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DCE-US: Evaluation of Angiogenesis

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Functional Imaging in Oncology
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Abstract

In the era of personalised medicine, imaging indicators of tumour response are needed to guide patient management. Recent technical advances in DCE-US enable measurements of perfusion to quantify the microvascularisation in tumours. Reduction of vascularisation is detectable in responders after 2 weeks treatment and is correlated with progression-free and overall survival in renal and hepatocellular carcinomas. A recent multicentric study of DCE-US (539 patients) demonstrated that the area under the curve is a robust predictor of response at 1 month in several types of body tumours.

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Abbreviations

AUC:

Area under the curve

AUWI:

Area under the wash-in

AUWO:

Area under the wash-out

DCE-CT:

Dynamic Contrast enhanced Computed Tomography

DCE-MRI:

Dynamic Contrast enhanced Magnetic Resonance Imaging

DCE-US:

Dynamic Contrast enhanced Ultrasonography

EFSUMB:

European Federation of Societies for Ultrasound in Medicine and Biology

ESMO:

European Society for Medical Oncology

FDA:

Food and Drug Administration

GIST:

Gastro-intestinal stromal tumours

HCC:

Hepatocellular carcinomas

mTOR:

Mammalian Target Of Rapamycin

MTT:

Mean transit time

OS:

Overall Survival

PDGF:

Platelet-derived growth factor

PFS:

Progression Free Survival

PI:

Peak intensity

RCC:

Renal cell carcinoma

RECIST 1.1:

Response Evaluation Criteria in Solid Tumours

ROI:

Region of interest

SWI:

Slope of the wash-in

TIC:

Time intensity curve

TKIs:

Tyrosine kinase inhibitors

TPI:

Time to peak intensity

VEGF:

Vascular endothelial growth factor

WFUMB:

The World Federation for Ultrasound in Medicine and Biology

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Correspondence to Nathalie Lassau MD, PhD .

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Lassau, N. (2014). DCE-US: Evaluation of Angiogenesis. In: Luna, A., Vilanova, J., Hygino da Cruz Jr., L., Rossi, S. (eds) Functional Imaging in Oncology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-40412-2_17

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  • DOI: https://doi.org/10.1007/978-3-642-40412-2_17

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