PMID- 28983807 OWN - NLM STAT- MEDLINE DCOM- 20180731 LR - 20181113 IS - 1865-0341 (Electronic) IS - 1865-0333 (Linking) VI - 10 IP - 4 DP - 2017 Dec TI - Relationship between tumor volume and quantitative values calculated using two-dimensional bone scan images. PG - 496-506 LID - 10.1007/s12194-017-0423-4 [doi] AB - The bone scan index (BSI) is calculated from a whole-body bone scan image; it shows the tumor burden in bone as a percentage of total skeletal mass. It has been used to determine the prognosis and to assess treatment effects; however, little has been reported on whether the BSI calculated using a two-dimensional image can accurately evaluate the three-dimensional spread in tumor volume. We investigated the relationship between tumor volume and BSI using Monte Carlo simulation (MCS). We simulated a gamma camera and constructed a voxel phantom based on an anthropomorphic phantom computed tomography (CT) image and gamma rays emitted from each part according to technetium-99m-labeled methylene diphosphonate ((99m)Tc-MDP) uptake (bone 1, soft tissue 0.2, tumor 2-32). We constructed bone scan images from the obtained counts and analyzed them using the BSI calculation software. The BSI increased with increased tumor uptake (two- to 32-fold). However, there was not always a significant difference between change in BSI and tumor uptake of eight times or greater than that of bone. When BSI was calculated with a tumor having an uptake of four-to-eight times higher than that of bone, the BSI was consistent with tumor volume, but decreased to about half the tumor volume when tumors were in the thoracic spine (Th-spine) segment. The BSI can be a good indicator of tumor volume in most segments, even though it is affected by the tumor's (99m)Tc-MDP uptake. Nevertheless, values calculated from the Th-spine should be interpreted carefully. FAU - Hosokawa, Shota AU - Hosokawa S AD - Graduate School of Human Health Sciences, Department of Radiological Sciences, Tokyo Metropolitan University, 7-2-10 Higashiogu, Arakawa-ku, Tokyo, 116-8551, Japan. AD - Graduate School of Health Sciences, Department of Radiation Science, Hirosaki University, 66-1 Hon-cho, Hirosaki, Aomori, 036-8564, Japan. FAU - Inoue, Kazumasa AU - Inoue K AD - Graduate School of Human Health Sciences, Department of Radiological Sciences, Tokyo Metropolitan University, 7-2-10 Higashiogu, Arakawa-ku, Tokyo, 116-8551, Japan. kzminoue@tmu.ac.jp. FAU - Takahashi, Yasuyuki AU - Takahashi Y AD - Graduate School of Health Sciences, Department of Radiation Science, Hirosaki University, 66-1 Hon-cho, Hirosaki, Aomori, 036-8564, Japan. FAU - Kawakami, Kazunori AU - Kawakami K AD - FUJIFILM RI Pharma Co., Ltd., 2-14-1 Kyobashi, Chuo-ku, Tokyo, 104-0031, Japan. FAU - Kano, Daisuke AU - Kano D AD - Department of Pharmacy, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan. AD - Department of Diagnostic Radiology, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan. FAU - Nakagami, Yoshihiro AU - Nakagami Y AD - Department of Diagnostic Radiology, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan. AD - Department of Radiology, Yokohama City University School of Medicine, 3-9 Fukuura, Kanazawa-ku, Yokohama, 236-0004, Japan. FAU - Fukushi, Masahiro AU - Fukushi M AD - Graduate School of Human Health Sciences, Department of Radiological Sciences, Tokyo Metropolitan University, 7-2-10 Higashiogu, Arakawa-ku, Tokyo, 116-8551, Japan. LA - eng PT - Journal Article DEP - 20171005 PL - Japan TA - Radiol Phys Technol JT - Radiological physics and technology JID - 101467995 RN - X89XV46R07 (Technetium Tc 99m Medronate) SB - IM MH - Bone Neoplasms/diagnostic imaging/*pathology MH - Humans MH - Image Processing, Computer-Assisted/methods MH - *Monte Carlo Method MH - *Phantoms, Imaging MH - Radionuclide Imaging/*methods MH - Spinal Neoplasms/diagnostic imaging/*pathology MH - Technetium Tc 99m Medronate MH - Tumor Burden MH - Whole Body Imaging/*methods OTO - NOTNLM OT - Bone scan index OT - Bone scintigraphy OT - Computer-aided diagnosis OT - Geant4 OT - Monte Carlo simulation EDAT- 2017/10/07 06:00 MHDA- 2018/08/01 06:00 CRDT- 2017/10/07 06:00 PHST- 2017/06/27 00:00 [received] PHST- 2017/09/20 00:00 [accepted] PHST- 2017/09/19 00:00 [revised] PHST- 2017/10/07 06:00 [pubmed] PHST- 2018/08/01 06:00 [medline] PHST- 2017/10/07 06:00 [entrez] AID - 10.1007/s12194-017-0423-4 [pii] AID - 10.1007/s12194-017-0423-4 [doi] PST - ppublish SO - Radiol Phys Technol. 2017 Dec;10(4):496-506. doi: 10.1007/s12194-017-0423-4. Epub 2017 Oct 5.