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典型文献
A Comparative Study Between Tumor Blood Vessels and Dynamic Contrast-enhanced MRI for Identifying Isocitrate Dehydrogenase Gene 1(IDH1)Mutation Status in Glioma
文献摘要:
Isocitrate dehydrogenase gene(IDH)mutations are associated with tumor angiogenesis and therefore play an important role in glioma management.This study compared the performance of tumor blood vessels counted from contrast-enhanced 3D brain volume(3D-BRAVO)sequence and dynamic contrast-enhanced(DCE)MRI in differentiating IDH1 status in gliomas.Methods:Forty-four glioma patients[16 with IDH1 mutant-type(IDH1-MT),28 with IDH1 wild-type(IDH1-WT)]were retrospectively analyzed.A blood vessel entering a tumor was defined as an intratumoral vessel;a blood vessel adjacent to the edge of a tumor was defined as a peritumoral vessel.Combined vessels were defined as the sum of the intratumoral and peritumoral vessels.DCE-derived metrics of tumor were normalized to the contralateral normal-appearing white matter.Results:Intratumoral,peritumoral,and combined tumor blood vessels were all significantly different between IDH 1-MT and IDH1-WT gliomas,and the range of area under curves(AUCs)was 0.816-0.855.For DCE-derived parameters,cerebral blood volume,cerebral blood flow,mean transit time,and volume transfer constant were significantly different between IDH 1-MT and IDH1-WT gliomas,and the range of AUCs was 0.703-0.756.Combined vessels possessed the best performance for identifying IDH1 mutations in gliomas(AUC:0.855,sensitivity:0.857,specificity:0.812,P<0.001).Conclusion:The number of tumor blood vessels has comparable diagnostic performance with DCE-derived parameters for differentiating IDH1 mutations and can serve as a potential imaging biomarker to reflect IDH1 mutations in gliomas.
文献关键词:
作者姓名:
Shi-hui LI;Nan-xi SHEN;Di WU;Ju ZHANG;Jia-xuan ZHANG;Jing-jing JIANG;Wen-zhen ZHU
作者机构:
Department of Radiology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China
引用格式:
[1]Shi-hui LI;Nan-xi SHEN;Di WU;Ju ZHANG;Jia-xuan ZHANG;Jing-jing JIANG;Wen-zhen ZHU-.A Comparative Study Between Tumor Blood Vessels and Dynamic Contrast-enhanced MRI for Identifying Isocitrate Dehydrogenase Gene 1(IDH1)Mutation Status in Glioma)[J].当代医学科学(英文),2022(03):650-657
A类:
Vessels,Isocitrate,peritumoral
B类:
Comparative,Study,Between,Tumor,Blood,Dynamic,Contrast,enhanced,Identifying,Dehydrogenase,Gene,IDH1,Mutation,Status,Glioma,dehydrogenase,mutations,associated,angiogenesis,therefore,play,important,role,management,This,study,compared,performance,blood,vessels,counted,from,contrast,brain,volume,BRAVO,sequence,dynamic,DCE,differentiating,status,gliomas,Methods,Forty,four,patients,mutant,type,MT,wild,WT,were,retrospectively,analyzed,entering,was,defined,intratumoral,adjacent,edge,Combined,sum,derived,metrics,normalized,contralateral,appearing,white,matter,Results,Intratumoral,combined,all,significantly,between,range,area,under,curves,AUCs,parameters,cerebral,flow,mean,transit,transfer,constant,possessed,best,identifying,sensitivity,specificity,Conclusion,number,has,comparable,diagnostic,serve,potential,imaging,biomarker,reflect
AB值:
0.457702
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