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

Risultato della ricerca: Contributo su rivistaArticolo in rivistapeer 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.

Lingua originaleInglese
pagine (da-a)393-398
Numero di pagine6
RivistaTechnology in Cancer Research and Treatment
Volume9
Numero di pubblicazione4
DOI
Stato di pubblicazionePubblicato - ago 2010
Pubblicato esternamente

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