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Preoperative prediction of lymph node metastasis in nonfunctioning pancreatic neuroendocrine tumors from clinical and MRI features: a multicenter study

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机构: [1]Peking Univ Canc Hosp & Inst, Dept Radiol, Key Lab Carcinogenesis & Translat Res, Minist Educ Beijing, 52 Fu Cheng Rd, Beijing 100142, Peoples R China [2]Qingdao Univ, Dept Radiol, Affiliated Hosp, Qingdao 266000, Peoples R China [3]Peking Univ First Hosp, Dept Ultrasonog, Beijing 100034, Peoples R China [4]Peking Univ First Hosp, Dept Radiol, Beijing 100034, Peoples R China [5]Kunming Med Univ, Dept Radiol, Affiliated Hosp 1, Kunming 650032, Yunnan, Peoples R China [6]Peking Univ Canc Hosp & Inst, Dept GI Oncol, 52 Fu Cheng Rd, Beijing 100142, Peoples R China
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关键词: Pancreatic neuroendocrine tumors Lymph node metastasis Magnetic resonance imaging Diffusion-weighted imaging Outcomes

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Background The extent of surgery in nonfunctioning pancreatic neuroendocrine tumors (NF-PNETs) has not well established, partly owing to the dilemma of precise prediction of lymph node metastasis (LNM) preoperatively. This study proposed to develop and validate the value of MRI features for predicting LNM in NF-PNETs. Methods A total of 187 patients with NF-PNETs who underwent MR scan and subsequent lymphadenectomy from 4 hospitals were included and divided into training group (n = 66, 1 center) and validation group (n = 121, 3 centers). The clinical characteristics and qualitative MRI features were collected. Multivariate logistic regression model for predicting LNM in NF-PNETs was constructed using the training group and further tested using validation group. Results Nodal metastases were reported in 41 patients (21.9%). Multivariate analysis showed that regular shape of primary tumor (odds ratio [OR], 4.722; p = .038) and the short axis of the largest lymph node in the regional area (OR, 1.488; p = .002) were independent predictors for LNM in the training group. The area under the receiver operating characteristic curve in the training group and validation group were 0.890 and 0.849, respectively. Disease-free survival was significantly different between model-defined LNM and non-LNM group. Conclusions The novel MRI-based model considering regular shape of primary tumor and short axis of largest lymph node in the regional area can accurately predict lymph node metastases preoperatively in NF-PNETs patients, which might facilitate the surgeons' decision on risk stratification.

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出版当年[2023]版:
大类 | 2 区 医学
小类 | 2 区 核医学
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大类 | 2 区 医学
小类 | 2 区 核医学
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出版当年[2022]版:
Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
最新[2023]版:
Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

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第一作者机构: [1]Peking Univ Canc Hosp & Inst, Dept Radiol, Key Lab Carcinogenesis & Translat Res, Minist Educ Beijing, 52 Fu Cheng Rd, Beijing 100142, Peoples R China
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