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The correlation between computed tomography volumetry and prognosis of advanced gastric cancer treated with neoadjuvant chemotherapy

Cancer Management and Research Feb 09, 2020

Chen C, Dong H, Shou C, et al. - Whether computer tomography (CT) volumetry affords a feasible and useful method to assess tumor response to neoadjuvant chemotherapy (NAC) in advanced gastric cancer (AGC) patients, was determined in this study among patients (n = 117) with AGC who were treated with NAC followed by R0 resection between January 2006 and December 2012. Researchers calculated the volume reduction rate (VRR) as follows: VRR = [(pre-chemotherapy total volume) − (post-chemotherapy total volume)]/(pre-chemotherapy total volume) × 100%. As per ROC analysis, the optimal cut-off VRR was estimated to be 31.95%, with a sensitivity and specificity of 70.4% and 71.7%, respectively. Two groups were defined on the basis of the cut-off VRR: VRR-High (VRR ≥ 31.95%, n = 63) and VRR-Low (VRR < 31.95%, n = 54) groups. A worse prognosis was seen in the VRR-Low group vs VRR-High group. In the VRR-Low group and VRR-High group, 3-year survival rates were reported to be 40.7% and 79.4%, and 5-year survival rates were 31.5% and 63.5%, respectively. Overall, findings revealed the feasibility as well as the reliability of CT volumetry as a method for evaluating the tumor response to NAC in patients with AGC.
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