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
Hauptverfasser: Ushio, Ayaka, Takauchi, Komei, Kobayashi, Makoto, Abe, Nobukazu, Sumida, Hiroomi, Nagata, Yasushi, Awai, Kazuo
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container_end_page 562
container_issue 6
container_start_page 556
container_title Japanese Journal of Radiological Technology
container_volume 74
creator Ushio, Ayaka
Takauchi, Komei
Kobayashi, Makoto
Abe, Nobukazu
Sumida, Hiroomi
Nagata, Yasushi
Awai, Kazuo
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
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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&lt;0.001). TLR of the lesion group was significantly increased (p&lt;0.001) in early delayed images compared to early scan and TLR significantly decreased in the normal group (p&lt;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&lt;0.001). TLR of the lesion group was significantly increased (p&lt;0.001) in early delayed images compared to early scan and TLR significantly decreased in the normal group (p&lt;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 ; 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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&lt;0.001). TLR of the lesion group was significantly increased (p&lt;0.001) in early delayed images compared to early scan and TLR significantly decreased in the normal group (p&lt;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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