Assessment of early response to concurrent chemoradiotherapy in cervical cancer: value of diffusion-weighted and dynamic contrast-enhanced MR imaging |
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| Authors: | Jung Jae Park Chan Kyo Kim Sung Yoon Park Arjan W. Simonetti EunJu Kim Byung Kwan Park Seung Jae Huh |
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| Affiliation: | 1. Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea;2. MR Clinical Science, Philips Healthcare, Best, Netherlands;3. Philips Healthcare Korea, Seoul, Republic of Korea;4. Graduate school of Biomedical Science and Engineering, Hanyang University, Seoul, Republic of Korea;5. Department of Radiation Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea;6. Department of of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea |
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| Abstract: | ![]()
PurposeTo investigate diffusion-weighted (DWI) and dynamic contrast-enhanced MR imaging (DCE-MRI) as early response predictors in cervical cancer patients who received concurrent chemoradiotherapy (CCRT).Materials and methodsSixteen patients with cervical cancer underwent DWI and DCE-MRI before CCRT (preTx), at 1 week (postT1) and 4 weeks (postT2) after initiating treatment, and 1 month after the end of treatment (postT3). At each point, apparent diffusion coefficient (ADC) and DCE-MRI parameters were measured in tumors and gluteus muscles (GM). Tumor response was correlated with imaging parameters or changes in imaging parameters at each point.ResultsAt each point, ADC, Ktrans and Ve in tumors showed significant changes (P < 0.05), as compared with those of GM (P > 0.05). PostT1 tumor ADCs showed a significant correlation with tumor size response at postT2 (P = 0.041), and changes in tumor ADCs at postT1 had a significant correlation with tumor size (P = 0.04) and volume response (P = 0.003) at postT2. In tumors, preTx Ktrans and Ve showed significant correlations with tumor size at postT3 (P = 0.011) and tumor size response at postT2 (P = 0.019), respectively.ConclusionDWI and DCE-MRI, as early biomarkers, have the potential to evaluate therapeutic responses to CCRT in cervical cancers. |
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| Keywords: | Cervical cancer Concurrent chemoradiotherapy Diffusion-weighted MRI Dynamic contrast-enhanced MRI Biomarker |
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