Predicting the pathological invasiveness of early lung adenocarcinoma prior to surgery using Deauville criteria: reliability and validity.
Predicting the pathological invasiveness of early lung adenocarcinoma prior to surgery using Deauville criteria: reliability and validity.
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DOI：
10.1007/s11604-023-01397-z
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发表时间：
2023-07
影响因子：
2.1
通讯作者：
Yamagami, Takuji
中科院分区：
文献类型：
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作者：
Nishimori, Miki;Iwasa, Hitomi;Nakaji, Kosuke;Nitta, Noriko;Miyatake, Kana;Yoshimatsu, Rika;Yamanishi, Tomoaki;Matsumoto, Tomohiro;Kato, Mahiru;Hayashi, Naoya;Toi, Makoto;Tamura, Masaya;Yamagami, Takuji
本回顾性研究旨在探讨FDG-PET/CT视觉评估的有效性和可靠性，采用Deauville标准预测手术前早期肺腺癌的病理侵袭性。 在2020年4月至2022年1月期间，入组了51例因病理学0/I期肺腺癌接受手术的患者。根据病理浸润程度将肺内病变分为两组：低浸润性（包括原位腺癌、微创腺癌和浸润腺癌）。我们比较了两组之间的CT大小（总大小和实体大小）、SUVmax和Deauville评分。此外，我们还调查了评分员之间和评分员内部关于多维尔评分的一致性。进行受试者工作特征（ROC）曲线分析，以确定每种方法的诊断性能。 根据病理诊断，将51例患者的51个病灶分为6个侵袭性较小的病灶和45个侵袭性腺癌病灶。根据二次加权Kappa统计，Deauville评分的所有五个组成部分之间的评分者间（k = 0.93）和评分者内（k = 0.97）一致性表明一致性较高。两组之间的CT实体大小、SUVmax和Deauville评分存在统计学显著差异。CT实体大小与FDG-PET/CT评估之间无显著差异（Deauville评分和SUVmax的AUC = 0.93，CT实体大小的AUC = 0.84）。使用Deauville评分的FDG-PET/CT视觉评估可以帮助决定早期肺腺癌的微创手术。
This retrospective study aimed to investigate the validity and reliability of FDG-PET/CT visual assessment using Deauville criteria to predict pathological invasiveness of early lung adenocarcinoma prior to surgery. Between April 2020 and January 2022, 51 patients who underwent surgery for pathological stage 0/I lung adenocarcinoma were enrolled. The pulmonary lesions were divided into two groups according to pathological invasiveness: less invasive (including adenocarcinoma in situ and minimally invasive adenocarcinoma and invasive adenocarcinoma. We compared CT size (total and solid size), SUVmax, and Deauville score between the two groups. Furthermore, we investigated inter-rater and intra-rater agreements regarding the Deauville score. Receiver operating characteristic (ROC) curve analysis was performed to identify the diagnostic performance of each method. Based on pathologic diagnoses, 51 lesions in the 51 patients were divided into 6 less invasive and 45 invasive adenocarcinoma lesions. According to quadratic-weighted Kappa statistics, inter-rater (k = 0.93) and intra-rater (k = 0.97) agreements among all five components of the Deauville score indicated high agreement. There was a statistically significant difference in CT solid size, SUVmax, and Deauville score between the two groups. There were no significant differences between CT solid size and FDG-PET/CT assessments (AUC = 0.93 for Deauville score and SUVmax, AUC = 0.84 for CT solid size). FDG-PET/CT visual assessment using the Deauville score could assist in deciding upon minimally invasive surgery for early lung adenocarcinoma.
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影响因子：
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作者：
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DOI：
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发表时间：
2011-02
期刊：
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影响因子：
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作者：
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通讯作者：
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DOI：
10.1097/pas.0000000000000134
发表时间：
2014-04
期刊：
The American journal of surgical pathology
影响因子：
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作者：
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通讯作者：
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影响因子：
2.3
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