Optimal threshold for defining functional lung in SPECT lung perfusion imaging of lung cancer patien

来源 :22nd Asia Pacific Cancer Conference(第22届亚太抗癌大会) | 被引量 : 0次 | 上传用户:wsdadoudou
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Objective: To investigate the optimal threshold for functional lung (FL) definition of single photon emission computed tomography (SPECT) lung perfusion imaging.Methods: Forty consecutive stage Ⅲ non-small cell lung cancer(NSCLC) patients obtained SPECT lung perfusion scans and positron emission tomography/computed tomography scans for treatment planning, and the images were co-registered.Total lung and perfusion lung volumes corresponding to 10% to 60%of the maximum SPECT count were segmented automatically.The SPECT-weighted mean lung dose (SWMDx%) and the percentage of FL volume receiving more than 20 Gy (Fx%V20)of different thresholds were investigated using SPECT-weighted dose-volume histograms.Receiver operator characteristic(ROC) curves were used to identify the SWMD and FV20 of different thresholds in predicting the incidence of radiation pneumonitis (RP).
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