1. Potentialities of multi-b-values diffusion-weighted imaging for predicting efficacy of concurrent chemoradiotherapy in cervical cancer patients
- Author
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Bing Liu, Wan-Ling Ma, Guang-Wen Zhang, Zhen Sun, Meng-Qi Wei, Wei-Huan Hou, Bing-Xin Hou, Li-Chun Wei, and Yi Huan
- Subjects
Cervical cancer ,Diffusion magnetic resonance imaging ,Concomitant Chemoradiotherapy ,Medical technology ,R855-855.5 - Abstract
Abstract Background To testify whether multi-b-values diffusion-weighted imaging (DWI) can be used to ultra-early predict treatment response of concurrent chemoradiotherapy (CCRT) in cervical cancer patients and to assess the predictive ability of concerning parameters. Methods Fifty-three patients with biopsy proved cervical cancer were retrospectively recruited in this study. All patients underwent pelvic multi-b-values DWI before and at the 3rd day during treatment. The apparent diffusion coefficient (ADC), true diffusion coefficient (Dslow), perfusion-related pseudo-diffusion coefficient (Dfast), perfusion fraction (f), distributed diffusion coefficient (DDC) and intravoxel diffusion heterogeneity index(α) were generated by mono-exponential, bi-exponential and stretched exponential models. Treatment response was assessed based on Response Evaluation Criteria in Solid Tumors (RECIST v1.1) at 1 month after the completion of whole CCRT. Parameters were compared using independent t test or Mann-Whitney U test as appropriate. Receiver operating characteristic (ROC) curves was used for statistical evaluations. Results ADC-T0 (p = 0.02), Dslow-T0 (p
- Published
- 2020
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