Abstract:
:The purpose of this study was to investigate whether dynamic contrast enhanced MRI (DCE-MRI) data, both pharmacokinetic and empirical, can predict, prior to neoadjuvant chemotherapy, which patients are likely to have a shorter disease free survival (DFS) and overall survival (OS) interval following surgery. Traditional prognostic parameters were also included in the survival analysis. Consequently, a comparison of the prognostic value could be made between all the parameters studied. MR examinations were conducted on a 1.5 T system in 68 patients prior to the initiation of neoadjuvant chemotherapy. DCE-MRI consisted of a fast spoiled gradient echo sequence acquired over 35 phases with a mean temporal resolution of 11.3s. Both pharmacokinetic and empirical parameters were derived from the DCE-MRI data. Kaplan-Meier survival plots were generated for each parameter and group comparisons were made utilising logrank tests. The results from the 54 patients entered into the univariate survival analysis demonstrated that traditional prognostic parameters (tumour grade, hormonal status and size), empirical parameters (maximum enhancement index, enhancement index at 30s, area under the curve and initial slope) and adjuvant therapies demonstrated significant differences in survival intervals. Further multivariate Cox regression survival analysis revealed that empirical enhancement parameters contributed the greatest prediction of both DFS and OS in the resulting models. In conclusion, this study has demonstrated that in patients who exhibit high levels of perfusion and vessel permeability pre-treatment, evidenced by elevated empirical DCE-MRI parameters, a significantly lower disease free survival and overall survival can be expected.
journal_name
Eur J Radioljournal_title
European journal of radiologyauthors
Pickles MD,Manton DJ,Lowry M,Turnbull LWdoi
10.1016/j.ejrad.2008.05.007subject
Has Abstractpub_date
2009-09-01 00:00:00pages
498-505issue
3eissn
0720-048Xissn
1872-7727pii
S0720-048X(08)00249-0journal_volume
71pub_type
临床试验,杂志文章abstract::A 32-year old woman was admitted to the hospital with a sudden onset of right-sided hemiplegia and aphasia. Immediate angiographic examination revealed a severe form of type I Takayasu arteritis with occlusion of all supra-aortic vessels, with the exception of the left subclavian artery which was, however, almost comp...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/s0720-048x(98)00160-0
更新日期:1999-09-01 00:00:00
abstract:PURPOSE:To define single-voxel proton magnetic resonance spectroscopy (MRS) findings of vertebral tuberculous spondylitis (TBS), Modic type-I end-plate changes (MTEC) and metastatic vertebral disease (MVD). MATERIALS AND METHODS:Fifteen patients with TBS, 15 with MTEC and 15 with MVD were included. MRS from the diseas...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2008.05.002
更新日期:2009-08-01 00:00:00
abstract:PURPOSE:This study was designed to preoperatively predict microvascular invasion (MVI) of solitary small hepatocellular carcinoma (sHCC) by quantitative analysis of Gd-EOB-DTPA enhanced hepatobiliary phase (HBP) magnetic resonance imaging (MRI). METHOD:Sixty-one patients, 19 with and 42 without histologically confirme...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2020.109361
更新日期:2020-12-01 00:00:00
abstract::To determine if proton magnetic resonance spectroscopy (1H MRS) of thyroid carcinoma is feasible and to determine if 1H MRS spectra of malignant tumors differ from that of normal thyroid tissue. We performed 1H MRS at 1.5 T at echo-times (TE) 136 and 272 ms to examine eight patients with thyroid cancer (primary tumour...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2004.05.003
更新日期:2005-04-01 00:00:00
abstract:PURPOSE:To evaluate prospectively the value of size, shape, margin and density in discriminating between benign and malignant CT screen detected solid non-calcified pulmonary nodules. MATERIAL AND METHODS:This study was institutional review board approved. For this study 405 participants of the NELSON lung cancer scre...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2007.08.027
更新日期:2008-11-01 00:00:00
abstract::The purpose of this review is to outline recent trends in contrast agent development for magnetic resonance imaging. Up to now, small molecular weight gadolinium chelates are the workhorse in contrast enhanced MRI. These first generation MR contrast agents distribute into the intravascular and interstitial space, thus...
