PMID- 28423375 OWN - NLM STAT- MEDLINE DCOM- 20180220 LR - 20180220 IS - 2296-5262 (Electronic) IS - 2296-5270 (Linking) VI - 40 IP - 5 DP - 2017 TI - Evaluation of Short-Term Efficacy of Concurrent Chemoradiotherapy in Primary Fallopian Tube Carcinoma by Diffusion-Weighted Imaging: A Retrospective Study. PG - 281-287 LID - 10.1159/000464354 [doi] AB - BACKGROUND: This study aims to evaluate the short-term efficacy of concurrent chemoradiotherapy (CCRT) in primary fallopian tube carcinoma (PFTC) using magnetic resonance diffusion-weighted imaging (MR-DWI). PATIENTS AND METHODS: Total abdominal irradiation was performed for 61 PFTC patients after surgery, and paclitaxel and carboplatin were used for CCRT. According to the response evaluation criteria in solid tumors (RECIST1.1), patients were divided into a sensitive (n = 36) and a resistant group (n = 25). Pearson correlation analysis was conducted to assess the correlations of tumor regression rate with apparent diffusion coefficient (ADC)pre, ADCpost, and ∆ADCpost. The efficacy of CCRT in PFTC using MR-DWI was evaluated by ROC curve, logistic regression analysis, Kaplan-Meier survival curve, and Cox regression model. RESULTS: The ADCpre in both the sensitive and the resistant group was negatively associated with the tumor regression rate (r = -0.508), while the ADCpost (r = 0.454) and ∆ADCpost (r = 0.769) were positively associated with the tumor regression rate (all p < 0.05). Histopathological type, FIGO stage, lymphatic metastasis, tumor regression rate, ADCpre, ADCpost, and ∆ADCpost were confirmed as key factors for CCRT in PFTC (all p < 0.05). CONCLUSION: Our retrospective study demonstrates the predictive value of MR-DWI in CCRT for PFTC patients. CI - (c) 2017 S. Karger GmbH, Freiburg. FAU - Liu, Ye-Wei AU - Liu YW FAU - Du, Ya-Fei AU - Du YF FAU - Zhang, Hong-Zhen AU - Zhang HZ FAU - Fang, Gui-Ying AU - Fang GY FAU - Zhang, Yu-Xiang AU - Zhang YX FAU - Ge, Jing AU - Ge J FAU - Liu, Jing AU - Liu J LA - eng PT - Journal Article DEP - 20170420 PL - Switzerland TA - Oncol Res Treat JT - Oncology research and treatment JID - 101627692 SB - IM MH - Chemoradiotherapy/*methods MH - Diffusion Magnetic Resonance Imaging/*methods MH - Drug Monitoring/*methods MH - Fallopian Tube Neoplasms/*diagnostic imaging/pathology/*therapy MH - Female MH - Humans MH - Middle Aged MH - Reproducibility of Results MH - Retrospective Studies MH - Sensitivity and Specificity MH - Treatment Outcome OTO - NOTNLM OT - Concurrent chemoradiotherapy OT - Diffusion-weighted imaging OT - Magnetic resonance OT - Primary fallopian tube carcinoma EDAT- 2017/04/20 06:00 MHDA- 2018/02/21 06:00 CRDT- 2017/04/20 06:00 PHST- 2016/10/13 00:00 [received] PHST- 2017/02/21 00:00 [accepted] PHST- 2017/04/20 06:00 [pubmed] PHST- 2018/02/21 06:00 [medline] PHST- 2017/04/20 06:00 [entrez] AID - 000464354 [pii] AID - 10.1159/000464354 [doi] PST - ppublish SO - Oncol Res Treat. 2017;40(5):281-287. doi: 10.1159/000464354. Epub 2017 Apr 20.