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Research ArticleClinical Investigations

Interobserver Agreement of Qualitative Analysis and Tumor Delineation of 18F-Fluoromisonidazole and 3′-Deoxy-3′-18F-Fluorothymidine PET Images in Lung Cancer

Sébastien Thureau, Philippe Chaumet-Riffaud, Romain Modzelewski, Philippe Fernandez, Laurent Tessonnier, Laurent Vervueren, Florent Cachin, Alina Berriolo-Riedinger, Pierre Olivier, Hélène Kolesnikov-Gauthier, Oleg Blagosklonov, Boumediene Bridji, Anne Devillers, Laurent Collombier, Fréderic Courbon, Eric Gremillet, Claire Houzard, Jean Marc Caignon, Julie Roux, Nicolas Aide, Isabelle Brenot-Rossi, Kaya Doyeux, Bernard Dubray and Pierre Vera
Journal of Nuclear Medicine September 2013, 54 (9) 1543-1550; DOI: https://doi.org/10.2967/jnumed.112.118083
Sébastien Thureau
1Nuclear Medicine and Radiotherapy, Henri Becquerel Cancer Center and Rouen University Hospital, and QuantIF–LITIS (EA [Equipe d’Accueil] 4108), Faculty of Medicine, University of Rouen, Rouen, France
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Philippe Chaumet-Riffaud
2Department of Nuclear Medicine, AP-HP Bicêtre and University Paris-Sud, IR4M UMR8081 CNRS, Orsay, France
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Romain Modzelewski
1Nuclear Medicine and Radiotherapy, Henri Becquerel Cancer Center and Rouen University Hospital, and QuantIF–LITIS (EA [Equipe d’Accueil] 4108), Faculty of Medicine, University of Rouen, Rouen, France
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Philippe Fernandez
3Bordeaux University Hospital, Bordeaux, France
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Laurent Tessonnier
4University Hospital of the Timone, Marseille, France
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Laurent Vervueren
5Angers University Hospital, Angers, France
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Florent Cachin
6Jean Perrin Cancer Center, Clermont Ferrand, France
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Alina Berriolo-Riedinger
7Georges-François Leclerc Cancer Center, Dijon, France
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Pierre Olivier
8Nancy Brabois University Hospital, Nancy, France
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Hélène Kolesnikov-Gauthier
9Oscar Lambret Cancer Center, Lille, France
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Oleg Blagosklonov
10Besançon University Hospital, Besançon, France
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Boumediene Bridji
11René Gauducheau Cancer Center, Nantes, France
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Anne Devillers
12Eugene Marquis Cancer Center, Rennes, France
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Laurent Collombier
13Nimes University Hospital, Nimes, France
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Fréderic Courbon
14Rangueil University Hospital, Toulouse, France
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Eric Gremillet
15Nuclear Imaging Center, Saint Etienne, France
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Claire Houzard
16Lyon-Sud University Hospital, Lyon, France
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Jean Marc Caignon
17Catherine De Sienne Center, Nantes, France
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Julie Roux
18Grenoble University Hospital, Grenoble, France
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Nicolas Aide
19François Baclesse Cancer Center, Caen, France; and
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Isabelle Brenot-Rossi
20Institut Paoli Calmettes, Marseille, France
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Kaya Doyeux
1Nuclear Medicine and Radiotherapy, Henri Becquerel Cancer Center and Rouen University Hospital, and QuantIF–LITIS (EA [Equipe d’Accueil] 4108), Faculty of Medicine, University of Rouen, Rouen, France
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Bernard Dubray
1Nuclear Medicine and Radiotherapy, Henri Becquerel Cancer Center and Rouen University Hospital, and QuantIF–LITIS (EA [Equipe d’Accueil] 4108), Faculty of Medicine, University of Rouen, Rouen, France
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Pierre Vera
1Nuclear Medicine and Radiotherapy, Henri Becquerel Cancer Center and Rouen University Hospital, and QuantIF–LITIS (EA [Equipe d’Accueil] 4108), Faculty of Medicine, University of Rouen, Rouen, France
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Article Figures & Data

Figures

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  • FIGURE 1.
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    FIGURE 1.

    18F-FLT (A), 18F-FDG (B), and 18F-FMISO (C) images.

  • FIGURE 2.
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    FIGURE 2.

    (A) Reproducibility of 18F-FMISO volume delineation for 1 patient (orange, good agreement; green, moderate agreement; blue, poor agreement). (B) Reproducibility of 18F-FLT volume delineation for 1 patient (orange, good agreement; green, moderate agreement; blue, poor agreement).

  • FIGURE 3.
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    FIGURE 3.

    Data are mean ± SEM volumes (mL) for 22 methods of volume delineation for 18F-FMISO.