journal_title:European journal of radiology
pub_type: 杂志文章,评审
doi:10.1016/s0720-048x(02)00332-7
更新日期:2003-04-01 00:00:00
abstract:PURPOSE:To evaluate the imaging pattern of pancreaticobiliary lesions in patients with treated type 1AIP, to determine the incidence of disease relapse and malignancy, and to identify the risk factors. METHOD:The institutional review board approval was acquired. All patients gave written informed consent. From a prosp...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2019.108673
更新日期:2019-11-01 00:00:00
abstract:AIM:To evaluate the author's experience with the use of diffusion tensor magnetic resonance imaging (DTI) on patients with glial tumors. METHODS:A retrospective evaluation of a group of 24 patients with glial tumors was performed. There were eight patients with Grade II, eight patients with Grade III and eight patient...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2009.03.030
更新日期:2010-06-01 00:00:00
abstract:OBJECTIVE:To prospectively compare test bolus and bolus tracking for the determination of scan delay of pulmonary dual-energy CT angiography in patients with suspected pulmonary embolism. MATERIALS AND METHODS:60 consecutive patients referred for CTA for exclusion of PE were randomized either into a test bolus group o...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2010.06.023
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVE:To estimate a frequency of obstetric anal sphincters defects in women after vaginal delivery. METHODS:The study included 102 women, aged from 16 to 40 years (mean age 28.6 years). 28 women had perineal lacerations of 3rd and 4th degree. 22 women had instrumental delivery. Anal endosonography was performed on...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2009.10.008
更新日期:2011-04-01 00:00:00
abstract:PURPOSE:To assess the safety and tolerability of transarterial drug-eluting bead chemoembolisation (DEB-TACE) using tightly calibrated 100-μm microspheres in hepatocellular carcinoma (HCC). METHOD:This multicentre prospective study included 131 patients with a 2-year follow-up. All patients had Child-Pugh scores ≤ B7,...
journal_title:European journal of radiology
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ejrad.2020.108966
更新日期:2020-05-01 00:00:00
abstract:INTRODUCTION:Transplant renal artery (RA) stenosis (TRAS) is the most frequent posttransplantation vascular complication. Contrast enhanced magnetic resonance (CeMRA) angiography has been established as the preferred imaging technique for the evaluation of TRAS because it does not require the use of iodinated contrast ...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2011.04.039
更新日期:2011-08-01 00:00:00
abstract:INTRODUCTION:Spontaneous pneumothorax (SP) is a frequent complication in non-treated HIV-infected patients as a complication of opportunistic infections and tumours. OBJECTIVE:To analyse the aetiology of SP in non-treated HIV patients. PATIENTS AND METHODS:Observational study of SP cases observed in a cohort of 9831 ...
journal_title:European journal of radiology
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ejrad.2008.05.003
更新日期:2009-08-01 00:00:00
abstract:PURPOSE:The purpose of our study was to compare signal characteristics and image qualities of MR imaging at 3.0T and 1.5T in patients with diffuse parenchymal liver disease. MATERIALS AND METHODS:25 consecutive patients with diffuse parenchymal liver disease underwent abdominal MR imaging at both 3.0T and 1.5T within ...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2008.07.027
更新日期:2009-11-01 00:00:00
abstract:BACKGROUND:Neurologic complications may be the first symptoms of atrial myxomas. Understanding the imaging features of neurologic complications of atrial myxomas can be helpful for the prompt diagnosis. OBJECTIVE:To identify neuroimaging features for patients with neurologic complications attributed to atrial myxoma. ...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2015.02.005
更新日期:2015-05-01 00:00:00
abstract:PURPOSE:Major arterial hemorrhage is an uncommon but serious complication of pancreatitis with high morbidity and mortality. Digital subtraction angiography (DSA) has long been the gold standard for the detection of a visceral artery pseudoaneurysm or for the site of active bleeding in patients with pancreatitis. Multi...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2006.02.006
更新日期:2006-08-01 00:00:00
abstract:PURPOSE:The purpose of this retrospective study was to determine what gives rise to the periportal free air, and ligamentum teres and falciform ligament signs on CT in patients with gastrointestinal (GI) tract perforation, and whether these specific air distributions can play a clinically meaningful role in the diagnos...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2009.07.033
更新日期:2011-02-01 00:00:00
abstract:PURPOSE:To compare lesion conspicuity and image quality between single-shot spin echo echo planar imaging (SS SE-EPI) before, immediately and 5min after intravenous (IV) injection of superparamagnetic iron oxide (SPIO) for detecting and characterizing focal liver lesions (FLLs). MATERIALS AND METHODS:Twenty-five patie...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2008.09.005
更新日期:2009-12-01 00:00:00
abstract::One-hundred and twenty-five patients with acuta trauma to the shoulder were radiographed using anteroposterior and transthoracic views supplemented by an apical oblique projection with the patient seated in posterior oblique position, central beam directed 45 degrees caudad. The two standard views were evaluated prior...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:
更新日期:1989-08-01 00:00:00
abstract::This retrospective study aimed to evaluate the feasibility and effectiveness of radiofrequency ablation (RFA) in patients with solitary kidney for the treatment of renal cell carcinoma (RCC). Within 2 years 10 patients (seven males, three females; age 65+/-8 years) were treated. All patients had a history of nephrecto...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2008.12.015
更新日期:2010-03-01 00:00:00
abstract:PURPOSE:To prospectively evaluate the diagnostic performance of 64-section multidetector computed tomography (MDCT) to detect significant coronary artery stenosis using conventional coronary angiography (CCA) as the reference standard. MATERIALS AND METHODS:Institutional Review Board approval and informed consent were...
