2018
DOI: 10.1016/j.oraloncology.2017.12.001
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Influence of tumor and microenvironment characteristics on diffusion-weighted imaging in oropharyngeal carcinoma: A pilot study

Abstract: This study suggests that ADC reflects characteristics of tumor cells as well as the surrounding microenvironment. Interestingly, high tumor proliferation (a negative prognostic factor) and high T-cell influx (a beneficial prognostic factor) are both associated with a lower ADC. Further studies should be performed to correlate ADC to these histological characteristics in relation to previously known factors that affect ADC, to gain further knowledge on the role of DW-MRI in diagnostics and personalized medicine. Show more

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Cited by 38 publications
(29 citation statements)
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“…In addition, HPV-positive OPSCC seems to be more fre-quently associated with higher Ki-67 levels, 30 which have been found to be negatively correlated to ADC in several cancer types. [31][32][33][34][35] The same aforementioned study by Swartz et al 29 also demonstrated a negative correlation between ADC and Ki-67 expression.…”
Section: Discussionmentioning
confidence: 52%
See 1 more Smart Citation
“…In addition, HPV-positive OPSCC seems to be more fre-quently associated with higher Ki-67 levels, 30 which have been found to be negatively correlated to ADC in several cancer types. [31][32][33][34][35] The same aforementioned study by Swartz et al 29 also demonstrated a negative correlation between ADC and Ki-67 expression.…”
Section: Discussionmentioning
confidence: 52%
“…Furthermore, cancer cell nests in HPV-driven cancer are often surrounded by zones of lymphoid cells, 28 which could increase tissue cell density, thus leading to lower ADC. This hypothesis is supported by a very recent pilot study published by Swartz et al, 29 who found a strongly significant negative correlation between ADC and CD3-positive cell count in 20 patients with OPSCC.…”
Section: Discussionmentioning
confidence: 53%
“…One article contained correlation coefficients both between ADC versus histopathology and PET versus histopathology ( n =9). Therefore, the present meta-analysis involved 17 publications [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] , [19] , [20] , [21] , [22] , [23] . In these articles, correlations between different imaging and histopathological features were analyzed ( Table 1 ).…”
Section: Methodsmentioning
confidence: 99%
“…As compared with CT, MRI offers a better anatomical definition of the tumor volume, which have been proven for both primary tumor and metastatic lymph nodes [35], and recognized as of prognostic value in the 8th edition of the TNM classification of Malignant Tumors by the AJCC [14]. Another promising aspect of MRI is the ability to convey cost-effective functional information for treatment planning and follow-up [36][37][38], which could be of immense clinical value if incorporated into validated radiomic models.…”
Section: Resultsmentioning
confidence: 99%