Research Article

Histogram Analysis of Perfusion Parameters from Dynamic Contrast-Enhanced MR Imaging with Tumor Characteristics and Therapeutic Response in Locally Advanced Rectal Cancer

Table 3

Correlation with treatment response of neoadjuvant chemoradiotherapy after rectal cancer.

Treatment ResponseParameterReader 1Reader 2

TRG0,1,2(n=29)TRG 3,4 (n=8)P valueTRG0,1,2(n=29)TRG3,4 (n=8)P value

TRGmean0.4 (0.3;0.5)0.4 (0.3;0.5)0.6850.4 (0.3;0.5)0.4 (0.3;0.4)0.854
maximum1.3 (0.7;1.8)0.9 (0.7;1.5)0.6851.3 (0.7;1.8)0.9 (0.7;1.5)0.605
skewness0.9 (0.2;1.6)0.8 (0.1;1.5)0.9120.8 (0.3;1.6)0.8 (0.1;1.6)0.912
kurtosis0.4 (-0.9;2.1)-0.1 (-1.2;1.9)0.5070.2 (-0.9;2.7)-0.2 (-1.1;2.5)0.825
mean1.2 (0.8;1.4)1.0 (0.9;1.1)0.6851.1 (0.7;1.3)1.0(0.9;1.1)0.483
maximum3.3 (2.7;4.0)3.5 (2.7;4.2)1.0003.5 (2.7;4.0)3.5 (2.7;4.2)0.971
skewness1.3 (0.9;1.7)1.3 (0.9;1.8)0.9711.3 (0.9;1.7)1.4 (0.9;1.8)0.941
kurtosis1.1 (0.2;4.1)2.1 (-0.1;3.9)0.9411.3 (0.3;3.6)2.2 (-0.1;4.0)0.941

CR (n=7)nonCR (n=30)P valueCR (n=7)nonCR (n=30)P value

CRmean0.3 (0.3;0.4)0.4 (0.3;0.5)0.4610.4 (0.3;0.4)0.4 (0.3;0.5)0.587
maximum1.0 (0.7;1.5)1.2 (0.7;1.8)0.8161.0 (0.7;1.5)1.2 (0.7;1.8)0.727
skewness1.0 (0.4;1.5)0.8 (0.1; 1.6)0.6701.0 (0.4;1.6)0.8 (0.1;1.6)0.614
kurtosis0.3 (-0.8;1.9)0.3(-0.9;2.1)0.9070.1 (-0.8;2.5)0.1(-0.9;2.7)0.786
mean1.0 (0.9;1.0)1.2 (0.8;1.4)0.3320.9 (0.9;1.0)1.2 (0.7;1.4)0.201
maximum3.8 (2.9; 4.2)3.3 (2.7;4.0)0.7563.8 (2.9;4.2)3.4 (2.7;4.0)0.786
skewness1.5 (1.1;1.8)1.3 (0.7;1.7)0.5101.6 (1.2;1.8)1.3 (0.8;1.7)0.438
kurtosis3.1 (0.8;3.9)1.1(-0.5;4.1)0.5353.1 (0.9;4.0)1.3(-0.5;3.6)0.535

Note. TRG, tumor regression grade; TRG0, no regression; TRG1, dominant tumor mass with obvious fibrosis and/or vasculopathy; TRG2, dominantly fibrotic changes with few tumor cells or groups; TRG3, very few tumor cells in fibrotic tissue with or without mucous substance; TRG4, no tumor cells, only fibrotic mass; TRG nonresponders (Grades 0,1, and 2) and TRG responders (Grades 3 and 4); CR, complete response.
All figures of perfusion parameters in the above table have been rounded to one decimal place and are presented as median value (interquartile range) according to the data distribution.
with the Mann-Whitney U test.