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Prediction of survival with combining quantitative 18F-FDG PET/CT and DW-MRI parameters in sinonasal malignancies

Head & Neck May 07, 2019

Ozturk K, et al. - In this investigation, researchers identified the prognostic value of 18F-fluoro-deoxy-glucose positron emission/CT (18F-FDG PET/CT) and diffusion-weighted (DW) MRI for the determination of overall survival (OS), progression-free survival (PFS), and distant metastasis-free survival (DMFS) of sinonasal malignancies. From January 2009 through August 2017, 68 patients with sinonasal cancer who had both pretreatment 18F-FDG PET/CT scan and head-neck MRI were retrospectively reviewed. Cox regression analysis found that all 18F-FDG PET/CT and DW-MRI quantitative parameters were independently associated with PFS, DMFS, and OS. Perineural invasion and undefined margin were found to be significantly correlated with shorter OS after controlling for imaging variables while the perineural invasion was significantly correlated with shorter PFS. Findings suggested that DW-MRI and 18F-FDG PET/CT parameters for pretreatment could be significant surrogate markers for sinonasal malignancies.
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