Validation of the standardized index of shape tool to analyze DCE-MRI data in the assessment of neo-adjuvant therapy in locally advanced rectal cancer

Roberta Fusco, Vincenza Granata, Mario Sansone, Daniela Rega, Paolo Delrio, Fabiana Tatangelo, Carmen Romano, Antonio Avallone, Davide Pupo, Marzia Giordano, Roberto Grassi, Vincenzo Ravo, Biagio Pecori, Antonella Petrillo

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: Standardized index of shape (SIS) tool validation to examine dynamic contrast enhanced–magnetic resonance imaging (DCE-MRI) in preoperative chemo-radiation therapy (pCRT) assessment of locally advanced rectal cancer (LARC) in order to guide the surgeon versus more or less conservative treatment. Materials and Methods: A total of 194 patients (January 2008–November 2020), with III-IV locally advanced rectal cancer and subjected to pCRT were included. Three expert radiologists performed DCE-MRI analysis using SIS tool. Degree of absolute agreement among measurements, degree of consistency among measurements, degree of reliability and level of variability were calculated. Patients with a pathological tumour regression grade (TRG) 1 or 2 were classified as major responders (complete responders have TRG 1). Results: Good significant correlation was obtained between SIS measurements (range 0.97–0.99). The degree of absolute agreement ranges from 0.93 to 0.99, the degree of consistency from 0.81 to 0.9 and the reliability from 0.98 to 1.00 (p value < < 0.001). The variability coefficient ranges from 3.5% to 26%. SIS value obtained to discriminate responders by non-responders a sensitivity of 95.9%, a specificity of 84.7% and an accuracy of 91.8% while to detect complete responders, a sensitivity of 99.2%, a specificity of 63.9% and an accuracy of 86.1%. Conclusion: SIS tool is suitable to assess pCRT response both to identify major responders and complete responders in order to guide the surgeon versus more or less conservative treatment.

Original languageEnglish
JournalRadiologia Medica
DOIs
Publication statusPublished - 2021

Keywords

  • DCE-MRI
  • LARC
  • PCRT assessment
  • SIS tool

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Fingerprint

Dive into the research topics of 'Validation of the standardized index of shape tool to analyze DCE-MRI data in the assessment of neo-adjuvant therapy in locally advanced rectal cancer'. Together they form a unique fingerprint.

Cite this