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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Nature Portfolio
2020-06-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-020-67506-4 |
| _version_ | 1818717135235448832 |
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| 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 |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-12-17T19:30:20Z |
| format | Article |
| id | doaj.art-683779cad2184aeebf73a70cdc6dc17d |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-12-17T19:30:20Z |
| publishDate | 2020-06-01 |
| publisher | Nature Portfolio |
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| spelling | doaj.art-683779cad2184aeebf73a70cdc6dc17d2022-12-21T21:35:16ZengNature PortfolioScientific Reports2045-23222020-06-011011810.1038/s41598-020-67506-4Quantitative SPECT/CT for differentiating between enchondroma and grade I chondrosarcomaWoo Hee Choi0Eun Ji Han1Ki Bong Chang2Min Wook Joo3Division of Nuclear Medicine, Department of Radiology, St. Vincent’s Hospital, College of Medicine, The Catholic University of KoreaDivision of Nuclear Medicine, Department of Radiology, Yeouido St. Mary’s Hospital, College of Medicine, The Catholic University of KoreaDepartment of Orthopaedic Surgery, St. Vincent’s Hospital, College of Medicine, The Catholic University of KoreaDepartment of Orthopaedic Surgery, St. Vincent’s Hospital, College of Medicine, The Catholic University of KoreaAbstract 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.https://doi.org/10.1038/s41598-020-67506-4 |
| spellingShingle | Woo Hee Choi Eun Ji Han Ki Bong Chang Min Wook Joo Quantitative SPECT/CT for differentiating between enchondroma and grade I chondrosarcoma Scientific Reports |
| title | 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_short | Quantitative SPECT/CT for differentiating between enchondroma and grade I chondrosarcoma |
| title_sort | quantitative spect ct for differentiating between enchondroma and grade i chondrosarcoma |
| url | https://doi.org/10.1038/s41598-020-67506-4 |
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