Quantitative SPECT/CT for differentiating between enchondroma and grade I chondrosarcoma

Abstract Although differentiation between central chondroid tumors is important, their parallelism makes it a diagnostic conundrum for clinicians and radiologists. The objective of this study was to evaluate the efficiency of quantitative single photon emission computed tomography (SPECT)/computed t...

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Autores principales: Woo Hee Choi, Eun Ji Han, Ki Bong Chang, Min Wook Joo
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Publicado: Nature Portfolio 2020
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Acceso en línea:https://doaj.org/article/683779cad2184aeebf73a70cdc6dc17d
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spelling oai:doaj.org-article:683779cad2184aeebf73a70cdc6dc17d2021-12-02T16:31:46ZQuantitative SPECT/CT for differentiating between enchondroma and grade I chondrosarcoma10.1038/s41598-020-67506-42045-2322https://doaj.org/article/683779cad2184aeebf73a70cdc6dc17d2020-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-67506-4https://doaj.org/toc/2045-2322Abstract Although differentiation between central chondroid tumors is important, their parallelism makes it a diagnostic conundrum for clinicians and radiologists. The objective of this study was to evaluate the efficiency of quantitative single photon emission computed tomography (SPECT)/computed tomography (CT) in differentiating grade I chondrosarcomas from enchondromas. We reviewed SPECT/CT images of patients with enchondromas and grade I chondrosarcomas arising in the long bones. Volume, mean standardized uptake value (SUVmean), and maximum standardized uptake value (SUVmax) of tumors were calculated from SPECT/CT images. In addition, clinical characteristics and radiological information were assessed. Of a total of 34 patients, 14 had chondrosarcomas. Chondrosarcoma group had significantly larger volume, and higher SUVmean and SUVmax of tumors than enchondroma group. There was no significant difference in age and tumor size between two groups. Areas under the receiver-operating characteristic curve (AUCs) for tumor volume, SUVmean, and SUVmax were 0.727, 0.757, and 0.875. In pairwise analyses, SUVmax had larger AUC than SUVmean (p = 0.0216). With a cut-off value of 15.6 for SUVmax, its sensitivity and specificity were 86% and 75% for differentiating between enchondroma and grade I chondrosarcoma. Quantitative SPECT/CT is a potential method to differentiate grade I chondroarcomas from enchondromas in patients with central chondroid tumors.Woo Hee ChoiEun Ji HanKi Bong ChangMin Wook JooNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 10, Iss 1, Pp 1-8 (2020)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Woo Hee Choi
Eun Ji Han
Ki Bong Chang
Min Wook Joo
Quantitative SPECT/CT for differentiating between enchondroma and grade I chondrosarcoma
description Abstract Although differentiation between central chondroid tumors is important, their parallelism makes it a diagnostic conundrum for clinicians and radiologists. The objective of this study was to evaluate the efficiency of quantitative single photon emission computed tomography (SPECT)/computed tomography (CT) in differentiating grade I chondrosarcomas from enchondromas. We reviewed SPECT/CT images of patients with enchondromas and grade I chondrosarcomas arising in the long bones. Volume, mean standardized uptake value (SUVmean), and maximum standardized uptake value (SUVmax) of tumors were calculated from SPECT/CT images. In addition, clinical characteristics and radiological information were assessed. Of a total of 34 patients, 14 had chondrosarcomas. Chondrosarcoma group had significantly larger volume, and higher SUVmean and SUVmax of tumors than enchondroma group. There was no significant difference in age and tumor size between two groups. Areas under the receiver-operating characteristic curve (AUCs) for tumor volume, SUVmean, and SUVmax were 0.727, 0.757, and 0.875. In pairwise analyses, SUVmax had larger AUC than SUVmean (p = 0.0216). With a cut-off value of 15.6 for SUVmax, its sensitivity and specificity were 86% and 75% for differentiating between enchondroma and grade I chondrosarcoma. Quantitative SPECT/CT is a potential method to differentiate grade I chondroarcomas from enchondromas in patients with central chondroid tumors.
format article
author Woo Hee Choi
Eun Ji Han
Ki Bong Chang
Min Wook Joo
author_facet Woo Hee Choi
Eun Ji Han
Ki Bong Chang
Min Wook Joo
author_sort Woo Hee Choi
title Quantitative SPECT/CT for differentiating between enchondroma and grade I chondrosarcoma
title_short Quantitative SPECT/CT for differentiating between enchondroma and grade I chondrosarcoma
title_full Quantitative SPECT/CT for differentiating between enchondroma and grade I chondrosarcoma
title_fullStr Quantitative SPECT/CT for differentiating between enchondroma and grade I chondrosarcoma
title_full_unstemmed Quantitative SPECT/CT for differentiating between enchondroma and grade I chondrosarcoma
title_sort quantitative spect/ct for differentiating between enchondroma and grade i chondrosarcoma
publisher Nature Portfolio
publishDate 2020
url https://doaj.org/article/683779cad2184aeebf73a70cdc6dc17d
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AT eunjihan quantitativespectctfordifferentiatingbetweenenchondromaandgradeichondrosarcoma
AT kibongchang quantitativespectctfordifferentiatingbetweenenchondromaandgradeichondrosarcoma
AT minwookjoo quantitativespectctfordifferentiatingbetweenenchondromaandgradeichondrosarcoma
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