (ROI) in the tumor and hepatic parenchyma for early delayed and conventional early images. Then, we measured SUVmax of the ROIs and calculated tumor to liver parenchyma uptake ratio (TLR). In addition, change rates between early and early delayed images were calculated for the SUVmax and TLR. Results: The receiver operating characterstic (ROC) analysis result of SUVmax showed the highest SUVmax change rate, and the ROC analysis result of TLR showed the highest early delayed scanning. The SUVmax of the lesions did not change between early scan and early delayed scanning (p=0.98), but it decreased significantly in the normal group (p<0.001). TLR of the lesion group was significantly increased (p<0.001) in early delayed images compared to early scan and TLR significantly decreased in the normal group (p<0.001). The AUC of the ROC curve showed the highest SUVmax change rate (0.99). Conclusion: Early delayed scanning could distinguish between liver lesions and heterogenous physiological accumulation in colon cancer patients.</abstract><cop>Kyoto</cop><pub>Japanese Society of Radiological Technology</pub><doi>10.6009/jjrt.2018_JSRT_74.6.556</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Accumulation Cancer Colon Colon cancer Colorectal carcinoma Differentiation dual-timepoint PET/CT early delayed scanning Emission analysis hepatic focal lesions Lesions Liver Mathematical analysis maximum standardized untake value(SUVmax) Medical imaging Parenchyma Physiology Positron emission Positron emission tomography positron emission tomography/computed tomography(PET/CT) Scanning Tomography Tumors |
title | Differentiation between Hepatic Focal Lesions and Heterogenous Physiological Accumulations by Early Delayed Scanning in 18F-FDG PET/CT Examination |
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