高级检索
当前位置: 首页 > 详情页

Predicting cancer malignancy and proliferation in glioma patients: intra-subject inter-metabolite correlation analyses using MRI and MRSI contrast scans

文献详情

资源类型:
WOS体系:
Pubmed体系:

收录情况: ◇ SCIE

单位: [1]Sun Yat Sen Univ, Dept Med Imaging, Canc Ctr, State Key Lab Oncol South China,Collaborat Innova, Guangzhou, Peoples R China [2]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Radiol, Wuhan, Peoples R China [3]Huazhong Univ Sci & Technol, Cent Hosp Wuhan, Tongji Med Coll, Dept Radiol, Wuhan, Peoples R China [4]Univ Illinois, Dept Radiol, Chicago, IL USA
出处:
ISSN:

关键词: Magnetic resonance imaging (MRI) magnetization transfer contrast imaging (MTC imaging) brain tumor tumor grading cell proliferation

摘要:
Background: The non-invasive characterization of glioma metabolites would greatly assist the management of glioma patients in the clinical setting. This study investigated the applicability of intra-subject inter-metabolite correlation analyses for differentiating glioma malignancy and proliferation. Methods: A total of 17 negative controls (NCs), 39 low-grade gliomas (LGGs) patients, and 25 high-grade gliomas (HGGs) subjects were included in this retrospective study. Amide proton transfer (APT) and magnetization transfer contrast (MTC) imaging contrasts, as well as total choline/total creatine (tCho/tCr) and total N-acetylaspartate/total creatine (tNAA/tCr) ratios quantified from magnetic resonance spectroscopic imaging (MRSI) were co-registered voxel-wise and used to produce three intra-subject inter-metabolite correlation coefficients (IMCCs), namely, R-APT vs. MTC, R-APT vs. tCho/tCr, and R-MTC vs. tNAA/tCr. The correlation between the IMCCs and tumor grade and Ki-67 labeling index (LI) for tumor proliferation were explored. The differences in the IMCCs between the three groups were compared with one-way analysis of variance (ANOVA). Finally, regression analysis was used to build a combined model with multiple IMCCs to improve the diagnostic performance for tumor grades based on receiver operator characteristic curves. Results: Compared with the NCs, gliomas showed stronger inter-metabolic correlations. R-APT vs. MTC was significantly different among the three groups (NC vs. LGGs vs. HGGs: -0.18 +/- 0.38 vs. -0.40 +/- 0.34 vs. -0.70 +/- 0.29, P < 0.0001). No significant differences were detected in R- among the three groups. R-APT vs. MTC and R-APT vs. tCho/tCr correlated significantly with tumor grade (R=-0.41, P=0.001 and R=0.448, P < 0.001, respectively). However, only RAPTvs. MTC was mildly correlated with Ki-67 (R=-0.33, P=0.02). R-APT vs. MTC and R-APT vs. tCho/tCr achieved areas under the curve (AUCs) of 0.754 and 0.71, respectively, for differentiating NCs from gliomas; and 0.77 and 0.78, respectively, for differentiating LGGs from HGGs. The combined multi-IMCCs model improved the correlation with the Ki-67 LI (R=0.46, P=0.0008) and the tumor-grade stratification with AUC increased to 0.85 (sensitivity: 80.0%, specificity: 79.5%). Conclusions: This study demonstrated that glioma patients showed stronger inter-metabolite correlations than control subjects, and the IMCCs were significantly correlated with glioma grade and proliferation. The multiIMCCs combined model further improved the performance of clinical diagnosis.

基金:
语种:
被引次数:
WOS:
PubmedID:
中科院(CAS)分区:
出版当年[2020]版:
大类 | 2 区 医学
小类 | 2 区 核医学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 核医学
JCR分区:
出版当年[2019]版:
Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
最新[2023]版:
Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

影响因子: 最新[2023版] 最新五年平均 出版当年[2019版] 出版当年五年平均 出版前一年[2018版] 出版后一年[2020版]

第一作者:
第一作者单位: [1]Sun Yat Sen Univ, Dept Med Imaging, Canc Ctr, State Key Lab Oncol South China,Collaborat Innova, Guangzhou, Peoples R China
通讯作者:
通讯机构: [2]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Radiol, Wuhan, Peoples R China [*1]1095 JieFang Ave, Wuhan 430030, Peoples R China
推荐引用方式(GB/T 7714):
APA:
MLA:

资源点击量:426 今日访问量:2 总访问量:410 更新日期:2025-04-01 建议使用谷歌、火狐浏览器 常见问题

版权所有:重庆聚合科技有限公司 渝ICP备12007440号-3 地址:重庆市两江新区泰山大道西段8号坤恩国际商务中心16层(401121)