Quantitative parameters in novel spectral computed tomography:Assessment of Ki-67 expression in patients with gastric adenocarcinoma

BACKGROUND The level of Ki-67 expression has served as a prognostic factor in gastric cancer.The quantitative parameters based on the novel dual-layer spectral detector computed tomography(DLSDCT)in discriminating the Ki-67 expression status are unclear.AIM To investigate the diagnostic ability of DLSDCT-derived parameters for Ki-67 expression status in gastric carcinoma(GC).METHODS Dual-phase enhanced abdominal DLSDCT was performed preoperatively in 108 patients with gastric adenocarcinoma.Primary tumor monoenergetic CT attenuation value at 40-100 kilo electron volt(kev),the slope of the spectral curve(λ_(HU)),iodine concentration(IC),normalized IC(nIC),effective atomic number(Z^(eff))and normalized Z^(eff)(nZ^(eff))in the arterial phase(AP)and venous phase(VP)were retrospectively compared between patients with low and high Ki-67 expression in gastric adenocarcinoma.Spearman’s correlation coefficient was used to analyze the association between the above parameters and Ki-67 expression status.Receiver operating characteristic(ROC)curve analysis was performed to compare the diagnostic efficacy of the statistically significant parameters between two groups.RESULTS Thirty-seven and 71 patients were classified as having low and high Ki-67 expression,respectively.CT_(40 kev-VP),CT_(70 kev-VP),CT_(100 kev-VP),and Z^(eff)-related parameters were significantly higher,but IC-related parameters were lower in the group with low Ki-67 expression status than the group with high Ki-67 expression status,and other analyzed parameters showed no statistical difference between the two groups.Spearman’s correlation analysis showed that CT_(40 kev-VP),CT_(70 kev-VP),CT_(100 kev-VP),Z^(eff),and n Z^(eff) exhibited a negative correlation with Ki-67 status,whereas IC and nIC had positive correlation with Ki-67 status.The ROC analysis demonstrated that the multi-variable model of spectral parameters performed well in identifying the Ki-67 status[area under the curve(AUC)=0.967;sensitivity 95.77%;specificity 91.89%)].Nevertheless,the differentiating capabilities of singlevariable model were moderate(AUC value 0.630-0.835).In addition,the nZ_(VP)^(eff) and nIC_(VP)(AUC 0.835 and 0.805)showed better performance than CT_(40 kev-VP),CT_(70 kev-VP) and CT_(100 kev-VP)(AUC 0.630,0.631 and 0.662)in discriminating the Ki-67 status.CONCLUSION Quantitative spectral parameters are feasible to distinguish low and high Ki-67 expression in gastric adenocarcinoma.Z^(eff) and IC may be useful parameters for evaluating the Ki-67 expression.

Correlation of quantitative perfusion parameters on dynamic contrast-enhanced MRI with prognostic factors and subtypes of breast carcinoma

Objective To investigate whether correlation existsbetween quantitative perfusion parameters obtained from dynamic contrast-enhanced magnetic resonance imaging(DCE-MRI)and different prognostic factors or immunohistochemical subtypes of breast cancers.Methods A retrospective analysis of DCE-MRI was performed in

A New Parameter as an Indicator of the Degree of Deformation of Coals

The deformation of coal is effected by thermal effect, pressures and tectonic stress, and the tectonic stress is the principal influence factor. However, the proposition of a useful quantitative index that responds to the degree of deformation of coals quantitatively or semi-quantitatively has been a long-debated issue. The vitrinite reflectance ellipsoid, that is, the reflectance indication surface（RIS） ellipsoid is considered to be a strain ellipsoid that reflects the sum of the strain increment caused by stress in the process of coalification. It has been used to describe the degree of deformation of the coal, but the effect of the anisotropy on the RIS ellipsoid has not yet been considered with regards to non-structural factors. In this paper, Wei＇s parameter（ε） is proposed to express the deformation degree of the strain ellipsoid based on considering the combined influence of thermal effect, pressure and tectonic stress. The equation is as follows： ε=√[（ε_1-ε_0）~2＋（ε_2-ε_0）~2＋（ε_3-ε_0）~2]/3, where ε_1=lnR_（max）, ε_2=lnR_（int）, ε_3=lnR_（min）, and ε_0=（ε_1＋ε_2＋ε_3）/3. Wei＇s parameter represents the distance from the surface to the spindle of the RIS logarithm ellipsoid; thus, the degree of deformation of the strain ellipsoid is indicated quantitatively. The formula itself, meanwhile, represents the absolute value of the degree of relative deformation and is consequently suitable for any type of deformation of the strain ellipsoid. Wei＇s parameter makes it possible to compare degrees of deformation among different deformation types of the strain ellipsoid. This equation has been tested in four types of coal： highly metamorphic but weakly deformed coal of the southern Qinshui Basin, highly metamorphic and strongly deformed coal from the Tianhushan coal mining area of Fujian, and medium metamorphic and weakly or strongly deformed coal from the Huaibei Coalfield. The results of Wei＇s parameters are consistent with the actual deformation degrees of the coal reservoirs determined by other methods, which supports the effectiveness of this method. In addition, Wei＇s parameter is an important complement to the indicators of the degrees of deformation of coals, which possess certain theoretical significance and practical values.