Prognostic value of textural indices extracted from pretherapeutic 18‐F FDG‐PET/CT in head and neck squamous cell carcinoma

Autor: David Bourhis, Olivier Delcroix, Catherine Guezennec, Fanny Orlhac, Philippe Robin, Ronan Abgral, Pierre-Yves Salaun, Yves Gobel, Ulrike Schick, Jean Rousset
Rok vydání: 2018
Předmět:
Zdroj: Head & Neck.
ISSN: 1097-0347
1043-3074
Popis: Background This study aimed at assessing the prognostic value of textural indices extracted from 18F-fluorodeoxyglucose positron-emission tomography (FDG-PET)/CT in a large cohort of patients with head and neck squamous cell carcinomas (HNSCC) of any anatomic subsite and staging. Methods Consecutive patients with HNSCC referred for a pretreatment FDG-PET/CT were retrospectively included and followed up for a minimum of 2 years. Standardized uptake value, metabolic tumor volume (MTV), and textural indices were calculated using LIFEx software. Prognostic significance of parameters was assessed in univariate and multivariate analysis. Results Textural indices were extracted in 284 patients (mean age = 63.7±9.6 years). In univariate analysis, MTV and 4 textural indices-Correlation, Entropy, Energy, and Coarseness-were significantly correlated with overall survival (OS). In multivariate analysis, MTV (P = .008) and Correlation (P = .028) remained independently correlated to OS. Conclusion This study showed that MTV and 1 textural index extracted from pretherapeutic FDG-PET/CT (Correlation) were independent prognostic factors of OS in patients with HNSCC.
Databáze: OpenAIRE