Usefulness of dynamic contrast enhanced computed tomography in patients with non-small-cell lung cancer scheduled for radiation therapy

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • Kornelia Szluha Lazanyi - , Universitätsklinikum Carl Gustav Carus Dresden, University of Debrecen, OncoRay - National Centre for Radiation Research in Oncology (Autor:in)
  • Andrij Abramyuk - , Universitätsklinikum Carl Gustav Carus Dresden, OncoRay - National Centre for Radiation Research in Oncology (Autor:in)
  • Gunter Wolf - , Universitätsklinikum Carl Gustav Carus Dresden, OncoRay - National Centre for Radiation Research in Oncology (Autor:in)
  • Sergey Tokalov - , Universitätsklinikum Carl Gustav Carus Dresden, OncoRay - National Centre for Radiation Research in Oncology (Autor:in)
  • Klaus Zöphel - , Universitätsklinikum Carl Gustav Carus Dresden, OncoRay - National Centre for Radiation Research in Oncology, Klinik und Poliklinik für Nuklearmedizin (Autor:in)
  • Steffen Appold - , Klinik und Poliklinik für Strahlentherapie und Radioonkologie (Autor:in)
  • Thomas Herrmann - , Klinik und Poliklinik für Strahlentherapie und Radioonkologie (Autor:in)
  • Michael Baumann - , Klinik und Poliklinik für Strahlentherapie und Radioonkologie, OncoRay - Nationales Zentrum für Strahlenforschung in der Onkologie, Universitätsklinikum Carl Gustav Carus Dresden (Autor:in)
  • Nasreddin Abolmaali - , Universitätsklinikum Carl Gustav Carus Dresden, OncoRay - National Centre for Radiation Research in Oncology (Autor:in)

Abstract

Objective: The goal of this study was to investigate the local tumor blood supply parameters relative tumor blood volume (rTBV) and transfer coefficient (Ktrans) measurable with dynamic contrast enhanced computed tomography (DCE-CT) in patients with non-small-cell lung cancer (NSCLC) scheduled for radiation therapy (RT). Materials and methods: rTBV and Ktrans were measured before RT in 31 patients with clinically inoperable NSCLC (Stages I-III), which received (n=19) or did not receive (n=12) induction chemotherapy (IChT). Possible links between rTBV and Ktrans and time-to-progression (TTP), overall survival (OS) and maximum standardized uptake value (SUVmax) from fluorodeoxyglucose positron emission tomography as well as histology were analyzed. Results: NSCLC showed a wide range of rTBV and Ktrans values as estimated by DCE-CT (6.4±0.6ml/100ml and 18.2±1.5ml/100ml/min correspondingly). A significant difference in rTBV values in patients with IChT (4.6±0.6ml/100ml) and without IChT (7.5±0.9ml/100ml; p=0.023), depending on the number of cycles of the IChT and the clinical stage was found. A negative correlation between rTBV and TTP was revealed only in RT patients up-staged by FDG-PET/CT from stage III to stage IV (n=7, r=-0.96, p=0.0006). An inverse correlation between Ktrans and TTP (n=24, r=-0.53, p=0.008) was observed in all RT patients. No relevant correlation was detected between rTBV, Ktrans and SUVmax or histologic subtypes and grading. Conclusions: Tumor blood supply parameters derived from DCE-CT are useful to characterize tumor vascularization before radiotherapy in patients with NSCLC and data on outcome prediction are supplemented.

Details

OriginalspracheEnglisch
Seiten (von - bis)280-285
Seitenumfang6
FachzeitschriftLung cancer
Jahrgang70
Ausgabenummer3
PublikationsstatusVeröffentlicht - Dez. 2010
Peer-Review-StatusJa

Externe IDs

PubMed 20371133

Schlagworte

Ziele für nachhaltige Entwicklung

Schlagwörter

  • Chemotherapy, Dynamic contrast enhanced computed tomography, Non-small-cell lung cancer, Prognosis, Radiation therapy