Correlation between Tissue Cellularity and Metabolism Represented by Diffusion-Weighted Imaging (DWI) and 18F-FDG PET/MRI in Head and Neck Cancer (HNC)

Background: This study aimed to assess the association of 18F-Fluorodeoxyglucose positron-emission-tomography (18F-FDG/PET) and DWI imaging parameters from a primary tumor and their correlations with clinicopathological factors. Methods: We retrospectively analyzed primary tumors in 71 patients with...

Full description

Bibliographic Details
Main Authors: Omar Freihat, Tóth Zoltán, Tamas Pinter, András Kedves, Dávid Sipos, Imre Repa, Árpád Kovács, Cselik Zsolt
Format: Article
Language:English
Published: MDPI AG 2022-02-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/14/3/847
_version_ 1797488574726144000
author Omar Freihat
Tóth Zoltán
Tamas Pinter
András Kedves
Dávid Sipos
Imre Repa
Árpád Kovács
Cselik Zsolt
author_facet Omar Freihat
Tóth Zoltán
Tamas Pinter
András Kedves
Dávid Sipos
Imre Repa
Árpád Kovács
Cselik Zsolt
author_sort Omar Freihat
collection DOAJ
description Background: This study aimed to assess the association of 18F-Fluorodeoxyglucose positron-emission-tomography (18F-FDG/PET) and DWI imaging parameters from a primary tumor and their correlations with clinicopathological factors. Methods: We retrospectively analyzed primary tumors in 71 patients with proven HNC. Primary tumor radiological parameters: DWI and FDG, as well as pathological characteristics were analyzed. Spearman correlation coefficient was used to assess the correlation between DWI and FDG parameters, ANOVA or Kruskal–Wallis, independent sample t-test, Mann–Whitney test, and multiple regression were performed on the clinicopathological features that may affect the 18F- FDG and apparent-diffusion coefficient (ADC) of the tumor. Results: No significant correlations were observed between DWI and any of the 18F-FDG parameters (<i>p</i> > 0.05). SUVmax correlated with N-stages (<i>p</i> = 0.023), TLG and MTV correlated with T-stages (<i>p</i> = 0.006 and <i>p</i> = 0.001), and ADC correlated with tumor grades (<i>p</i> = 0.05). SUVmax was able to differentiate between N+ and N− groups (<i>p</i> = 0.004). Conclusions: Our results revealed a non-significant correlation between the FDG-PET and ADC-MR parameters. FDG-PET-based glucose metabolic and DWI-MR-derived cellularity data may represent different biological aspects of HNC.
first_indexed 2024-03-10T00:05:14Z
format Article
id doaj.art-5e2ad72c53404265b5d43ff08dbc6b2c
institution Directory Open Access Journal
issn 2072-6694
language English
last_indexed 2024-03-10T00:05:14Z
publishDate 2022-02-01
publisher MDPI AG
record_format Article
series Cancers
spelling doaj.art-5e2ad72c53404265b5d43ff08dbc6b2c2023-11-23T16:09:40ZengMDPI AGCancers2072-66942022-02-0114384710.3390/cancers14030847Correlation between Tissue Cellularity and Metabolism Represented by Diffusion-Weighted Imaging (DWI) and 18F-FDG PET/MRI in Head and Neck Cancer (HNC)Omar Freihat0Tóth Zoltán1Tamas Pinter2András Kedves3Dávid Sipos4Imre Repa5Árpád Kovács6Cselik Zsolt7Department of Medical Imaging, Faculty of Health Sciences, University of Pécs, 7621 Pécs, HungaryDoctoral School of Health Sciences, University of Pécs, 7621 Pécs, HungaryDr. József Baka Diagnostic, Radiation Oncology, Research and Teaching Center, “Moritz Kaposi” Teaching Hospital, 7400 Kaposvár, HungaryDoctoral School of Health Sciences, University of Pécs, 7621 Pécs, HungaryDepartment of Medical Imaging, Faculty of Health Sciences, University of Pécs, 7621 Pécs, HungaryDoctoral School of Health Sciences, University of Pécs, 7621 Pécs, HungaryDepartment of Medical Imaging, Faculty of Health Sciences, University of Pécs, 7621 Pécs, HungaryDoctoral School of Health Sciences, University of Pécs, 7621 Pécs, HungaryBackground: This study aimed to assess the association of 18F-Fluorodeoxyglucose positron-emission-tomography (18F-FDG/PET) and DWI imaging parameters from a primary tumor and their correlations with clinicopathological factors. Methods: