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Research ArticleBRAIN

Measurement of Tumor “Size” in Recurrent Malignant Glioma: 1D, 2D, or 3D?

Mary F. Dempsey, Barrie R. Condon and Donald M. Hadley
American Journal of Neuroradiology April 2005, 26 (4) 770-776;
Mary F. Dempsey
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Barrie R. Condon
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Donald M. Hadley
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  • Fig 1.
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    Fig 1.

    Image showing software used (developed for Alkermes, Inc., by Evergreen Technologies, Inc., 00000, ME) by neuroradiologist to outline areas of enhancement manually on each transverse section to determine tumor volume.

  • Fig 2.
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    Fig 2.

    Tumor size measured using 1D and 2D techniques. A, 1D versus 2D technique plotted showing line of equality (r = 0.85; P < .05), B, Difference versus mean of tumor size measured by the two methods.

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    Fig 3.

    Tumor size measured using 1D and 3D techniques. A, 1D versus 3D technique plotted showing line of equality (r = 0.44; P < .05). B, Difference versus mean of tumor size measured by the two methods.

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    Fig 4.

    Tumor size measured by 2D and 3D techniques. A, 2D versus 3D technique plotted showing line of equality (r = 0.47; P < .05). B, Difference versus mean of tumor size measured by the two methods.

Tables

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    TABLE 1:

    Summary of 1D, 2D and 3D measures of tumor size

    1D (mm)2D (mm2)3D (mm3)1D→2D (mm2)1D→3D (mm3)2D→3D (mm3)
    Minimum2.822.553.56.211.680.3
    Maximum206.6*22645.4*131387.433501.7*4613963.1*2564157.0*
    Mean78.64240.234416.55922.4454253.8253035.7
    • * Such large maximum values originate from images with several regions of contrast enhancement outlined separately and consequent summation of the appropriate diameters resulting in a large 1D measurement and subsequent conversions.

    • View popup
    TABLE 2:

    Cox model applied to assess the effect of 1D measured tumor size on survival

    CovariateUnivariate AnalysisMultivariate Analysis
    Coefficient (bi)HR [exp(bi)]95% CIP-valueCoefficient (bi)HR [exp(bi)]95% CIP-value
    Age0.0361.039(1.014–1.064).0020.0361.037(1.013–1.062).002
    Sex.015.045
        Female(0.00)(1.00)(0.00)(1.00)
        Male0.7252.070(1.153–3.715)0.6251.868(1.015–3.436)
    Previous.096.545
    Chemotherapy
        No(0.00)(1.00)(0.00)(1.00)
        Yes0.4331.542(0.926–2.566)0.1641.178(0.684–2.000)
    1D Size0.0671.069(0.997–1.147).0620.0521.053(0.182–1.129).146
    • HR = hazard ratio, CI = confidence interval

    • View popup
    TABLE 3:

    Cox model applied to assess the effect of 2D measured tumor size on survival

    CovariateUnivariate AnalysisMultivariate Analysis
    Coefficient (bi)HR [exp(bi)]95% CIP-valueCoefficient (bi)HR [exp(bi)]95% CIP-value
    Age0.0381.039(1.014–1.064).0020.0361.037(1.013–1.062).003
    Sex.015.039
        Female(0.00)(1.00)(0.00)(1.00)
        Male0.7252.070(1.153–3.715)0.6481.912(1.033–3.539)
    Previous.096.601
    Chemotherapy
        No(0.00)(1.00)(0.00)(1.00)
        Yes0.4331.542(0.926–2.566)0.1441.155(0.673–1.082)
    2D Size0.0061.006(1.000–1.012).0460.0041.004(0.999–1.010).140
    • HR = hazard ratio, CI = confidence interval

    • View popup
    TABLE 4:

    Cox model applied to assess the effect of 3D measured tumor size on survival

    CovariateUnivariate AnalysisMultivariate Analysis
    Coefficient (bi)HR [exp(bi)]95% CIP-valueCoefficient (bi)HR [exp(bi)]95% CIP-value
    Age0.0381.039(1.014–1.064).0020.0341.034(1.010–1.058).005
    Sex.015.003
        Female(0.00)(1.00)(0.00)(1.00)
        Male0.7252.070(1.153–3.715)0.9362.551(1.361–4.781)
    Previous.096.115
    Chemotherapy
        No(0.00)(1.00)(0.00)(1.00)
        Yes0.4331.542(0.926–2.566)0.4301.537(0.900–2.626)
    3D Size0.0191.019(1.009–1.029).0000.0251.026(0.015–1.036).000
    • HR = hazard ratio, CI = confidence interval

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American Journal of Neuroradiology: 26 (4)
American Journal of Neuroradiology
Vol. 26, Issue 4
1 Apr 2005
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Cite this article
Mary F. Dempsey, Barrie R. Condon, Donald M. Hadley
Measurement of Tumor “Size” in Recurrent Malignant Glioma: 1D, 2D, or 3D?
American Journal of Neuroradiology Apr 2005, 26 (4) 770-776;

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Measurement of Tumor “Size” in Recurrent Malignant Glioma: 1D, 2D, or 3D?
Mary F. Dempsey, Barrie R. Condon, Donald M. Hadley
American Journal of Neuroradiology Apr 2005, 26 (4) 770-776;
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