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[MRI associated biomarker analysis for diagnosis of lymph node metastasis in T1-2 stage rectal cancer].

作者信息

Liu Y, Wan L J, Zhang H M, Peng W J, Zou S M, Ouyang H, Zhao X M, Zhou C W

机构信息

Department of Diagnostic Radiology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China.

Department of Pathology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China.

出版信息

Zhonghua Zhong Liu Za Zhi. 2021 Feb 23;43(2):207-212. doi: 10.3760/cma.j.cn112152-20200429-00391.


DOI:10.3760/cma.j.cn112152-20200429-00391
PMID:33601486
Abstract

To explore the diagnostic accuracy improved by magnetic resonance imaging (MRI) biomarkers for lymph node metastasis in T1-2 stage rectal cancer before treatment. Medical records of 327 patients with T1-2 rectal cancer who underwent pretreatment MRI and rectal tumor resection between January 2015 and November 2019 were retrospectively analyzed. Fifty-seven cases were divided into the lymph node metastasis group (N+ group) while other 270 cases in the non-lymph node metastasis group (N-group) according to the pathologic diagnosis. Two radiologist evaluated the tumor characteristics of MRI images. The relationship of the clinical and imaging characteristics of lymph node metastasis was assessed by using univariate analysis and multivariable logistic regression analysis. Receiver operating characteristic (ROC) curve was used to evaluate the diagnostic abilities for the differentiation of N- from N+ tumors. Among the 327 patients, MR-N evaluation was positive in 67 cases, which was statistically different from the pathological diagnosis (<0.001). The sensitivity, specificity and accuracy of MRI for lymph node metastasis were 45.6%, 84.8% and 78.0%, respectively. Multivariate regression analysis showed that tumor morphology (=0.002), including mucus or not (<0.001), and MR-N evaluation (<0.001) were independent influencing factors for stage T1-2 rectal cancer with lymph node metastasis. The area under the ROC curve of rectal cancer with lymph node metastasis analyzed by the logistic regression model was 0.786 (95% 0.720~0.852). Tumor morphology, including mucus or not, and MR-N evaluation can serve as independent biomarkers for differentiation of N- and N+ tumors. The model combined with these biomarkers facilitates to improve the diagnostic accuracy of lymph node metastasis in T1-2 rectal cancers by using MRI.

摘要

相似文献

[1]
[MRI associated biomarker analysis for diagnosis of lymph node metastasis in T1-2 stage rectal cancer].

Zhonghua Zhong Liu Za Zhi. 2021-2-23

[2]
[Diagnostic accuracy of 3.0T high-resolution MRI for assessment mesorectal lymph node metastases in patients with rectal cancer].

Zhonghua Wei Chang Wai Ke Za Zhi. 2018-7-25

[3]
A logistic model including risk factors for lymph node metastasis can improve the accuracy of magnetic resonance imaging diagnosis of rectal cancer.

Asian Pac J Cancer Prev. 2015

[4]
Diagnosis of lymph node metastasis on rectal cancer by PET-CT computer imaging combined with MRI technology.

J Infect Public Health. 2019-7-6

[5]
Pretreatment magnetic resonance imaging of regional lymph nodes with carcinoembryonic antigen in prediction of synchronous distant metastasis in patients with rectal cancer.

Oncotarget. 2016-5-10

[6]
[Analysis of prognosis and influencing factors of No. 253 lymph node metastasis in descending colon, sigmoid colon, and rectal cancer: a multicenter study].

Zhonghua Wai Ke Za Zhi. 2023-9-1

[7]
Combination of extramural venous invasion and lateral lymph node size detected with magnetic resonance imaging is a reliable biomarker for lateral lymph node metastasis in patients with rectal cancer.

World J Surg Oncol. 2022-1-5

[8]
[Analysis of risk factors associate with lymph node metastasis of T1 and T2 rectal cancer].

Zhonghua Wei Chang Wai Ke Za Zhi. 2015-10

[9]
Value of MRI morphologic features with pT1-2 rectal cancer in determining lymph node metastasis.

J Surg Oncol. 2018-9

[10]
[High definition MRI rectal lymph node aided diagnostic system based on deep neural network].

Zhonghua Wai Ke Za Zhi. 2019-2-1

引用本文的文献

[1]
A nomogram for preoperative differentiation of tumor deposits from lymph node metastasis in rectal cancer: A retrospective study.

Medicine (Baltimore). 2023-10-13

[2]
Progress in the diagnosis of lymph node metastasis in rectal cancer: a review.

Front Oncol. 2023-7-13

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