Evidence map›Paper›PMID 37828450›Full record

ArticleBMC medical imaging2023

Predictive value of infiltrating tumor border configuration of rectal cancer on MRI.

Baohua Lv, Leilei Yuan, Jizheng Li, Xue Kong, Yanling Cheng, Kai Shang, Erhu Jin

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Article in BMC medical imaging, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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7 authors.

Baohua LvDepartment of Radiology, Taian City Central Hospital, Qingdao University, Tai'an, 271099, China.
Leilei YuanDepartment of Radiology, Taian City Central Hospital, Qingdao University, Tai'an, 271099, China.
Jizheng LiDepartment of Radiology, Taian City Central Hospital, Qingdao University, Tai'an, 271099, China.
Xue KongDepartment of Radiology, Taian City Central Hospital, Qingdao University, Tai'an, 271099, China.
Yanling ChengRespiratory department of Shandong Second Rehabilitation Hospital, Tai'an, 271000, China.
Kai ShangDepartment of Orthopedic, Taian City Central Hospital, Qingdao University, Tai'an, 271099, China.
Erhu JinDepartment of Radiology, Beijing Friendship Hospital, Capital Medical University, No. 95, Yong-an Road, Beijing, 100050, China. drerhujin@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInfiltrating tumor border configuration (iTBC) is assessed by postoperative pathological examination, thus, is not helpful for preoperative treatment strategies. The study aimed to detect iTBC by magnetic resonance imaging (MRI) and evaluate its predictive value. MATERIALS AND

methodsA total of 153 patients with rectal cancer were retrospectively analyzed. Clinicopathological and MRI data mainly including tumor border configuration (TBC) on MRI, MRI-detected extramural vascular invasion (MEMVI), tumor length, tumor growth pattern, maximal extramural depth, pathology-proven lymph node metastasis (PLN) and pathology-proven extramural vascular invasion (PEMVI) were analyzed. The correlation of MRI factors with PEMVI and PLN was analyzed by univariate and multivariate logistic regression analyses. The nomograms were established based on multivariate logistic regression analysis and were confirmed by Bootstrap self-sampling. The receiver operating characteristic (ROC) curve analysis and area under the curve (AUC) were used to evaluate the diagnostic efficiency.

resultsFifty cases of PEMVI and 48 cases of PLN were found. Forty cases of PEMVI and 34 cases of PLN in 62 cases of iTBC were also found. iTBC, MEMVI and maximal extramural depth were significantly associated with PEMVI and PLN (P < 0.05). iTBC (odds ratio = 3.84 and 3.02) and MEMVI (odds ratio = 7.27 and 3.22) were independent risk factors for PEMVI and PLN. The C-indices of the two nomograms for predicting PEMVI and PLN were 0.863 and 0.752, respectively. The calibration curves and ROC curves of the two nomograms showed that the correlation between the predicted and the actual incidence of PEMVI and PLN was good. The AUCs of iTBC for predicting PEMVI and PLN were 0.793 (95% CI: 0.714-0.872) and 0.721 (95% CI: 0.632-0.810), respectively. The DeLong test showed that the predictive efficiency of the nomogram in predicting PEMVI was better than that of iTBC (P = 0.0009) and MEMVI (P = 0.0095).

conclusioniTBC and MEMVI are risk factors for PEMVI and pelvic lymph node metastasis. The nomograms based on iTBC show a good performance in predicting PEMVI and pelvic lymph node metastasis, possessing a certain clinical reference value.

trial registrationThis study was approved by the Ethics Committee of Beijing Friendship Hospital, and individual consent was waived for this retrospective analysis.

Indexed as

NomogramsRectal NeoplasmsHumansLymphatic MetastasisMagnetic Resonance ImagingRetrospective StudiesExtramural vascular invasionMagnetic resonance imagingRectal cancerTumor border configuration

Identifiers

PMID37828450
PMCPMC10571450

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.