We retrospectively analyzed primary tumors in 71 patients with proven HNC. Primary tumor radiological parameters: DWI and FDG, as well as pathological characteristics were analyzed. Spearman correlation coefficient was used to assess the correlation between DWI and FDG parameters, ANOVA or Kruskal–Wallis, independent sample t-test, Mann–Whitney test, and multiple regression were performed on the clinicopathological features that may affect the 18F- FDG and apparent-diffusion coefficient (ADC) of the tumor. Results: No significant correlations were observed between DWI and any of the 18F-FDG parameters (<i>p</i> > 0.05). SUVmax correlated with N-stages (<i>p</i> = 0.023), TLG and MTV correlated with T-stages (<i>p</i> = 0.006 and <i>p</i> = 0.001), and ADC correlated with tumor grades (<i>p</i> = 0.05). SUVmax was able to differentiate between N+ and N− groups (<i>p</i> = 0.004). Conclusions: Our results revealed a non-significant correlation between the FDG-PET and ADC-MR parameters. FDG-PET-based glucose metabolic and DWI-MR-derived cellularity data may represent different biological aspects of HNC.https://www.mdpi.com/2072-6694/14/3/847diffusion-weighted imagingapparent diffusion coefficienthead and neck squamous cell carcinomaPET/MRIglucose metabolismprimary tumor
spellingShingle Omar Freihat
Tóth Zoltán
Tamas Pinter
András Kedves
Dávid Sipos
Imre Repa
Árpád Kovács
Cselik Zsolt
Correlation between Tissue Cellularity and Metabolism Represented by Diffusion-Weighted Imaging (DWI) and 18F-FDG PET/MRI in Head and Neck Cancer (HNC)
Cancers
diffusion-weighted imaging
apparent diffusion coefficient
head and neck squamous cell carcinoma
PET/MRI
glucose metabolism
primary tumor
title Correlation between Tissue Cellularity and Metabolism Represented by Diffusion-Weighted Imaging (DWI) and 18F-FDG PET/MRI in Head and Neck Cancer (HNC)
title_full Correlation between Tissue Cellularity and Metabolism Represented by Diffusion-Weighted Imaging (DWI) and 18F-FDG PET/MRI in Head and Neck Cancer (HNC)
title_fullStr Correlation between Tissue Cellularity and Metabolism Represented by Diffusion-Weighted Imaging (DWI) and 18F-FDG PET/MRI in Head and Neck Cancer (HNC)
title_full_unstemmed Correlation between Tissue Cellularity and Metabolism Represented by Diffusion-Weighted Imaging (DWI) and 18F-FDG PET/MRI in Head and Neck Cancer (HNC)
title_short Correlation between Tissue Cellularity and Metabolism Represented by Diffusion-Weighted Imaging (DWI) and 18F-FDG PET/MRI in Head and Neck Cancer (HNC)
title_sort correlation between tissue cellularity and metabolism represented by diffusion weighted imaging dwi and 18f fdg pet mri in head and neck cancer hnc
topic diffusion-weighted imaging
apparent diffusion coefficient
head and neck squamous cell carcinoma
PET/MRI
glucose metabolism
primary tumor
url https://www.mdpi.com/2072-6694/14/3/847
work_keys_str_mv AT omarfreihat correlationbetweentissuecellularityandmetabolismrepresentedbydiffusionweightedimagingdwiand18ffdgpetmriinheadandneckcancerhnc
AT tothzoltan correlationbetweentissuecellularityandmetabolismrepresentedbydiffusionweightedimagingdwiand18ffdgpetmriinheadandneckcancerhnc
AT tamaspinter correlationbetweentissuecellularityandmetabolismrepresentedbydiffusionweightedimagingdwiand18ffdgpetmriinheadandneckcancerhnc
AT andraskedves correlationbetweentissuecellularityandmetabolismrepresentedbydiffusionweightedimagingdwiand18ffdgpetmriinheadandneckcancerhnc
AT davidsipos correlationbetweentissuecellularityandmetabolismrepresentedbydiffusionweightedimagingdwiand18ffdgpetmriinheadandneckcancerhnc
AT imrerepa correlationbetweentissuecellularityandmetabolismrepresentedbydiffusionweightedimagingdwiand18ffdgpetmriinheadandneckcancerhnc
AT arpadkovacs correlationbetweentissuecellularityandmetabolismrepresentedbydiffusionweightedimagingdwiand18ffdgpetmriinheadandneckcancerhnc
AT cselikzsolt correlationbetweentissuecellularityandmetabolismrepresentedbydiffusionweightedimagingdwiand18ffdgpetmriinheadandneckcancerhnc