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Target volume delineation for preoperative radiotherapy of rectal cancer: Inter-observer variability and potential impact of FDG-PET/CT imaging

  • Marco Krengli
  • , Barbara Cannillo
  • , Lucia Turri
  • , Paolo Bagnasacco
  • , Laura Berretta
  • , Teresa Ferrara
  • , Mario Galliano
  • , Sergio Gribaudo
  • , Antonella Melano
  • , Fernando Munoz
  • , Piera Sciacero
  • , Vassiliki Tseroni
  • , Maria Chiara Bassi
  • , Marco Brambilla
  • , Eugenio Inglese

Research output: Contribution to journalArticlepeer-review

Abstract

To analyze the inter-observer variability and the potential impact of 18F-fluorodeoxyglucose FDG)-positron emission tomography/computed tomography (PET/CT) imaging for target volume delineation in preoperative radiotherapy of rectal cancer. Gross tumor volume (GTV) and clinical target volume (CTV) in 2 cases of rectal cancer were contoured by 10 radiation oncologists, 5 on CT and 5 on PET/CT images. Resulting volumes were analyzed by coef-ficient of variation (CV) and concordance index (CI). Mean GTV was 120 cc ± 20.4 cc in case A and 119 cc ± 35.7 cc in case B. Mean CTV was 723 cc ± 147.5 cc in case A and 739 cc ± 195.6 cc in case B. CV was lower and CI was similar or higher across the observers contouring GTV on PET/CT. CTV variability was less influenced by the use of PET/CT. PET/CT may allow reducing inter-observer variability in GTV delineation.

Original languageEnglish
Pages (from-to)393-398
Number of pages6
JournalTechnology in Cancer Research and Treatment
Volume9
Issue number4
DOIs
Publication statusPublished - Aug 2010
Externally publishedYes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • Observer variability
  • PET/CT
  • Radiotherapy
  • Rectal cancer
  • Treatment planning

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