  • FIGURE 4.
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    FIGURE 4.

    Data are mean ± SEM volumes (mL) for 22 methods of volume delineation for 18F-FLT.

Tables

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    TABLE 1

    Global κ-Test for Visual Analysis of PET/CT Images for 18 Nuclear Medicine Physicians at 18 Centers

    κ18F-FDG18F-FMISO18F-FLT
    5 classes0.590.430.44
    2 classes0.810.770.77
    • View popup
    TABLE 2

    κ-Values for PET/CT Images Regarding Primary Tumors and Nodes

    18F-FDG18F-FMISO18F-FLT
    κTumorNodeTumorNodeTumorNode
    5 classes0.840.510.450.440.490.41
    2 classes0.870.780.650.810.840.74
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    TABLE 3

    κ-Values Regarding Times of PET/CT Images (Before or During Radiotherapy)

    18F-FDG18F-FMISO18F-FLT
    κBefore radiochemotherapyDuring radiochemotherapyBefore radiochemotherapyDuring radiochemotherapyBefore radiochemotherapyDuring radiochemotherapy
    5 classes0.650.530.450.430.520.34
    2 classes0.880.730.740.800.790.73
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    TABLE 4

    Sensitivity and Specificity of Different Methods of Volume Delineation

    18F-FMISO18F-FLT
    SegmentationSensitivitySpecificityAUCSensitivitySpecificityAUC
    1.210.560.780.920.50.71
    1.40.860.720.790.920.830.88
    SUVmax
     40%100.50100.50
     50%100.50100.50
    SUVmaxAorta
     1.3 ×10.560.780.960.50.73
     1.5 ×0.710.960.840.920.830.88
     1.6 ×0.1410.570.920.830.88
    SUVmeanAorta
     1.3 ×10.360.6810.330.67
     1.5 ×10.40.70100.50
     1.6 ×10.560.78100.50
    SUVmaxLung
     1.3 ×100.50100.50
     1.5 ×10.10.5510.330.67
     1.6 ×10.10.5510.330.67
    SUVmeanLung
     1.3 ×100.50100.50
     1.5 ×100.50100.50
     1.6 ×100.50100.50
    SUVmaxMuscle
     1.3 ×0.430.960.700.960.830.90
     1.5 ×0.2910.650.920.830.88
     1.6 ×0.2910.650.870.830.85
    SUVmeanMuscle
     1.3 ×00.960.4810.170.59
     1.5 ×10.140.5710.170.59
     1.6 ×10.520.760.960.170.57
    • For sensitivity and specificity reference standard defined by consensus group.

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Journal of Nuclear Medicine: 54 (9)
Journal of Nuclear Medicine
Vol. 54, Issue 9
September 1, 2013
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Interobserver Agreement of Qualitative Analysis and Tumor Delineation of 18F-Fluoromisonidazole and 3′-Deoxy-3′-18F-Fluorothymidine PET Images in Lung Cancer
Sébastien Thureau, Philippe Chaumet-Riffaud, Romain Modzelewski, Philippe Fernandez, Laurent Tessonnier, Laurent Vervueren, Florent Cachin, Alina Berriolo-Riedinger, Pierre Olivier, Hélène Kolesnikov-Gauthier, Oleg Blagosklonov, Boumediene Bridji, Anne Devillers, Laurent Collombier, Fréderic Courbon, Eric Gremillet, Claire Houzard, Jean Marc Caignon, Julie Roux, Nicolas Aide, Isabelle Brenot-Rossi, Kaya Doyeux, Bernard Dubray, Pierre Vera
Journal of Nuclear Medicine Sep 2013, 54 (9) 1543-1550; DOI: 10.2967/jnumed.112.118083

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Interobserver Agreement of Qualitative Analysis and Tumor Delineation of 18F-Fluoromisonidazole and 3′-Deoxy-3′-18F-Fluorothymidine PET Images in Lung Cancer
Sébastien Thureau, Philippe Chaumet-Riffaud, Romain Modzelewski, Philippe Fernandez, Laurent Tessonnier, Laurent Vervueren, Florent Cachin, Alina Berriolo-Riedinger, Pierre Olivier, Hélène Kolesnikov-Gauthier, Oleg Blagosklonov, Boumediene Bridji, Anne Devillers, Laurent Collombier, Fréderic Courbon, Eric Gremillet, Claire Houzard, Jean Marc Caignon, Julie Roux, Nicolas Aide, Isabelle Brenot-Rossi, Kaya Doyeux, Bernard Dubray, Pierre Vera
Journal of Nuclear Medicine Sep 2013, 54 (9) 1543-1550; DOI: 10.2967/jnumed.112.118083
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Keywords

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