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Value of blood oxygenation level-dependent MRI for predicting clinical outcomes in uterine cervical cancer treated with concurrent chemoradiotherapy

Objectives To investigate the value of blood oxygenation level-dependent (BOLD) MRI as a predictor of clinical outcomes in cervical cancer patients treated with concurrent chemoradiotherapy (CCRT). Method Enrolled 92 patients with stage IB2–IVB cervical cancer who received CCRT underwent 3-T BOLD MR...

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Bibliographic Details
Published in:European radiology 2019-11, Vol.29 (11), p.6256-6265
Main Authors: Lee, Jiyeong, Kim, Chan Kyo, Gu, Kyo-won, Park, Won
Format: Article
Language:English
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Summary:Objectives To investigate the value of blood oxygenation level-dependent (BOLD) MRI as a predictor of clinical outcomes in cervical cancer patients treated with concurrent chemoradiotherapy (CCRT). Method Enrolled 92 patients with stage IB2–IVB cervical cancer who received CCRT underwent 3-T BOLD MRI before treatment. The R2* value (rate of spin dephasing, s −1 ) was measured in the tumor. Cox regression analysis was used to evaluate the associations of imaging and clinical parameters with progression-free survival (PFS) and cancer-specific survival (CSS). Inter-reader reliability for the R2* measurements was evaluated using an intraclass correlation coefficient (ICC). Results Tumor R2* values were significantly different between patients with and without disease progression ( p  
ISSN:0938-7994
1432-1084
DOI:10.1007/s00330-019-06198-5