Spatial mapping of tumor heterogeneity in whole-body PET–CT: a feasibility study

Autor: Hanna Jönsson, Håkan Ahlström, Joel Kullberg
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: BioMedical Engineering OnLine, Vol 22, Iss 1, Pp 1-15 (2023)
Druh dokumentu: article
ISSN: 1475-925X
DOI: 10.1186/s12938-023-01173-0
Popis: Abstract Background Tumor heterogeneity is recognized as a predictor of treatment response and patient outcome. Quantification of tumor heterogeneity across all scales may therefore provide critical insight that ultimately improves cancer management. Methods An image registration-based framework for the study of tumor heterogeneity in whole-body images was evaluated on a dataset of 490 FDG-PET–CT images of lung cancer, lymphoma, and melanoma patients. Voxel-, lesion- and subject-level features were extracted from the subjects’ segmented lesion masks and mapped to female and male template spaces for voxel-wise analysis. Resulting lesion feature maps of the three subsets of cancer patients were studied visually and quantitatively. Lesion volumes and lesion distances in subject spaces were compared with resulting properties in template space. The strength of the association between subject and template space for these properties was evaluated with Pearson’s correlation coefficient. Results Spatial heterogeneity in terms of lesion frequency distribution in the body, metabolic activity, and lesion volume was seen between the three subsets of cancer patients. Lesion feature maps showed anatomical locations with low versus high mean feature value among lesions sampled in space and also highlighted sites with high variation between lesions in each cancer subset. Spatial properties of the lesion masks in subject space correlated strongly with the same properties measured in template space (lesion volume, R = 0.986, p
Databáze: Directory of Open Access Journals
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