journal_title:European journal of radiology
pub_type: 临床试验,杂志文章
doi:10.1016/j.ejrad.2007.01.009
更新日期:2007-06-01 00:00:00
abstract::Post-operative paediatric cerebellar mutism syndrome (pCMS) occurs in around 25% of children undergoing surgery for cerebellar and fourth ventricular tumours. Reversible mutism is the hallmark of a syndrome which comprises severe motor, cognitive and linguistic deficits. Recent evidence from advanced neuroimaging stud...
journal_title:European journal of radiology
pub_type: 杂志文章,评审
doi:10.1016/j.ejrad.2018.09.007
更新日期:2018-11-01 00:00:00
abstract::Epidemiology of tuberculosis (TB) in childhood is closely related to TB in adults. Serious manifestations are often observed in children with TB. Immunological immaturity and social dependence facilitate the spread of infection. Paediatricians account in practise both primary TB, with hilar lymphadenopathy, and subacu...
journal_title:European journal of radiology
pub_type: 杂志文章,评审
doi:10.1016/j.ejrad.2005.05.001
更新日期:2005-08-01 00:00:00
abstract:PURPOSE:To investigate the value of third-generation dual-source dual-energy computed tomography (DECT) iodine quantification to distinguish hepatic neuroendocrine tumor (NET) metastasis from hepatocellular carcinoma (HCC) in non-cirrhotic liver parenchyma. MATERIAL AND METHODS:Forty-six patients (mean age, 64.9 ± 10....
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2018.05.019
更新日期:2018-08-01 00:00:00
abstract:OBJECTIVES:This study aims to evaluate the radiation exposure to patients undergoing an abdominopelvic or a chest and abdominopelvic (trunk) CT examination and to assess compliance to imaging referral guidelines. METHODS:To this end, 357 standard abdominopelvic and trunk CT scans were collected from 8 Belgian institut...
journal_title:European journal of radiology
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ejrad.2018.12.019
更新日期:2019-02-01 00:00:00
abstract:PURPOSE:Primary extranodal lymphomas of the orbit and sinonasal region are rare and occur almost only as Non-Hodgkin lymphoma (NHL). The purpose of this study was to determine the frequency of different subtypes of NHL in these regions and to describe their radiological features. MATERIALS AND METHODS:Between January ...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2012.03.036
更新日期:2013-02-01 00:00:00
abstract:OBJECTIVE:To assess the diagnostic accuracy of multi-detector-row computed tomography (MDCT) for the detection of ampullary adenomas or adenocarcinomas in situ. MATERIALS AND METHODS:We retrospectively reviewed 21 computed tomography (CT) images from 20 patients with ampullary tumors, and 22 CT images from 22 patients...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2010.10.022
更新日期:2011-12-01 00:00:00
abstract:AIM:The atrium septum is tilted in heart. There is an angle between atrium septum and the cross section of body, which is called tilt angles of atrium septum (TAAS) in this study, however this angle has not been specifically mentioned in literatures. In this article TAAS was measured and analysed on axial images of con...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2011.01.040
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVES:Lymphangiography and thoracic duct embolization are established treatments for post-surgical chylothorax. There is only limited experience in their application to treat post-surgical chylous ascites. A multi-center analysis of the technical and clinical success of lymphangiography and lymphatic interventions...
journal_title:European journal of radiology
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ejrad.2018.10.019
更新日期:2018-12-01 00:00:00
abstract:OBJECTIVE:We examined the detectability of small hepatocellular carcinomas (HCCs) and the factors that affect hyperintensity of small HCC on T1-weighted images (T1W) by using T1-weighted fat-suppressed images (T1FS). METHODS:Thirty-nine HCCs (29 patients) measuring 30 mm or less were enrolled. The mean size of HCCs wa...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/s0720-048x(01)00346-1
更新日期:2002-01-01 00:00:00