Interobserver reproducibility of diffusion-weighted MRI in monitoring tumor response to neoadjuvant therapy in esophageal cancer.

<h4>Objective</h4>To investigate the reproducibility of diffusion-weighted magnetic resonance imaging (DW-MRI) in assessing tumor response early in the course of neoadjuvant chemoradiotherapy in patients with operable esophageal cancer.<h4>Methods</h4>Eleven male patients (me...

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Main Authors: Robert M Kwee, Alexander K Dik, Meindert N Sosef, Ralph C M Berendsen, Sander Sassen, Guido Lammering, Ruud Clarijs, Liekele E Oostenbrug, Rachel L G M Blom, Roy F A Vliegen
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0092211&type=printable
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author Robert M Kwee
Alexander K Dik
Meindert N Sosef
Ralph C M Berendsen
Sander Sassen
Guido Lammering
Ruud Clarijs
Liekele E Oostenbrug
Rachel L G M Blom
Roy F A Vliegen
author_facet Robert M Kwee
Alexander K Dik
Meindert N Sosef
Ralph C M Berendsen
Sander Sassen
Guido Lammering
Ruud Clarijs
Liekele E Oostenbrug
Rachel L G M Blom
Roy F A Vliegen
author_sort Robert M Kwee
collection DOAJ
description <h4>Objective</h4>To investigate the reproducibility of diffusion-weighted magnetic resonance imaging (DW-MRI) in assessing tumor response early in the course of neoadjuvant chemoradiotherapy in patients with operable esophageal cancer.<h4>Methods</h4>Eleven male patients (mean age 54.8 years) with newly diagnosed esophageal cancer underwent DW-MRI before and 10 days after start of chemoradiotherapy. Reproducibility of apparent diffusion coefficient (ADC) measurements by manual (freehand) and semi-automated volumetric methods was assessed.<h4>Results</h4>Interobserver reproducibility for the assessment of mean tumor ADC by the manual measurement method was good, with an ICC of 0.69 (95% CI, 0.36 to 0.85; P = 0.001). Interobserver reproducibility for the assessment of mean tumor ADC by the semi-automated volumetric measurement method was very good, with an ICC of 0.96 (95% CI, 0.91 to 0.98; P<0.001).<h4>Conclusion</h4>Semi-automated volumetric ADC measurements have higher reproducibility than manual ADC measurements in assessing tumor response to chemoradiotherapy in patients with esophageal adenocarcinoma.
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spelling doaj.art-8c3c9402e87c429dbe04d29d32a22fac2025-02-21T05:34:56ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0194e9221110.1371/journal.pone.0092211Interobserver reproducibility of diffusion-weighted MRI in monitoring tumor response to neoadjuvant therapy in esophageal cancer.Robert M KweeAlexander K DikMeindert N SosefRalph C M BerendsenSander SassenGuido LammeringRuud ClarijsLiekele E OostenbrugRachel L G M BlomRoy F A Vliegen<h4>Objective</h4>To investigate the reproducibility of diffusion-weighted magnetic resonance imaging (DW-MRI) in assessing tumor response early in the course of neoadjuvant chemoradiotherapy in patients with operable esophageal cancer.<h4>Methods</h4>Eleven male patients (mean age 54.8 years) with newly diagnosed esophageal cancer underwent DW-MRI before and 10 days after start of chemoradiotherapy. Reproducibility of apparent diffusion coefficient (ADC) measurements by manual (freehand) and semi-automated volumetric methods was assessed.<h4>Results</h4>Interobserver reproducibility for the assessment of mean tumor ADC by the manual measurement method was good, with an ICC of 0.69 (95% CI, 0.36 to 0.85; P = 0.001). Interobserver reproducibility for the assessment of mean tumor ADC by the semi-automated volumetric measurement method was very good, with an ICC of 0.96 (95% CI, 0.91 to 0.98; P<0.001).<h4>Conclusion</h4>Semi-automated volumetric ADC measurements have higher reproducibility than manual ADC measurements in assessing tumor response to chemoradiotherapy in patients with esophageal adenocarcinoma.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0092211&type=printable
spellingShingle Robert M Kwee
Alexander K Dik
Meindert N Sosef
Ralph C M Berendsen
Sander Sassen
Guido Lammering
Ruud Clarijs
Liekele E Oostenbrug
Rachel L G M Blom
Roy F A Vliegen
Interobserver reproducibility of diffusion-weighted MRI in monitoring tumor response to neoadjuvant therapy in esophageal cancer.
PLoS ONE
title Interobserver reproducibility of diffusion-weighted MRI in monitoring tumor response to neoadjuvant therapy in esophageal cancer.
title_full Interobserver reproducibility of diffusion-weighted MRI in monitoring tumor response to neoadjuvant therapy in esophageal cancer.
title_fullStr Interobserver reproducibility of diffusion-weighted MRI in monitoring tumor response to neoadjuvant therapy in esophageal cancer.
title_full_unstemmed Interobserver reproducibility of diffusion-weighted MRI in monitoring tumor response to neoadjuvant therapy in esophageal cancer.
title_short Interobserver reproducibility of diffusion-weighted MRI in monitoring tumor response to neoadjuvant therapy in esophageal cancer.
title_sort interobserver reproducibility of diffusion weighted mri in monitoring tumor response to neoadjuvant therapy in esophageal cancer
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0092211&type=printable
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